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利用保留乳牙解决恒牙前磨牙缺失问题:正畸治疗方案与效果。

Addressing Missing Permanent Premolars With Retained Deciduous Teeth: Orthodontic Solutions and Outcomes.

作者信息

Surendran Aathira, Daigavane Pallavi, Kamble Ranjit, Bharti Lovely, Shinde Mrudula, Pareek Aditya V

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jul 2;16(7):e63660. doi: 10.7759/cureus.63660. eCollection 2024 Jul.

DOI:10.7759/cureus.63660
PMID:39092401
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293053/
Abstract

This case report presents an orthodontic treatment approach involving retained deciduous teeth. The patient presented with a Class I malocclusion and buccal crossbite. Despite the presence of retained deciduous teeth, a non-extraction treatment plan was devised to address the malocclusion and achieve optimal dental alignment. The treatment protocol included the use of fixed appliances and quad helix to facilitate the alignment of permanent dentition. The progress of treatment was closely monitored through regular follow-up appointments and adjustments to the treatment plan as necessary. Upon completion of treatment, the patient achieved a harmonious occlusion, improved dental alignment, and a pleasing aesthetic outcome. This case report highlights the successful management of a challenging orthodontic case through a non-extraction approach with retained deciduous teeth, emphasizing the importance of individualized treatment planning and careful consideration of each patient's unique dental anatomy.

摘要

本病例报告介绍了一种涉及乳牙滞留的正畸治疗方法。该患者表现为I类错牙合和颊侧反牙合。尽管存在乳牙滞留,但仍制定了不拔牙治疗方案来解决错牙合问题并实现最佳牙齿排列。治疗方案包括使用固定矫治器和四螺旋弹簧来促进恒牙列的排列。通过定期复诊密切监测治疗进展,并根据需要调整治疗方案。治疗完成后,患者实现了和谐的咬合、改善的牙齿排列以及令人满意的美学效果。本病例报告强调了通过不拔牙方法成功处理具有挑战性的正畸病例,强调了个性化治疗计划的重要性以及对每位患者独特牙齿解剖结构的仔细考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/3b638d05fba6/cureus-0016-00000063660-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/61ff22a2bfbc/cureus-0016-00000063660-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/0366e445538d/cureus-0016-00000063660-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/f236ffa804f2/cureus-0016-00000063660-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/a31acb60d926/cureus-0016-00000063660-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/627ce6e8064a/cureus-0016-00000063660-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/13dd02f55663/cureus-0016-00000063660-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/3b638d05fba6/cureus-0016-00000063660-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/61ff22a2bfbc/cureus-0016-00000063660-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/0366e445538d/cureus-0016-00000063660-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/f236ffa804f2/cureus-0016-00000063660-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/a31acb60d926/cureus-0016-00000063660-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/627ce6e8064a/cureus-0016-00000063660-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/13dd02f55663/cureus-0016-00000063660-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a463/11293053/3b638d05fba6/cureus-0016-00000063660-i07.jpg

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本文引用的文献

1
The congenitally missing second premolar: Space closure. A viable option.先天性缺失第二前磨牙:关闭间隙。可行的选择。
Am J Orthod Dentofacial Orthop. 2020 Apr;157(4):571-583.e16. doi: 10.1016/j.ajodo.2019.10.015.
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The prognosis of retained primary molars without successors: infraocclusion, root resorption and restorations in 111 patients.无继承恒牙的乳牙滞留的预后:111例患者的低位咬合、牙根吸收及修复情况
Eur J Orthod. 2014 Feb;36(1):26-30. doi: 10.1093/ejo/cjs105. Epub 2013 Jan 12.
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Congenitally missing mandibular second premolars: clinical options.
先天性下颌第二前磨牙缺失:临床治疗方案
Am J Orthod Dentofacial Orthop. 2006 Oct;130(4):437-44. doi: 10.1016/j.ajodo.2006.05.025.
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Hypodontia--a retrospective review of prevalence and etiology. Part I.恒牙先天缺失——患病率与病因的回顾性研究。第一部分。
Quintessence Int. 2005 Apr;36(4):263-70.
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A meta-analysis of the prevalence of dental agenesis of permanent teeth.恒牙先天性缺失患病率的荟萃分析。
Community Dent Oral Epidemiol. 2004 Jun;32(3):217-26. doi: 10.1111/j.1600-0528.2004.00158.x.
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Root resorption in retained deciduous canine and molar teeth without permanent successors in patients with severe hypodontia.严重恒牙先天缺失患者中无恒牙胚的滞留乳牙尖牙和磨牙的牙根吸收情况
Int J Paediatr Dent. 2001 May;11(3):171-8. doi: 10.1046/j.1365-263x.2001.00257.x.
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Incorporating retained deciduous teeth in orthodontic therapy.在正畸治疗中纳入滞留乳牙。
Am J Orthod Dentofacial Orthop. 2001 Mar;119(3):202-10. doi: 10.1067/mod.2001.112445.
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Persistence of deciduous molars in subjects with agenesis of the second premolars.第二前磨牙缺失患者乳牙磨牙的存留情况
Eur J Orthod. 2000 Jun;22(3):239-43. doi: 10.1093/ejo/22.3.239.
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The effects of maxillary expansion using a quad-helix appliance during the deciduous and mixed dentitions.乳牙列和混合牙列期使用四螺旋矫治器进行上颌扩弓的效果。
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