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使用M型弹簧进行系带切除术治疗中线间隙关闭:一例报告

Midline Diastema Closure Following Frenectomy Using M-spring: A Case Report.

作者信息

Singh Shefali, Gilani Rizwan, Kathade Anjali, Tamgadge Shrutika, Patil Jay, Atey Aishwarya R, Rathod Pratik

机构信息

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

Department of Orthodontics and Dentofacial Orthopedics, Annasaheb Chudaman Patil Memorial Dental College, Maharashtra University of Health Sciences, Dhule, IND.

出版信息

Cureus. 2024 Jul 27;16(7):e65484. doi: 10.7759/cureus.65484. eCollection 2024 Jul.

DOI:10.7759/cureus.65484
PMID:39188466
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11346811/
Abstract

Midline diastemas are one of the most prevalent dental malocclusions. In young adults this may create aesthetics problems, especially in individuals marked by a gap between central incisors higher than 4 mm. This case report demonstrates the treatment of a patient with Angle's Class I malocclusion and midline diastema with the M-spring appliance resulting in complete closure within four months. The case included a frenectomy for correction of the abnormal labial frenal attachment followed by an M-spring orthodontic appliance. This "M" shaped device, with specific activation points, provides control over tooth movement and consequently achieves this site closure in a short duration of time by tipping the crowns of central incisors in a mesial direction. This procedure aimed to resolve aesthetic issues while also enhancing and ensuring functional occlusion.

摘要

中线牙缝是最常见的牙颌面畸形之一。在年轻成年人中,这可能会产生美学问题,尤其是在中切牙之间间隙大于4毫米的个体中。本病例报告展示了一名安氏I类错颌畸形伴中线牙缝患者使用M型弹簧矫治器进行治疗,在四个月内实现了完全关闭。该病例包括为矫正异常的唇系带附着而进行的系带切除术,随后使用M型弹簧正畸矫治器。这种具有特定激活点的“M”形装置可控制牙齿移动,从而通过向近中方向倾斜中切牙的牙冠在短时间内实现该部位的关闭。此程序旨在解决美学问题,同时增强并确保功能性咬合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/cb313e52c2a6/cureus-0016-00000065484-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/9899823d87e0/cureus-0016-00000065484-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/0c93725ee1ed/cureus-0016-00000065484-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/3f759dceacc8/cureus-0016-00000065484-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/3fab4abfcd8d/cureus-0016-00000065484-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/cb313e52c2a6/cureus-0016-00000065484-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/9899823d87e0/cureus-0016-00000065484-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/0c93725ee1ed/cureus-0016-00000065484-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/3f759dceacc8/cureus-0016-00000065484-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/3fab4abfcd8d/cureus-0016-00000065484-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11346811/cb313e52c2a6/cureus-0016-00000065484-i05.jpg

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本文引用的文献

1
'M' mechanics for midline diastema correction in mixed dentition.M 矫治技术在混合牙列期中线间隙的应用。
BMJ Case Rep. 2023 Sep 22;16(9):e256179. doi: 10.1136/bcr-2023-256179.
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Midline Diastema Closure Using an M Spring in a Young Adult: A Case Report.在一名年轻成年人中使用M形弹簧关闭中线间隙:病例报告
Cureus. 2022 Oct 27;14(10):e30777. doi: 10.7759/cureus.30777. eCollection 2022 Oct.
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Association between superior labial frenum and maxillary midline diastema - a systematic review.上唇系带与上颌中线牙间隙的关联——一项系统评价
Int J Pediatr Otorhinolaryngol. 2022 May;156:111063. doi: 10.1016/j.ijporl.2022.111063. Epub 2022 Feb 26.
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Multidisciplinary Management of a Severe Maxillary Midline Diastema: A Clinical Report.多学科综合治疗上颌中缝重度裂开:一份临床报告
J Prosthodont. 2019 Mar;28(3):239-243. doi: 10.1111/jopr.12979. Epub 2018 Oct 22.
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Clinical Utilization of M Spring for the Space Closure of Midline Diastema - Clinical Case Reports.M弹簧用于关闭中线间隙的临床应用——临床病例报告
J Clin Diagn Res. 2016 Mar;10(3):ZD11-2. doi: 10.7860/JCDR/2016/17404.7478. Epub 2016 Mar 1.
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Long-term bonded retention after closure of maxillary midline diastema.上颌中线间隙关闭后的长期粘结固位
Am J Orthod Dentofacial Orthop. 2015 Aug;148(2):238-44. doi: 10.1016/j.ajodo.2015.03.026.
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Spontaneous closure of midline diastema following frenectomy.唇系带切除术后中线间隙的自然闭合
J Indian Soc Pedod Prev Dent. 2007 Mar;25(1):23-6. doi: 10.4103/0970-4388.31985.
8
The midline diastema: a review of its etiology and treatment.中线间隙:病因及治疗综述
Pediatr Dent. 1995 May-Jun;17(3):171-9.
9
Incidence and etiology of midline diastema in a population in south India (Madras).印度南部(马德拉斯)人群中线牙间隙的发病率及病因
Angle Orthod. 1989 Winter;59(4):277-82. doi: 10.1043/0003-3219(1989)059<0277:IAEOMD>2.0.CO;2.
10
The diastema, the frenum, the frenectomy: a clinical study.牙间隙、系带、系带切除术:一项临床研究。
Am J Orthod. 1977 May;71(5):489-508. doi: 10.1016/0002-9416(77)90001-x.