氟硅酸钾玻璃陶瓷全口修复在牙釉质发育不全中的应用:病例报告及文献回顾。

Full-mouth rehabilitation with lithium disilicate ceramic crowns in hypoplastic amelogenesis imperfecta: a case report and review of literature.

机构信息

The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Blomaterials and Devices of Zhejlang Province, Hangzhou, 310000, China.

出版信息

BMC Oral Health. 2024 Sep 27;24(1):1139. doi: 10.1186/s12903-024-04929-9.

Abstract

BACKGROUND

Amelogenesis imperfecta (AI) is a group of genetic disorders characterized by tooth discoloration and enamel defects. Patients with AI always exhibit generalized attrition and defective tooth structure, leading to the loss of occlusal vertical dimension (OVD). Appropriate rehabilitation is challenging and essential to improve patients' aesthetics and function.

CASE PRESENTATION

This case report presents a comprehensive management of a 30-year-old woman with hypoplastic AI. A 52-month follow-up revealed satisfactory full-mouth rehabilitation performances of lithium disilicate ceramic crowns after clinical crown lengthening, with increased vertical dimension.

CONCLUSIONS

Patients with severe hypoplastic AI require proper full-mouth rehabilitation. Using full-crown lithium disilicate restorations to increase the OVD by 2‒4 mm is a safe and predictable recommendation for such cases. In addition, patients with AI require complex and comprehensive management. The long-term effects of full-mouth rehabilitation with lithium disilicate ceramic crowns still necessitate further follow-ups.

摘要

背景

釉质不全(AI)是一组以牙齿变色和牙釉质缺陷为特征的遗传疾病。AI 患者常表现为普遍性磨损和牙体结构缺陷,导致颌间垂直距离(OVD)丧失。适当的修复对于改善患者的美观和功能至关重要,但具有挑战性。

病例介绍

本病例报告介绍了一名 30 岁女性的综合性治疗,她患有发育不全的 AI。52 个月的随访显示,在临床牙冠延长术后,使用二硅酸锂陶瓷全冠进行了全口修复,增加了垂直向颌间距离,取得了令人满意的效果。

结论

严重发育不全 AI 患者需要进行适当的全口修复。通过增加 2-4mm 的 OVD 来使用全冠二硅酸锂修复体,对于此类病例是一种安全且可预测的推荐方法。此外,AI 患者需要进行复杂和全面的管理。全口使用二硅酸锂陶瓷冠进行修复的长期效果仍需要进一步的随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/827b/11437823/416dc2164aa3/12903_2024_4929_Fig1_HTML.jpg

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