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以微型螺钉作为临时锚固装置的双侧腭侧阻生尖牙的多学科管理：病例报告

Interdisciplinary Management of Bilateral Palatally Impacted Canines With Mini-Screws as Temporary Anchorage Devices: A Case Report.

作者信息

Yong Joann Sook Mei, Mat Ali Umi Mardhiyyah

机构信息

Orthodontic Unit, Prestige Dental & Oral Facial Surgery Specialist Clinic, Selangor, MYS.

Orthodontic Unit, School of Dental Sciences, Universiti Sains Malaysia, Kelantan, MYS.

出版信息

Cureus. 2024 Aug 27;16(8):e67978. doi: 10.7759/cureus.67978. eCollection 2024 Aug.

DOI:10.7759/cureus.67978
PMID:39347298
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11427706/
Abstract

Dealing with impacted maxillary teeth can be quite challenging for dental professionals. The advantage of using temporary anchorage devices (TADs) in the treatment of bilateral palatally impacted canines is the ability to exert more controlled and directed forces on the impacted tooth. Utilizing TADs might result in enhanced outcomes, including better tooth positioning within the dental arch and reduced risk of complications, such as root resorption. This article highlights the importance of diagnosis, adequate treatment planning for the eruption of impacted canines, and also managing tooth-arch size discrepancy to achieve a balanced occlusion and dental aesthetic. This is a case report on the interdisciplinary management of bilateral palatally impacted canines using mini-screws as TADs.

摘要

对于牙科专业人员来说，处理上颌阻生牙可能颇具挑战性。在双侧腭侧阻生尖牙的治疗中使用临时锚固装置（TADs）的优势在于能够对阻生牙施加更可控、更有针对性的力。使用TADs可能会带来更好的治疗效果，包括在牙弓内实现更好的牙齿定位，并降低诸如牙根吸收等并发症的风险。本文强调了诊断、为阻生尖牙萌出制定充分的治疗计划以及处理牙弓大小差异以实现平衡咬合和牙齿美观的重要性。这是一篇关于使用微型螺钉作为TADs对双侧腭侧阻生尖牙进行多学科管理的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/05e39d2bc6fe/cureus-0016-00000067978-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/b2de63dc7953/cureus-0016-00000067978-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/35b2252efca7/cureus-0016-00000067978-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/cdedcb3230f8/cureus-0016-00000067978-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/36a1e8cb2671/cureus-0016-00000067978-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/7b916991e642/cureus-0016-00000067978-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/50cd51569053/cureus-0016-00000067978-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/c18082846a5c/cureus-0016-00000067978-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/75873b2cbe0b/cureus-0016-00000067978-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/754fd05d7b0a/cureus-0016-00000067978-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/05e39d2bc6fe/cureus-0016-00000067978-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/b2de63dc7953/cureus-0016-00000067978-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/35b2252efca7/cureus-0016-00000067978-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/cdedcb3230f8/cureus-0016-00000067978-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/36a1e8cb2671/cureus-0016-00000067978-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/7b916991e642/cureus-0016-00000067978-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/50cd51569053/cureus-0016-00000067978-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/c18082846a5c/cureus-0016-00000067978-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/75873b2cbe0b/cureus-0016-00000067978-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/754fd05d7b0a/cureus-0016-00000067978-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74b2/11427706/05e39d2bc6fe/cureus-0016-00000067978-i10.jpg

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本文引用的文献

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Radiographical characteristics and traction duration of impacted maxillary canine requiring surgical exposure and orthodontic traction: a cross-sectional study.需要手术暴露和正畸牵引的上颌尖牙阻生的影像学特征和牵引时间：一项横断面研究。
Sci Rep. 2022 Nov 10;12(1):19183. doi: 10.1038/s41598-022-23232-7.
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A new guide using CBCT to identify the severity of maxillary canine impaction and predict the best method of intervention.
一份使用锥形束计算机断层扫描（CBCT）来识别上颌尖牙阻生严重程度并预测最佳干预方法的新指南。
J Orthod Sci. 2021 Feb 19;10:3. doi: 10.4103/jos.JOS_41_20. eCollection 2021.
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Comparison of rate of tooth movement and pain perception during accelerated tooth movement associated with conventional fixed appliances with micro-osteoperforations - a randomised controlled trial.传统固定矫治器联合微骨开窗加速牙齿移动过程中牙齿移动速率与疼痛感知的比较——一项随机对照试验
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Palatally impacted canines: A new 3-dimensional assessment of severity based on treatment objective.腭侧阻生尖牙：基于治疗目标的严重程度的新型三维评估
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