Oliveira Gabriela Ezequiel, Pelegrine Henrique Cassebe Ledo, Barros-Filho Luiz Antonio B, de Almeida Cardoso Mauricio, Ricci Weber Adad, Barros Luiz Antonio Borelli, de Avila Erica Dorigatti, de Molon Rafael Scaf
Department of Diagnosis and Surgery, School of Dentistry, São Paulo State University (UNESP), Rua Jose Bonifacio, 1193. Vila Mendonça, Aracatuba, São Paulo 16015-050, Brazil.
Department of Oral Surgery, Dental School, Araraquara University (UNIARA), Araraquara 14801-340, Brazil.
Case Rep Dent. 2024 Oct 17;2024:5901688. doi: 10.1155/2024/5901688. eCollection 2024.
Congenital dental agenesis, particularly in younger adults, can have a profound impact on aesthetics and overall quality of life. The scientific literature offers various management strategies for this condition, with orthodontic movement and implant-supported rehabilitation being central to treatment. However, achieving predictable and successful outcomes necessitates a comprehensive multidisciplinary approach. Such an approach integrates diverse professional perspectives to ensure accurate diagnosis, prognosis, and treatment planning, ultimately aiming to restore dental function and address aesthetic concerns effectively. In this case report, we present the successful rehabilitation of a young patient with congenital agenesis of the mandibular central incisors. The treatment strategy combined oral surgery (extraction of deciduous teeth and autogenous bone graft), orthodontic movement (opening spaces to allow implant installation), periodontics (connective tissue graft), implantology, and prosthetic planning. We detail the specific surgical approaches employed and discuss how their integration contributed to the overall success of the case. This multidisciplinary treatment approach not only restored dental function but also met the patient's aesthetic expectations and enhanced the patient's quality of life, highlighting the importance of a coordinated approach in managing complex dental conditions.
先天性牙齿缺失,尤其是在较年轻的成年人中,会对美观和整体生活质量产生深远影响。科学文献提供了针对这种情况的各种治疗策略,正畸移动和种植体支持的修复是治疗的核心。然而,要实现可预测且成功的治疗结果,需要采用全面的多学科方法。这种方法整合了不同的专业观点,以确保准确的诊断、预后评估和治疗计划,最终目标是有效恢复牙齿功能并解决美观问题。在本病例报告中,我们展示了一名下颌中切牙先天性缺失的年轻患者的成功修复过程。治疗策略结合了口腔外科手术(乳牙拔除和自体骨移植)、正畸移动(开辟间隙以便植入种植体)、牙周治疗(结缔组织移植)、种植学以及修复计划。我们详细介绍了所采用的具体手术方法,并讨论了它们的整合如何促成了该病例的整体成功。这种多学科治疗方法不仅恢复了牙齿功能,还满足了患者的美观期望并提高了患者的生活质量,凸显了在处理复杂牙齿疾病时采用协调方法的重要性。
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