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重度拥挤伴锥形侧切牙的安氏Ⅰ类错牙合畸形的多学科治疗:病例报告

Multidisciplinary Treatment of Class I Angle Malocclusion with Severe Crowding and Peg Lateral Incisor: A Case Report.

作者信息

Narmada Ida Bagus, Putri Vindira, Iman Dimas, Fardhani Irina, Illahi Gemelli Nur

机构信息

Orthodontic Department, Faculty of Dentistry, Airlangga University, Surabaya, Indonesia.

出版信息

Acta Med Philipp. 2023 Nov 24;57(11):102-108. doi: 10.47895/amp.vi0.5485. eCollection 2023.

DOI:10.47895/amp.vi0.5485
PMID:39484068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522370/
Abstract

Class I malocclusions with severe crowding and tooth size discrepancies may be successfully treated orthodontically with extraction therapy, and co-management with other specialists. Correction of the discrepancies will optimize occlusal result (overjet, overbite, midline shift, and smile esthetics). This is a case of a 19-year-old male with severe crowding in upper and lower teeth and peg lateral incisor. The patient had malocclusion Class I. This case was treated comprehensively and successfully using fixed orthodontic appliances with extraction of four premolars, and veneer composite for peg lateral incisor with the help of a conservative dentist at the end of orthodontic treatment.

摘要

伴有严重牙列拥挤和牙齿大小差异的安氏I类错牙合畸形,通过拔牙治疗及与其他专科医生的共同管理,可成功进行正畸治疗。纠正这些差异将优化咬合结果(覆盖、覆牙合、中线偏移和微笑美学)。这是一例19岁男性患者,上下牙列严重拥挤且侧切牙呈钉状。该患者为安氏I类错牙合畸形。本病例采用固定正畸矫治器,拔除四颗前磨牙进行综合治疗并取得成功,正畸治疗结束时,在一位保守派牙医的帮助下,对钉状侧切牙采用复合树脂贴面修复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/f923445625e4/AMP-57-11-5485-g009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/1f7aacc74781/AMP-57-11-5485-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/f923445625e4/AMP-57-11-5485-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/195526f5e691/AMP-57-11-5485-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/40a4faf6e7a0/AMP-57-11-5485-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/911e6b3b5814/AMP-57-11-5485-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/119b843c0e36/AMP-57-11-5485-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/4be0909b8de1/AMP-57-11-5485-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/4fb5bbc02b57/AMP-57-11-5485-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/0d74137d4a2e/AMP-57-11-5485-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/1f7aacc74781/AMP-57-11-5485-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e29/11522370/f923445625e4/AMP-57-11-5485-g009.jpg

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本文引用的文献

1
Esthetic and functional rehabilitation of peg-shaped maxillary lateral incisors: Practical recommendations.上颌侧切牙呈钉状的美学与功能修复:实用建议
Clin Case Rep. 2022 Mar 1;10(3):e05507. doi: 10.1002/ccr3.5507. eCollection 2022 Mar.
2
Peg-Shaped Lateral Incisors Treated with Ceramic Three-Quarter Crown.采用陶瓷四分之三冠治疗的钉状侧切牙
Case Rep Dent. 2021 Dec 29;2021:9412638. doi: 10.1155/2021/9412638. eCollection 2021.
3
A Comparative Analysis of Tooth Size Discrepancy between Male and Female Subjects Presenting with a Class I Malocclusion.
对呈现安氏Ⅰ类错牙合的男性和女性受试者牙齿大小差异的比较分析。
ScientificWorldJournal. 2018 Jul 15;2018:7641908. doi: 10.1155/2018/7641908. eCollection 2018.
4
Multi-disciplinary approach for enhancing orthodontic esthetics - case report.多学科方法提升正畸美学——病例报告
Clin Cosmet Investig Dent. 2015 Aug 13;7:83-9. doi: 10.2147/CCIDE.S84401. eCollection 2015.
5
Treatment of a Class I malocclusion with a carious mandibular incisor and no Bolton discrepancy.对患有龋病的下颌切牙且不存在Bolton差异的I类错牙合畸形的治疗。
Am J Orthod Dentofacial Orthop. 2000 Jul;118(1):107-13. doi: 10.1067/mod.2000.108562.