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唇侧阻生上颌尖牙即刻种植与牙槽骨重建的临床考量及处理:病例报告

Clinical Considerations and Management of a Labially Impacted Maxillary Canine With Immediate Implant Placement and Alveolar Bone Reconstruction: A Case Report.

作者信息

Dhawan Pankaj, Rani Sapna, Chadha Simran

机构信息

Prosthodontics and Implantology, Manav Rachna Dental College, Faridabad, IND.

Prosthodontics, Manav Rachna Dental College, Faridabad, IND.

出版信息

Cureus. 2024 Oct 15;16(10):e71529. doi: 10.7759/cureus.71529. eCollection 2024 Oct.

Abstract

A labially impacted maxillary canine is a relatively uncommon occurrence. In adult patients, management of impacted maxillary canines becomes necessary when the deciduous canine is lost, or if the impacted tooth becomes symptomatic. Orthodontic realignment is not always the preferred therapeutic approach due to the long treatment duration. Alternatively, prosthetic rehabilitation of the missing tooth with a dental implant can serve as a viable treatment option. This article describes a case involving a labially impacted permanent maxillary canine in a 36-year-old woman, who had a primary complaint of discoloration of the corresponding primary tooth, which was rehabilitated with an immediate implant and bone graft along with treatment of the discolored tooth. This case supports the use of a single implant for replacing an impacted tooth, eliminating the need for conventional tooth preparation in prosthetic rehabilitation or extended orthodontic intervention to reposition the impacted tooth. The treatment resulted in exceptional aesthetic outcomes. The combination of immediate implant placement with hard tissue augmentation facilitated alveolar bone reconstruction and shortened the overall treatment time.

摘要

唇侧阻生的上颌尖牙相对少见。在成年患者中,当乳尖牙缺失,或者阻生牙出现症状时,就需要对上颌阻生尖牙进行处理。由于治疗时间长,正畸排齐并不总是首选的治疗方法。另外,用牙种植体对缺失牙进行修复可以作为一种可行的治疗选择。本文描述了一例36岁女性唇侧阻生的上颌恒尖牙病例,其主要诉求是相应乳牙变色,通过即刻种植和骨移植以及对变色牙的治疗对其进行了修复。该病例支持使用单个种植体来替代阻生牙,无需在修复治疗中进行传统的牙体预备或进行延长的正畸干预来重新定位阻生牙。治疗取得了出色的美学效果。即刻种植与硬组织增量相结合促进了牙槽骨重建并缩短了整体治疗时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d7f/11562316/13c144dd43ef/cureus-0016-00000071529-i01.jpg

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