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与严重开(牙合)相关的釉质发育不全的外科、正畸和修复治疗:一例报告

Surgical, orthodontic, and prosthetic management of amelogenesis imperfecta associated with severe open bite: a case report.

作者信息

Labidi Amel, Bekri Sana, Mabrouk Yosra, Rzigui Sameh, Dallel Ines, Moatemri Ramzi, Mansour Lamia

机构信息

Department of Removable Prosthodontics, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia.

Laboratory of Dento-Facial, Clinical and Biological Approach (ABCDF) (LR12ES10), Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia.

出版信息

J Med Life. 2024 Oct;17(10):956-962. doi: 10.25122/jml-2024-0259.

Abstract

Amelogenesis imperfecta refers to a group of hereditary diseases that affect dental enamel, often leading to a wide range of clinical manifestations and aesthetic concerns. This case report describes a female patient diagnosed with amelogenesis imperfecta associated with a skeletal open bite. The treatment approach was multidisciplinary. Periodontal therapy was initiated, followed by orthodontic treatment using brackets on temporary crowns to expand and coordinate the maxillary and mandibular arches. Subsequently, orthognathic surgery, including a LeFort I osteotomy and genioplasty, was performed. The fixed prosthodontic rehabilitation performed with metal-ceramic crowns was the last step of the treatment. The final result was both functionally and esthetically satisfactory for the patient.

摘要

牙釉质发育不全是指一组影响牙釉质的遗传性疾病,常导致广泛的临床表现和美观问题。本病例报告描述了一名被诊断为牙釉质发育不全并伴有骨性开牙合的女性患者。治疗方法是多学科的。首先进行牙周治疗,然后使用临时冠上的托槽进行正畸治疗,以扩大和协调上颌和下颌牙弓。随后,进行了正颌手术,包括勒福Ⅰ型截骨术和颏成形术。用金属烤瓷冠进行的固定义齿修复是治疗的最后一步。最终结果在功能和美观上都让患者满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa5a/11665750/721b1776137d/JMedLife-17-956-g002.jpg

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