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先天性缺失及钉形上颌侧切牙的修复治疗:病例报告

Prosthodontic Management of Congenitally Missing and Peg-Shaped Maxillary Lateral Incisors: A Case Report.

作者信息

Sharma Madhurima, Nandan Rohit, Sharma Rohit, Kumar Shalabh, Gopi Akash, Agarwal Raina, Ashraf Samra, Mahata Srijita, Barman Papan

机构信息

Prosthodontics and Crown and Bridge, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, IND.

Conservative Dentistry and Endodontics, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, IND.

出版信息

Cureus. 2025 May 7;17(5):e83651. doi: 10.7759/cureus.83651. eCollection 2025 May.

Abstract

This case report describes the prosthetic rehabilitation of a 24-year-old female patient who had aesthetic concerns due to implant failure in the right maxillary lateral incisor and peg-shaped left maxillary lateral incisor sites. The treatment plan included fabrication of a canine-supported zirconia cantilever prosthesis for the right incisor and a zirconia crown to restore the peg-shaped left incisor. A minimally invasive approach was employed, including abutment preparation, computer-aided design/computer-aided manufacturing (CAD/CAM) design, and precision milling of the zirconia restoration. The final restoration was cemented with resin cement. The result was the successful restoration of symmetry, functionality, and aesthetics in the maxillary anterior teeth, significantly improving the patient's smile and self-confidence.

摘要

本病例报告描述了一名24岁女性患者的修复康复情况,该患者因右上颌侧切牙种植失败以及左上颌侧切牙呈钉状而存在美观问题。治疗方案包括为右上切牙制作犬牙支持的氧化锆悬臂式修复体,以及为呈钉状的左上切牙制作氧化锆冠。采用了微创方法,包括基牙预备、计算机辅助设计/计算机辅助制造(CAD/CAM)设计以及氧化锆修复体的精密铣削。最终修复体用树脂粘结剂粘结。结果是成功恢复了上颌前牙的对称性、功能性和美观性,显著改善了患者的笑容和自信心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b363/12143111/2c44c23cd8a6/cureus-0017-00000083651-i01.jpg

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