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先天性缺牙的影响:成年患者的正畸和修复治疗

Implications of congenitally missing teeth: orthodontic and restorative procedures in the adult patient.

作者信息

Miller T E

机构信息

Department of Restorative Dentistry, Dental School, University of Maryland, Baltimore, USA.

出版信息

J Prosthet Dent. 1995 Feb;73(2):115-22. doi: 10.1016/s0022-3913(05)80148-9.

DOI:10.1016/s0022-3913(05)80148-9
PMID:7722923
Abstract

Missing teeth are a concern to the patient and restorative dentist, and this social liability can be a multifactorial problem that involves esthetics, phonetics, disease, function, and stabilization. Dental caries, trauma, and periodontal disease are usually identified by pain, food impaction, discomfort, and lack of esthetics or poor phonetics. Restorative dentists are concerned with all aspects of the general health and appearance of the stomatognathic system and not only have the responsibility for immediate correction of an extant problem, but also for ensuring long-term "outcomes." The perceptive integration of interspecialty orthodontic treatment before restorative dentistry can obviate deleterious circumstances that threaten successful completion of the treatment plan. The prerestorative repositioning of malposed adjacent teeth in spaces created by congenitally missing teeth is illustrated with clinical treatment of three patients.

摘要

牙齿缺失是患者和修复牙医所关注的问题,这种社会负担可能是一个多因素问题,涉及美观、语音、疾病、功能和稳定性。龋齿、外伤和牙周疾病通常通过疼痛、食物嵌塞、不适以及美观不佳或语音障碍来识别。修复牙医关注口腔颌面部系统的整体健康和外观的各个方面,不仅有责任立即纠正现存问题,还需确保长期“疗效”。在修复牙科治疗之前进行跨专业正畸治疗的敏锐整合,可以避免威胁治疗计划成功完成的有害情况。通过三位患者的临床治疗展示了在先天性缺牙所形成的间隙中对错位相邻牙齿进行修复前重新定位的情况。

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