Iniguez I, Strassler H E
Department of Restorative Dentistry, Dental School, University of Maryland, Baltimore, USA.
J Esthet Dent. 1998;10(2):52-9. doi: 10.1111/j.1708-8240.1998.tb00338.x.
The patient, a 58-year-old woman, had started orthodontic treatment to correct spacing between the maxillary anterior teeth 6 year prior to presentation with a chief complaint of tooth discoloration and spacing. The treatment had consisted of the use of a removable appliance to retract the maxillary anterior teeth. The patient continued to wear the appliance sporadically. When she presented, the maxillary incisors were in primary occlusal trauma with Grade 2 mobility. The patient discontinued wearing the appliance. The periodontal condition was addressed with initial therapy. As part of the treatment plan to stabilize the maxillary anterior teeth and provide the patient with an esthetic result, it was decided to do a limited occlusal adjustment of the maxillary anterior teeth to control fremitus, and to place a fixed, composite resin, polyethylene ribbon-reinforced splint, using a facial approach. The esthetic restoration of these teeth was accomplished with bonded porcelain veneers.
患者为一名58岁女性，在因牙齿变色和间隙前来就诊的6年前就开始了正畸治疗，主要目的是矫正上颌前牙之间的间隙。治疗方法是使用可摘矫治器内收上颌前牙。患者断断续续佩戴该矫治器。就诊时，上颌切牙处于原发性咬合创伤状态，松动度为2级。患者停止佩戴矫治器。通过初始治疗解决了牙周问题。作为稳定上颌前牙并为患者提供美观效果的治疗计划的一部分，决定对上颌前牙进行有限的咬合调整以控制震颤，并采用面部入路放置固定的复合树脂、聚乙烯带增强夹板。这些牙齿的美学修复通过粘结瓷贴面完成。
