| 陈虹君,李俊雄,唐婉容,邱亚,李丽华.一例上颌尖牙易位的正畸-修复-牙周多学科联合治疗[J].口腔材料器械杂志,2025,34(1):61-65. |
| 一例上颌尖牙易位的正畸-修复-牙周多学科联合治疗 |
| A case of orthodontic and prosthetic treatment for the displacement of maxillary canine teeth |
| 投稿时间：2023-10-27 修订日期：2024-04-03 |
| DOI：10.11752/j.kqcl.2025.01.12 |
| 中文关键词: 多学科联合 正畸治疗 尖牙错位 |
| 英文关键词:Multidisciplinary approach Orthodontic treatment Canine Malposition |
| 基金项目:川北医学院校级课题(JG20230119,CBY23-KP01) |
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| 摘要点击次数: 81 |
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| 中文摘要: |
| 目的：探讨正畸-修复-牙周等多学科联合治疗一例复杂病例中的临床效果。方法：对 1例上颌尖牙易位于同侧中切牙唇侧的病例，进行口内及影像学检查，使用种植钉支抗、牙槽骨微穿孔术等技术，对尖牙易位，磨牙伸长，后牙缺失的复杂病例采用正畸-修复-牙周多学科联合治疗。结果：上颌尖牙代替同侧中切牙，通过贴面改形达到美观效果；种植钉支抗高效压低伸长磨牙，牙槽骨微穿孔术加速了后牙前移的速率。结论：在个性化治疗中，采用正畸-修复-牙周等多学科联合治疗可以缩短治疗时间，加速牙齿移动速率，为患者节约时间成本。 |
| 英文摘要: |
| Objective To evaluate the clinical efficacy of using implant anchorage for controlled molar intrusion and micro-osteoperforations (MOPs) to accelerate mesial movement of posterior teeth in the multidisciplinary treatment of complex cases involving orthodontics, prosthodontics, and periodontics. Method A case of a maxillary canine transposed to the labial side of the ipsilateral central incisor was examined through intraoral and radiographic assessments. A multidisciplinary approach integrating orthodontic, prosthetic, and periodontal treatment was employed. The treatment plan involved the use of temporary anchorage devices (TADs) for controlled molar intrusion, MOPs to facilitate accelerated tooth movement, and restorative techniques to achieve functional and esthetic rehabilitation. Results The maxillary canine successfully replaced the ipsilateral central incisor, and esthetic enhancement was achieved through veneer reshaping. The use of TADs effectively controlled molar intrusion, while MOPs significantly accelerated posterior tooth mesialization. Conclusion Adult orthodontic patients with complex malocclusions and compromised dental conditions can benefit from individualized treatment strategies. Replacing an unsalvageable central incisor with a canine can yield satisfactory functional and esthetic outcomes. Additionally, TADs provide efficient molar intrusion, and MOPs can expedite tooth movement, reducing overall treatment duration and optimizing time efficiency. This case demonstrates the successful integration of orthodontic, prosthetic, and periodontal disciplines in managing complex dental anomalies. |
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