口腔疾病防治 ›› 2020, Vol. 28 ›› Issue (4): 241-245.DOI: 10.12016/j.issn.2096-1456.2020.04.007

• 防治实践 • 上一篇    下一篇

上颌侧切牙先天缺失正畸种植联合治疗的考量

曹聪1,周楠2,张凯1,简繁3,徐宝华1,满毅2()   

  1. 1. 中日友好医院口腔医学中心,北京(100029)
    2. 四川大学华西口腔医院口腔种植中心,四川 成都(610041)
    3. 四川大学华西口腔医院正畸科,四川 成都(610041)
  • 收稿日期:2019-04-10 修回日期:2019-08-21 出版日期:2020-04-20 发布日期:2020-03-31
  • 通讯作者: 满毅
  • 作者简介:曹聪,主治医师,博士,Email:dentistcc@126.com
  • 基金资助:
    十三五国家重点研发计划(2016YFC1102705);十三五国家重点研发计划(2016YFC1102700);国家自然科学基金青年科学基金项目(81601614);中日友好医院院级课题(2017-2-QN-11)

Summary of combined orthodontic and implant treatment in the patients with the congenital absence of maxillary lateral incisors

CAO Cong1,ZHOU Nan2,ZHANG Kai1,JIAN Fan3,XU Baohua1,MAN Yi2()   

  1. 1. Center of Stomatology, China-Japan Friendship Hospital, Beijing 100029, China
    2. Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    3. Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-04-10 Revised:2019-08-21 Online:2020-04-20 Published:2020-03-31
  • Contact: Yi MAN

摘要:

目的 探讨上颌侧切牙先天缺失(maxillary lateral incisor agenesis,MLIA)的治疗方案选择要点。方法 回顾文献总结MLIA的现有治疗方案选择策略及各类方法的优缺点,并结合对病例实际情况进行分析。 结果 在患者的咬合情况和尖牙基础条件合适时,建议优先选择尖牙改型治疗,研究证实该方法美学效果稳定,牙周健康情况较好。但在咬合及面型不允许关闭间隙时,种植修复较其他修复方式具有更大优势。针对正畸种植联合修复的情况,建议医生在种植手术时注意做好术前分析,选择好植入时间,把控好种植体的植入位置才能获得良好的效果。结论 在MLIA的治疗方案选择中,需要运用多学科联合治疗的理念,以期在美学与功能上获得较为满意的治疗效果。

关键词: 上颌侧切牙先天缺失, 多学科联合治疗, 正畸, 尖牙改型, 种植修复, 术前分析, 植入时机, 循证医学, 治疗方案

Abstract:

Objective To summarize the treatment options for congenital maxillary lateral incisor agenesis (MLIA). Methods Review the literature, summarize the current treatment options and advantages and disadvantages of various methods of MLIA, and analyze cases. Results When a patient′s occlusion and other conditions are suitable for space closure and canine substitution, closure of the gap is the recommended method, as it has good aesthetic results and leads to good periodontal health. However, when closure cannot be performed, a dental implant has a strong advantage compared with other restoration methods. When planning implants for MLIA patients, doctors should carefully select the correct surgery time and take care with the implant position to obtain good results. Conclusion In the choice of a treatment plan for MLIA, we need to use the concept of multidisciplinary combined treatment to obtain a more satisfactory treatment effect with regard to aesthetics and function.

Key words: maxillary lateral incisor agenesis, multidisciplinary treatment, orthodontics, canine teeth modification, implant repair, preoperative analysis, implant timing, evidence-based medicine, treatment plan

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