Abstract
本篇提出前牙外傷缺牙區以矯正及植牙跨科治療重建之病例報告。病患?25歲男性，因車禍導致右上顎側門齒、左上顎正中門齒及側門齒斷裂，右上顎正中門齒牙齒突出併發牙髓壞死。病患接受#12、#21、#22斷裂牙齒拔除合併牙?保存術，#11根管治療。隨後，矯正治療#11及#12至#22前牙區之空閒重新分配，以利將來義齒補綴贗復重建。#12、#21、#22種植人工植牙，同時運用引導骨再生術進行牙?增進。之後，進行牙齦整型術以增進軟組織美觀效果。運用#12、#2l、#22植體支持固定式局部義齒及#1l瓷金屬融合牙冠贗復，以達到滿意的功能及美觀重建。
This case report presented the team approach combining the efforts of orthodontist, periodontist and prosthodontist for rehabilitation of dentoalveolar trauma. A 25-year-old male, who suffered a traffic accident, had tooth fracture of maxillary right lateral incisor, left central and lateral incisors fracture, and extrusion of maxillary right central incisor with pulp necrosis. The interdisciplinary treatment included #12, #21 and #22 tooth extraction with ridge preservation procedure, #11 endodontic treatment, followed by orthodontic therapy to intrude #11 and redistribute space between #12 and #22 for prosthetic restoration. After completion of orthodontic therapy, #12, #21 and #22 implants were inserted simultaneously with ridge augmentation using guided bone regeneration technique. Gingivoplasty was used to enhance ultimate soft tissue contour. #11 porcelain fused to metal crown and #12, #21 and #22 implant supported fixed partial denture were fabricated. Finally, the patient regained satisfactory functional and esthetic rehabilitation in maxillary anterior area.
This case report presented the team approach combining the efforts of orthodontist, periodontist and prosthodontist for rehabilitation of dentoalveolar trauma. A 25-year-old male, who suffered a traffic accident, had tooth fracture of maxillary right lateral incisor, left central and lateral incisors fracture, and extrusion of maxillary right central incisor with pulp necrosis. The interdisciplinary treatment included #12, #21 and #22 tooth extraction with ridge preservation procedure, #11 endodontic treatment, followed by orthodontic therapy to intrude #11 and redistribute space between #12 and #22 for prosthetic restoration. After completion of orthodontic therapy, #12, #21 and #22 implants were inserted simultaneously with ridge augmentation using guided bone regeneration technique. Gingivoplasty was used to enhance ultimate soft tissue contour. #11 porcelain fused to metal crown and #12, #21 and #22 implant supported fixed partial denture were fabricated. Finally, the patient regained satisfactory functional and esthetic rehabilitation in maxillary anterior area.
| Original language | American English |
|---|---|
| Pages (from-to) | 65-74 |
| Journal | 臺灣牙周病醫學會雜誌 |
| Volume | 13 |
| Issue number | 1 |
| State | Published - 2008 |
