Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants.
Optimizing Maxillary Aesthetics of a Severe Compromised Tooth through Orthodontic Movement and Dental Implants.
复制标题
DOI：
10.1155/2014/103808
复制
发表时间：
2014
影响因子：
0.8
通讯作者：
Borelli Barros LA
中科院分区：
文献类型：
--
作者：
de Molon RS;de Avila ED;Cirelli JA;Cardoso Mde A;Capelozza-Filho L;Borelli Barros LA
上颌前区严重受损牙的治疗仍然是临床医生面临的巨大挑战。几种治疗方法已被提出，以恢复功能和美观的牙齿与晚期牙周病。本研究报告一例创伤性左上颌中切牙脊保留、正畸运动及种植治疗的病例。一位45岁的女性接受了她左中门牙的建议治疗：基本牙周治疗，异种骨移植和引导骨再生（GBR）。移植物手术后6个月，通过对准和调平进行正畸运动，在13个月的积极运动后，可以观察到牙龈边缘的冠状位移和垂直骨对位。之后，种植牙，结缔组织移植物和立即固定冠。综上所述，正畸运动可以有效改善种植体植入前的牙龈组织和牙槽骨，有利于美观效果。术后6年，结果显示牙槽骨的高度和宽度增加，表明所提出的治疗方法能够恢复所有功能和美观参数。
Treatment of severe compromised tooth in the maxillary anterior area still poses great challenge to the clinicians. Several treatment modalities have been proposed to restore the function and aesthetics in teeth with advanced periodontal disease. The present study aims to report a case of traumatic injury of a left-maxillary central incisor with ridge preservation, orthodontic movement, and implant therapy. A 45-year-old woman underwent the proposed treatment for her left central incisor: basic periodontal therapy, xenogenous bone graft, and guided bone regeneration (GBR). Six months after the graft procedure, orthodontic movement by means of alignment and leveling was made and a coronal displacement of the gingival margin and vertical bone apposition could be observed after 13 months of active movement. Afterwards, a dental implant was placed followed by a connective tissue graft and immediate provisionalization of the crown. In conclusion, orthodontic movement was effective to improve the gingival tissue and alveolar bone prior to implant placement favoring the aesthetic results. Six years postoperatively, the results revealed height and width alveolar bone gain indicating that the treatment proposed was able to restore all the functional and aesthetic parameters.