Treatment decisions of patients with Class II Division 2 malocclusion and severe tooth wear: a systematic review.

IF 2.5 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Yuhan Ma, Weijia Zhao, Sisi Zhang, Xiaoting Jin, Jianhao Xu, Baiping Fu, Ying Shi
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引用次数: 0

Abstract

Background: The treatment strategy for patients with severe tooth wear associated with Class II Division 2 malocclusion remains a major challenge for dental practitioners.

Objectives: To systematically review and summarize the literature on treatment strategies, restoration procedures and clinical outcomes for Class II Division 2 malocclusion patients with severe tooth wear.

Methods: A literature review was conducted using Pubmed, Embase, the Cochrane Library, and Web of Science to identify eligible articles. Publications until October 16th, 2023 were searched independently and cross-checked by two researchers.

Results: Of 1513 articles screened, 10 reports detailed treatment processes, including six males and four females aged 34-68 years old. Four articles recorded pre-treatment freeway space (FWS) values ranging from 5 to 9 mm. All ten cases had significant occlusal vertical dimension (OVD) loss and the increase in OVD after treatment ranged from 1 to 7 mm. Pre-prosthetic orthodontic treatment was performed in two cases, in one of which only the maxillary region was orthodontically treated. The most common restorations provided were full coverage restorations. In most cases, temporary restorations were applied before the permanent restorations for eight weeks to six months. Four different sequences of final restoration were proposed. Follow-up ranged from four months to six years and included seven patients, one of them showed symptoms of temporomandibular disorder (TMD).

Conclusions: A multidisciplinary team (MDT) approach to treatment is recommended. Consideration of pre-prosthetic orthodontic treatment is essential. Commonly used cephalometric measurements for anterior teeth include the interincisal angle and collum angle. The increases in OVD ranging from 1 to 7 mm can be effectively accommodated. Temporary restorations are recommended to accommodate the OVD, and the transition periods of 8 weeks to 6 months help the patients adapted well. Four different sequences for final rehabilitation have demonstrated positive clinical outcomes. Full crown restorations have emerged as the preferred choice for the ultimate restoration of these patients.

Abstract Image

II 类 2 分区错牙合畸形和严重牙齿磨损患者的治疗决策:系统综述。
背景:对于牙齿严重磨损的II类2型错合畸形患者,治疗策略仍然是牙科医生面临的一大挑战:系统回顾和总结有关严重牙齿磨损的 II 类 2 分区错颌畸形患者的治疗策略、修复程序和临床结果的文献:方法:使用 Pubmed、Embase、Cochrane Library 和 Web of Science 进行文献综述,以确定符合条件的文章。结果:在筛选出的 1513 篇文章中,有 10 篇关于严重牙齿磨损的报道:在筛选出的 1513 篇文章中,有 10 篇报告详细介绍了治疗过程,其中包括 6 名男性和 4 名女性,年龄在 34-68 岁之间。四篇文章记录了治疗前的自由空间(FWS)值,范围在 5 至 9 毫米之间。所有十个病例都有明显的咬合垂直度(OVD)损失,治疗后咬合垂直度增加了 1 到 7 毫米不等。有两个病例进行了修复前正畸治疗,其中一个病例只对上颌区域进行了正畸治疗。最常见的修复方式是全覆盖修复。在大多数病例中,在永久修复前会先进行八周到六个月的临时修复。提出了四种不同的最终修复顺序。随访时间从四个月到六年不等,包括七名患者,其中一人出现了颞下颌关节紊乱(TMD)症状:结论:建议采用多学科团队(MDT)方法进行治疗。结论:建议采用多学科团队(MDT)方法进行治疗,必须考虑修复前的正畸治疗。前牙常用的头颅测量包括龈间角和牙龈角。可以有效地适应 OVD 1 到 7 毫米的增加。建议使用临时修复体来适应 OVD,8 周到 6 个月的过渡期可以帮助患者很好地适应。四种不同的最终修复顺序都取得了积极的临床效果。全冠修复已成为这些患者最终修复的首选。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BDJ Open
BDJ Open Dentistry-Dentistry (all)
CiteScore
3.70
自引率
3.30%
发文量
34
审稿时长
30 weeks
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