1例Angleⅱ类2节相关深覆盖牙列磨损患者的全口康复- 2年随访1例并文献复习。

Chao Chen, Yue Wang, Fang Fang Wang, Xiao Tong He, Bao Hua Xu, Qiang Sun
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摘要

在治疗深覆盖牙合和牙列磨损的成人患者中遇到的一些关键的临床挑战包括深覆盖牙合的矫正,建立适当的咬合垂直尺寸(OVD),以及维持长期的咬合稳定性。虽然在正畸治疗中常见Angle的II类2分相关深前覆咬,但单纯的修复治疗对深前覆咬和牙列磨损的改善并不多见报道。一例51岁男性II类2分错牙合,表现为面部形态低发散,下面部高度降低,嘴唇突出。口内检查显示牙列磨损不均匀和角氏II级2分相关的深部和外伤性前牙合。基于报告的挑战,必须设计一种方案以确保可预测和良好的预后。根据目前的方案,采用义肢治疗咬合康复。在使用临时假体的3个月评估期后,完成全口陶瓷修复。治疗后功能和美观均有显著改善,治疗后立即或2年随访期间均有稳定的切内接触。对于重度复盖牙列和牙列磨损的患者,全口康复在改善功能、增强美观和改善整个口颌系统健康方面具有广阔的前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Full Mouth Rehabilitation for a Patient with Angle's Class II Division 2 Associated Deep Overbite and Worn Dentition - Case Report With 2-Year Follow-Up and Literature Review.

Some of the critical clinical challenges encountered in the treatment of adult patients with deep overbite and worn dentition include correction of deep overbite, establishment of an appropriate occlusal vertical dimension (OVD), and maintenance of long-term occlusal stability. Although Angle's Class II division 2-associated deep anterior overbite is common in orthodontic treatment, simple prosthodontic treatment with great improvement of deep anterior overbite and worn dentition is infrequently reported. A 51-year-old man with Class II Division 2 malocclusion presented with hypo-divergent facial pattern, reduced lower facial height, and protuberant lips. Intraoral examination revealed unevenly worn dentition and an Angle's Class II division 2-associated deep and traumatic anterior overbite. Based on the challenges of the presentation, it was imperative to design an protocol to ensure a predictable and favorable prognosis. According to the current protocols, prosthetic treatment of occlusal rehabilitation was applied. Following the 3-month evaluation period using interim prostheses, full-mouth ceramic restorations were completed. Significant post-treatment functional and aesthetic improvements were achieved with resultant stable inter-incisal contacts either immediately after treatment or during the 2-year follow-up period. Full mouth rehabilitation offers brilliant prospects for improved function, enhanced aesthetics, and improved health of the entire stomatognathic system of Angle's Class II division 2 patient associated with deep overbite and worn dentitions.

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