前牙外伤后美观与功能康复1例

K. Scudine, K. Moreira, M. Cardoso, S. Araújo, R. Puppin-Rontani, E. Santos
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引用次数: 0

摘要

创伤性牙损伤是儿童时期常见的临床问题,可能具有复杂的病因,导致身体和生理损伤。本研究的目的是报告一名8岁女性患者的严重创伤性牙齿损伤的处理,她是摩托车事故的受害者,事故发生三个月后被送往儿科牙科诊所。经临床和影像学检查,我们观察到上颌恒中切牙和左恒侧切牙撕脱,有相当大的舌介入,干扰言语和吞咽。患者在就诊期间表现良好,患龋风险低。然而,她表现出不好意思笑。除了对龋齿进行预防性治疗外,治疗计划还包括立即护理和随后的社会心理重建监测。在保留混合牙列特征的同时,保留美观性和功能,制作丙烯酸局部义齿来替代缺失的前牙。在第一次就诊后1个月、3个月和6个月进行随访,目的是监测义齿的适应性,以及儿童牙列的生长和发育。因此,美学和功能的康复是在患者满意的情况下实现的,可以立即重新融入社会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aesthetic and functional rehabilitation of anterior teeth after trauma: a case report
Traumatic dental injuries are common clinical problems during childhood, and may have complex etiologies causing physical and physiological impairment. The aim of this study was to report the management of a severe traumatic dental injury in an 8-year-old female patient, victim of a motorcycle accident, who was taken to a pediatric dentistry clinic three months after the accident. After clinical and radiografic examination, we observed the avulsion of the permanent maxillary central incisors and of the permanent left lateral incisor, with considerable lingual interposition, interfering in speech and swallowing. The patient showed low risk of caries and good behavior during the appointments. However, she demonstrated to be embarrassed to smile. Besides the preventive treatment concerning caries, the treatment plan included immediate care and subsequent monitoring of the psychosocial reestablishment. For this purpose, an acrylic partial denture was made in order to replace the missing anterior teeth, maintaining the characteristics of the mixed dentition and preserving the aesthetics and the function. Follow-up appointments were performed one, three and six months after the first visit, aiming to monitor the adaptation of the prosthesis, as well as the growth and development of the child’s dentition. Thus, the aesthetic and functional rehabilitation was achieved regarding the patient’s satisfaction, enabling immediate social reinsertion.
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