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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Prosthognathic Rehabilitation of A Patient With Underlying Skeletal Discrepancy-A Case Report
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Prosthognathic Rehabilitation of A Patient With Underlying Skeletal Discrepancy-A Case Report

机译：潜在骨骼差异患者的义齿修复-一例报告

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Vertical and anterioposterior maxillary excesses can be treated with a combination of orthopaedic functional appliances, orthodontics and surgery. Treatment varies according to the age, patient reports for treatment. In patients who are treated with either of the above mentioned treatment modalities, if they require prosthetic replacement on a later date, especially of anterior teeth, prosthetic treatment alone does not give an aesthetic outcome. A partially edentulous, elderly patient with underlying skeletal discrepancy (Class II Skeletal deformity) in relation to 12,11,21,22 was treated with a combination of orthognathic surgery and prosthetic rehabilltation. An orthognathic surgery (leforte I osteotomy) was performed to manage vertical maxillary excess, class II skeletal pattern of maxilla and increased lower third facial height. Dental compensations in the mandibular arch were decompensated surgically with lower subapical osteotomy. Prosthetic restorations of missing anterior teeth were done later, such that facial and dental aesthetics. The records showed that the results were stable 12 months after prosthognathic (prosthodontic and orthognathic) treatment. A team approach enabled the female patient in her fifth decade of life, to receive better function, aesthetics and increased quality of life. Doing prosthetic restorations in patients with underlying skeletal discrepancies may become a challenge , which should be achieved without compromising on final outcome, with a calculated risk benefit ratio.
机译：上颌骨垂直和后上多余可以通过骨科功能矫治器，牙齿矫正术和手术的组合进行治疗。治疗方法因年龄而异，患者需报告治疗方法。在接受上述两种治疗方式之一治疗的患者中，如果他们需要稍后进行假体置换，尤其是前牙，则仅凭假体治疗无法带来美观的结果。部分正牙缺失的老年患者，其基础骨骼差异（II类骨骼畸形）与12,11,21,22有关，接受正颌外科手术和假体修复的联合治疗。进行正颌手术（leforte I截骨术）以处理垂直的上颌骨过量，上颌骨的II类骨骼模式和增加的下第三面部高度。下颌根尖截骨术通过手术对下颌弓的牙齿补偿进行补偿。之后，对缺失的前牙进行了修复修复，从而使面部和牙齿美观。记录显示，在修复牙齿修复（正畸和正颌牙齿）治疗12个月后，结果稳定。团队合作的方式使女性患者在其生命的第五个十年中，能够获得更好的功能，美观和更高的生活质量。在具有潜在骨骼差异的患者中进行假体修复可能会成为一项挑战，应该在不影响最终结局的情况下实现这一点，并具有计算出的风险收益率。

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