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Coordinated reconstruction with bilateral condylar replacement and dental implant rehabilitation: A clinical report

机译:双侧replacement突置换与种植牙修复的协调重建:临床报告

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摘要

The evaluation of complex facial-cranial trauma and subsequent restoration requires multidisciplinary treatment planning for optimal success and patient satisfaction. Patients with bilateral subcondylar fractures and facial-dental trauma are invariably challenging. Consideration of total joint replacement, along with the comprehensive evaluation of facial-dental esthetics and occlusion is critical for an optimal long-term outcome and for patient comfort. This patient treatment illustrates team cooperation and an optimal patient treatment outcome with long-term follow-up in the reconstruction of a complex cranial-facial injury from an unrestrained motor vehicle accident. The treatment included bilateral temporomandibular joint replacement with computer-aided design and computer-aided manufacturing fitted total temporomandibular joint reconstruction, grafting of a deficient anterior maxillary alveolar ridge, and dental implant placement and subsequent restoration with a partial fixed dental prosthesis.
机译:复杂的面部颅骨创伤和后续修复的评估需要多学科的治疗计划,以获得最佳的成功率和患者满意度。双侧con下骨折和面部牙齿创伤的患者总是具有挑战性。考虑全关节置换,以及对面部-牙齿美学和咬合情况的综合评估,对于最佳长期效果和患者舒适度至关重要。该患者治疗说明了团队合作和最佳患者治疗结果,并通过长期随访来重建不受限制的机动车事故引起的复杂颅面损伤。治疗方法包括采用计算机辅助设计进行双侧颞下颌关节置换,并通过计算机辅助制造进行全颞下颌关节重建,移植上颌前牙槽不足,并植入牙种植体,随后通过部分固定的牙修复体进行修复。

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