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首页> 外文期刊>The Journal of Prosthetic Dentistry >Conservative orthodontic-prosthodontic approach for excessive gingival display: A clinical report
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Conservative orthodontic-prosthodontic approach for excessive gingival display: A clinical report

机译：保守的正畸-修复方法治疗过量牙龈：临床报告

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摘要

A differential diagnosis of excessive gingival display is critical in determining appropriate treatment options and sequence. Anterior tooth malposition for patients with deep vertical overlap has been suggested as one of the 3 main causes of excessive gingival display. Specifically, patients with Angle class II, division 2 malocclusions show an occlusal scheme that might be responsible for additional anterior tooth wear when compared with individuals without malocclusion. In the long term, this condition can cause dentoalveolar compensation and overeruption of maxillary incisors with concomitant coronal movement of the gingival margin with excessive gingival display. A combined orthodontic and restorative treatment was proposed as a conservative treatment to reposition maxillary anterior teeth and their gingival margins to a more ideal position and create the necessary interocclusal restorative space to restore worn teeth with ceramic restorations, enhance dental and facial esthetics, and reestablish anterior guidance.
机译：牙龈过度显示的鉴别诊断对于确定适当的治疗选择和顺序至关重要。有人认为垂直深交叠患者的前牙位置不正确是牙龈过度显示的三大原因之一。具体而言，与没有错牙合的个体相比，患有II级Angle II分牙合的患者表现出一种咬合方案，这可能是造成前牙额外磨损的原因。从长远来看，这种情况会导致牙槽膜补偿和上颌切牙的过度萌发，并伴有龈缘的冠状冠状运动，并伴有过多的龈显示。提出了一种正畸与修复相结合的保守治疗方法，以将上颌前牙及其龈缘重新定位到更理想的位置，并创造必要的咬合间恢复空间，以用陶瓷修复体修复磨损的牙齿，增强牙齿和面部美观，并重建前牙指导。

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