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Treatment strategies for infraoccluded dental implants

机译:埋入式牙科植入物的治疗策略

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摘要

Single-tooth implants in the maxillary anterior region have the highest risk of esthetic complications from infrapositioning due to continuing maxillary growth and the eruption of adjacent teeth. Although the placement of anterior single-tooth implants should normally be postponed, particularly girls and young women with a hyperdivergent growth pattern, if an infraposition of an implant is present, then thorough examination and strategic planning are required. According to the severity, the strategic treatment options are as follows: simple retention; adjustment or replacement of the implant restoration, possibly including adjacent teeth; surgical implant repositioning by segmental osteotomy combined with osseodistraction; or submergence or removal of the implant. With the patient presented, an interdisciplinary approach that combined orthodontic alignment, surgical segmental osteotomy, distraction osteogenesis, and restorative features offered the opportunity to realign the adjacent teeth into the arch and to harmonize the gingival contour by means of continuous soft tissue enlargement and adaptation.
机译:由于上颌的持续生长和相邻牙齿的萌出,上颌前牙区的单齿植入物因牙合位而引起美学并发症的风险最高。尽管通常应推迟前牙种植体的放置,特别是生长模式过度分化的女孩和年轻女性,但如果存在种植体基础不足,则需要进行彻底检查和战略规划。根据严重程度,战略治疗方案如下:保留简单;调整或更换种植体修复体,可能包括相邻的牙齿;通过分段截骨术与骨牵开术对外科植入物进行重新定位;或浸没或去除植入物。在患者出现的情况下,结合正畸对齐,外科节段截骨术,牵引成骨术和修复特征的跨学科方法,提供了机会,可以通过连续不断的软组织扩大和适应,将相邻的牙齿重新排列成牙弓,并协调牙龈轮廓。

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