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首页> 外文期刊>The Journal of craniofacial surgery >Orthognathic Surgery and Implant-Supported Bridge in a Class III Patient Injured in a Motor Vehicle Accident
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Orthognathic Surgery and Implant-Supported Bridge in a Class III Patient Injured in a Motor Vehicle Accident

机译：在机动车事故中损伤的III类患者的正交外科和植入式桥梁

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摘要

Occlusal and esthetic rehabilitation of jaw deformities in patients with partially edentulous maxilla are challenging procedures. This article describes a patient involving a skeletal Class III, 36-year-old male patient with a single bilateral anterior partially edentulous maxilla resulting from injuries sustained in a motor vehicle accident; his anterior teeth had been lost for more than 10 years. His lip protruded from the lateral view due to the proclined upper incisors and mandibular protrusion.Because of the facial deformity and inadequate prosthesis of the maxilla, the prosthesis had dropped out repeatedly. Bone deficiency was prominent in the area of the anterior maxillary region and required augmentation for implant restoration.Consultation among the prosthodontist, orthodontist, and patient led to a decision to perform an orthognathic surgery and bone graft before implant treatment. After orthodontic treatment combined with orthognathic surgery, 3 dental implants were placed with simultaneous iliac bone graft for prosthetic rehabilitation. The treatment restored the maxillary dental arch, which supported the upper lip with appropriate occlusion, both esthetically and functionally. After a 2-year clinical follow-up, the orthoprosthesis of the maxilla remained stable, and the patient was satisfied with the outcome of treatment. The combination of orthodontic, surgical, and dental implant treatment could be an option for skeletal Class III patients with bone-deficient, edentulous jaws.
机译：部分透明上颌骨患者的闭塞和美学康复患者是挑战性的程序。本文介绍了一个涉及骨骼级III，36岁男性患者的患者，其中具有单一的双侧前部部分薄弱的颌，由机动车事故中受伤造成的伤害;他的前牙已经丢失了超过10年。他的唇缘由于普通的上部门牙和下颌突起，因此突出的侧视图。由于面部畸形和颌面假期不足，假体反复下降。骨缺乏在前颌骨区域的面积上突出，并且需要增强用于植入物修复。假肢，正畸医生和患者之间的显影导致在植入物治疗之前进行正畸手术和骨移植的决定。在正畸治疗后，结合正畸手术，将3个牙科植入物置于同时髂骨移植物，用于假体康复。该治疗恢复了上颌牙弓，其在美学和功能上具有适当的闭塞的上唇部。经过2年的临床随访后，颌骨的矫形骨折仍然稳定，患者对治疗结果感到满意。正畸，手术和牙科植入物治疗的组合可以是骨骼缺乏骨折患者的骨骼类III患者的选择。

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  • 作者

    Honda Koji; Hirota Makoto; Iwai Toshinori; Fujita Koichi; Omura Susumu; Ono Takashi; Tohnai Iwai;

  • 作者单位

    Yokohama City Univ Grad Sch Med Dept Oral &

    Maxillofacial Surg Yokohama Kanagawa Japan;

    Yokohama City Univ Grad Sch Med Dept Oral &

    Maxillofacial Surg Yokohama Kanagawa Japan;

    Yokohama City Univ Grad Sch Med Dept Oral &

    Maxillofacial Surg Yokohama Kanagawa Japan;

    Yokohama City Univ Med Ctr Dept Oral &

    Maxiiofacial Surg Orthodont Yokohama Kanagawa Japan;

    Yokohama City Univ Med Ctr Dept Oral &

    Maxiiofacial Surg Orthodont Yokohama Kanagawa Japan;

    Tokyo Med &

    Dent Univ Grad Sch Med &

    Dent Sci Dept Orthodont Sci Tokyo Japan;

    Yokohama City Univ Grad Sch Med Dept Oral &

    Maxillofacial Surg Yokohama Kanagawa Japan;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 口腔科学;
  • 关键词

    Implant restoration; orthognathic surgery; skeletal class III;

    机译：植入物恢复;矫正外科;骨骼级III;

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