综合治疗(计划中)

56岁女牙周炎,失去右上6,7以及右下1,后者缺牙间隙特别宽,其余切牙往颊侧移位(flare,病人不愿意拔除,图一)。右上植牙修复后(图二,三),下前牙种植(图四,五(选择窄植体)),建立正常覆盖,同时在邻近切牙唇侧植骨(图七,八:红线)。四-六个月后做局部矫正:使用植牙作为支抗将颊侧移位的前牙(牙冠)往舌侧推移(图七,八:蓝箭头),而牙根可能往唇侧移位(图六:红箭头),所以事先植骨(图七,八:红线)重要。矫正后3-3舌侧放置钢丝树脂固定。Jennifer: #25 implant and crown should be lingualized, as compared to the rest of the lower incisors (flared).  After osteointegration, ortho will be conducted to correct the flaring using #25 implant as an anchor.

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Xin Wei, DDS, PhD, MS 1st edition 10/24/2020, last revision 12/30/2020