华西口腔医学杂志

• 病例报告 • 上一篇    

前牙冠折至龈下快速牵引后美学修复1例报道

季骏1, 骆小平2, 陆苇1, 石玉娟2, 邬烈2, 舒成军2   

  1. 1.南京大学医学院附属口腔医院正畸科; 2.修复科, 江苏南京210008
  • 收稿日期:2007-04-25 修回日期:2007-04-25 出版日期:2007-04-20 发布日期:2007-04-20
  • 通讯作者: 骆小平, Tel:025- 83620260
  • 作者简介:季骏(1978-),男,江苏人,主治医师,硕士研究生

Esthetics Restor ation after Rapid Or thodontic Extrusion of Subgingivally Fr actur ed Incisor : A Case Repor t

JI Jun1, LUO Xiao- ping2, LU Wei1, SHI Yu- juan2, WU Lie2, SHU Cheng- jun2   

  1. 1. Dept. of Orthodontics, The Stomatological Hospital Affiliated to Medical School of Nanjing University, Nanjing 210008, China; 2. Dept. of Prosthodontics, The Stomatological Hospital Affiliated to Medical School of Nanjing University, Nanjing 210008, China
  • Received:2007-04-25 Revised:2007-04-25 Online:2007-04-20 Published:2007-04-20
  • Contact: LUO Xiao- ping, Tel:025- 83620260

摘要:

本文对1例左上中切牙冠折至龈下的患者进行修复治疗,在完善根管治疗后2周,行纤维桩树脂核临时冠修复,利用方丝弓矫治器沿牙轴方向快速牵引断根,在断根牵引至龈上后,对断根周围牙龈行成形术,固定保持断根6个月后行全瓷冠修复,取得了较好的美学效果。断根从龈下牵引至龈上,牵引时间为14 d;6个月复查时牙周情况良好,牙无松动回缩。

关键词: 快速牵引, 龈下牙折, 美学修复

Abstract:

A case of a patient with subgingivally fractured incisor was presented. Two weeks after root canal therapy, the subgingival fragment was restored with fiber post, resin core and temporary crown. Gingivoplasty was performed around after the subgingival fragment had been elevated in the axial direction by means of edgewise fixed appliance. Stabilized and held for 6 months, the incisor was restored with all ceramic crown. Optimal esthetic was achieved when restoration was performed after rapid orthodontic extrusion which had lifted up the fracture line above the level of the gingival line within 14 days. At 6- month follow- up, the periodontal tissues were normal and neither luxation nor relapse was noted.

Key words: rapidrapid orthodontic extrusion, subgingival tooth fracture, esthetic restoration