华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

上前牙区多颗相邻埋伏牙导萌的经验介绍

李爱霞1 王德飞2 赵玉林1 尚君兰1   

  1. 1.郑州大学第一附属医院口腔正畸科, 河南郑州450052;2.漯河医学高等专科学校第三附属医院口腔科, 河南漯河462000
  • 收稿日期:2009-02-25 修回日期:2009-02-25 出版日期:2009-02-20 发布日期:2009-02-20
  • 通讯作者: 赵玉林,Tel:13673665390
  • 作者简介:李爱霞(1973-),女,河南人,主治医师,硕士

Experience introduction of induced eruption on multiple adjacent impacted teeth in anterior maxillary bone

LI Ai-xia1, WANG De-fei2, ZHAO Yu-lin1, SHANG Jun-lan1   

  1. 1. Dept. of Orthodontics, The First Affiliated Hospital  of Zhengzhou University, Zhengzhou 450052, China; 2. Dept. of Stomatology, The Third Affiliated Hospital of Luohe Medical College, Luohe 462000, China
  • Received:2009-02-25 Revised:2009-02-25 Online:2009-02-20 Published:2009-02-20
  • Contact: ZHAO Yu-lin,Tel:13673665390

摘要:

目的探讨上前牙区多颗相邻埋伏牙的导萌方法。方法选择9例患者的22颗相邻埋伏牙为研究对象,常规拍摄定位X线片,再配合口内检查及模型分析,确定埋伏牙的位置及相互关系,决定拔除或外科手术-正畸联合导萌埋伏牙。结果22颗相邻埋伏牙中,19颗埋伏牙通过外科手术-正畸联合导萌后顺利进入正常牙弓,未见牙根吸收、粘连,建立了良好的咬合关系;3颗牙根弯曲畸形的中切牙被拔除。9例患者的平均治疗时间为19个月。结论只要正确判断位置,掌握牵拉的适应证,相邻的多颗埋伏牙可以牵引入正常牙弓,恢复正常的咀嚼功能及美观。

关键词: 多颗相邻埋伏牙, 导萌, 定位

Abstract:

Objective To study the method of induced eruption on multiple adjacent impacted teeth in anterior maxillary bone. Methods Twenty-two multiple adjacent impacted teeth of 9 cases were chosen. The position of the impacted teeth and the relationship to each other were assessed on X-ray images, oral examination and plaster model. The impacted teeth were extracted or induced erupted with the closed-eruption technique and fixed orthodontic appliances. Results Of 22 impacted teeth, 19 impacted teeth were moved into arches by induced eruption with the closed-eruption technique and fixed orthodontic appliances. There were not root adsorption or conglutination for 19 impacted teeth. Three impacted teeth with deformed root were extracted. The average time for treatment was 19 months. Conclusion With correct diagnosis, reasonable design, the complicated impacted teeth could be moved into alignment with good esthetic and functional effect.

Key words: multiple adjacent impacted teeth, induced eruption, localization