成人个别错位牙的多学科综合治疗临床探讨

目的探讨成人个别错位牙的口腔内科学、口腔外科学、口腔正畸与修复学等多学科综合治疗的相关问题及治疗效果。方法临床正畸、修复等多学科综合治疗14例。男4例，女10例；年龄19～43岁。所有病例均有个别牙错位，拥挤5～8mm，其中唇侧错位8例，舌侧错位6例。所有病例均要求不拔牙快速矫正错位牙。有些病例伴有牙列缺损，有些病例还有乳牙滞留、龋病、牙周病等。经口腔内科、口腔外科等相关治疗后，对错位牙进行邻面片切或切端磨减，用正畸矫治方法纠正错位牙后，再对磨切较多的错位牙进行全冠修复。结果经牙周、牙体牙髓、口腔外科、正畸等综合治疗后，8例唇侧错位牙矫正后龈缘线向切端平均移动1．2mm；6例舌侧错位牙矫正后龈缘线向根方平均移动1．8mm．，全冠修复治疗后，修复体龈缘线更协调，龈缘更健康，达到更满意的美学效果。结论成人个别错位牙应用口腔正畸学和修复学等多学科的综合治疗方法，能更好地达到功能与美观相统一的疗效。

Multidisciplinary therapy of adult dental esthetics

Objective To discuss clinical malocclusion problems of the tooth and curative effect with multidisciplinary approach, including oral medicine, oral and maxillofacial surgery, orthodontics and prosthetics. Methods Fourteen cases (4 male and 10 female) were treated with quick correction methods without extracting teeth. The patients' age was from 19 to 43 years old. All had one or two teeth malocclusion, and contrusion degree was 5 to 8 millimeters. There were 8 labial malposition cases and 6 lingual malocclusion cases. Some had different degree defect of dentition, deciduous tooth retention, caries or periodontitis. After applying orthodontics methods to correct malocclusion, slice proximal or incisal enamel and rectify interdental spaces, we used restorative methods for the following therapy. Results By periodontal treatment, odonto-pulpal prosthesis, oral surgery and corrective treatment, we simplified the correction process and attained more satisfactory effect. Gingival margin of 8 labial malposition cases was moved average 1.2 millimeters to the incisal edge, those of 6 lingual malpositon cases moved to the root direction for 1.8 millimeters. Conclusion This method of multidisciplinary therapy is the best one for complex adult oral problems. It can obtain better curative effect not only on function but also on esthetics.