使用陶瓷材料進行上顎釘狀側門齒之美學重建：病例報告

Esthetic Rehabilitation of Peg-Shaped Maxillary Lateral Incisor with Cceramic Material: A Case Report

張瑋芯(Wei-Hsin Chang) ； 陳佳琪(Chia-Chi Chen) ； 龔榮章(Jung-Chang Kung)

《中華民國家庭牙醫學雜誌》 17卷2期 (2022/09) Pp. 23-28

https://doi.org/10.6566/JFD.202209_17(2).0004

摘要

隨著牙科材料及黏著系統的不斷進步，釘狀齒美學重建的選擇越來越多。本案例為一三十三歲男性，主訴是希望藉由矯正以外的方式，改善上顎前牙美觀區牙齒染色及釘狀齒造成的比例問題。經過臨床檢查並利用數位微笑設計的方式和患者討論後，建議進行上顎左側側門牙的根管治療，給予兩側釘狀齒臨時贋復物，用以觀察牙齒型態和前牙導引改變後咬合之穩定性。於四個月後，進行陶瓷貼片和全瓷冠的的贋復治療，最終達到穩定及可預期性的美觀結果。

關鍵字

釘狀齒 ； 陶瓷貼片 ； 全瓷冠

並列摘要

The development of ceramic and adhesive materials has revolutionized many aspects of restorative and aesthetic dentistry. There are many available options to treat peg laterals. This case report presents the aesthetical correction of anterior teeth in a 33-year-old patient who has refused orthodontic treatment. After clinical examinations and the digital smile design planning, we suggested an endodontic treatment completed in the peg-shaped maxillary left lateral incisor. After the anterior guidance alteration, a direct mockup with composite resin was performed afterward to observe the occlusion. After the anterior guidance alteration, a direct mock-up with composite resin was performed afterward to observe the occlusion further. During the 4-month follow-up period, we confirmed the stability of the temporary prosthesis. Finally, we established the smile harmony with lithium ceramic laminate and crown to achieve the predictable aesthetic outcome.

並列關鍵字

peg lateral ； ceramic laminate ； all ceramic crown