Full Mouth Rehabilitation with Interdisciplinary Management-A Case Report

跨科合作治療全口重建－病例報告

李明澍(Ming-Shu Lee) ； 何志良(Julian Chih-Liang Ho)

《中華民國家庭牙醫學雜誌》 8卷4期 (2014/03) Pp. 25-36

https://doi.org/10.6566/JFD/2014.8(4).25

摘要

越來越多的成年人因咬合不正尋求齒顎矯正治療，成年患者通常比較合作且感激醫師所做的努力。然而除了牙齒排列和顎間關係不良的問題，成年患者常常有舊的不良補綴物、缺牙、牙齒磨耗、牙周疾病等種種問題，導致矯正治療更為困難，結果也不盡理想。當有上述問題時，一個由矯正醫師、口腔顎面外科醫師、牙周病科醫師及補綴科醫師所組成的團隊，必須密切合作以獲得最周到的治療計畫，而這個計畫必須符合患者的需要、期望、經濟能力以及團隊成員的目標。本報告中，我們提出一位27歲男性患者接受跨科治療，於30個月後達成顏面外觀改善以及咀嚼功能重建之需求。

關鍵字

跨學科 ； 成人矯正 ； 補綴

並列摘要

There is increasing number of adults searching for orthodontic treatment to treat their malocclusion. Adults are usually cooperative and appreciative of the clinician's effort. However, they may have problems other than just mal-posed teeth and mal-jaw-relationship that make their orthodontic treatment more challenging. They may have old and failing restorations, missing teeth, abraded teeth, periodontal problem, gingival level discrepancies, and a variety of problems that would compromise the treatment result. A team of orthodontist, oral surgeon, periodontist and restorative dentist must interact together to make prudent treatment decisions for these compromised cases. Establish realistic treatment objectives that will fit the patient's needs, desires, financial capabilities, and the goals of the team members are more important for these patients. In this case report, we present a 27-year-old male patient receiving interdisciplinary treatment to improve the appearance of his face and to reestablish his chewing function within 30 months.

並列關鍵字

Interdisciplinary ； adult orthodontic ； restoration