上顎犬齒阻生齒合併齒瘤之治療－病例報告

Treatment of Upper Canine Impaction with Odontoma - A Case Report

陳忻和(Hsin-Ho Chen) ； 余思嫺(Szu-Hsien Yu) ； 王惠禎(Huey-Jen Wang) ； 賴向華(Eddie Hsiang-Hua Lai)

《中華民國家庭牙醫學雜誌》 11卷4期 (2017/03) Pp. 27-34

https://doi.org/10.6566/JFD/2017.11(4).27

摘要

上顎犬齒在美觀及咬合功能上都佔有重要地位。矯正治療上顎阻生犬齒通常需要選擇適合的手術方式將埋伏齒露出，再利用適當矯正裝置及施力方向將阻生齒拉出，並避免破壞鄰近牙齒的牙根。本病例報告為一名十八歲男性患者，臨床及X光檢查發現右上犬齒為骨性深處埋伏齒，合併齒瘤及含牙囊腫，患者接受牙周手術將埋伏齒露出及牙齒牽引術。利用覆蓋性萌發術及持續且輕的矯正力量拉出。經三年五個月的矯正治療，成功地將此阻生齒牽引至適當的位置，並且獲得良好的牙周狀態及穩定咬合。

關鍵字

上顎犬齒阻生 ； 矯正治療

並列摘要

Upper canines play an important role on facial esthetic and dental occlusion. When treating upper impaction, we usually need to choose an adequate surgical method to expose impaction, then use light orthodontic force to tract impaction tooth and prevent to hurt roots of adjacent teeth. Herein we report a case of 18-year-old boy whose upper right canine was impacted with odontoma and dentigerous cyst. Surgical exposure by using closed method with placement of an attachment, following by orthodontic traction to bring impacted tooth into normal occlusion. Total treatment time was three years and five months. We obtained stable occlusion and favorable periodontal status.

並列關鍵字

upper canine impaction ； orthodontic treatment