Lokalizált frontfogkopás adhezív rehabilitációja Dahl-koncepcióval kombinálva
Esetsorozat-tanulmány
Absztrakt
A harapási magasság csökkenésével járó lokalizált frontfogkopás komplex ellátást igényel.
Esetsorozat-tanulmányunkban felső frontfogkopás ellátására – megemelt harapási magasságban, a poszterior fogak restaurálása nélkül – alkalmazott palatinális direkt kompozit és labiális kerámiahéjak túlélését vizsgáltuk.
Nyolc betegnél 48 palatinális direkt héj készült nanohibrid kompozitból, megnövelt vertikális magasságban. A poszterior fogak kompenzatorikus erupcióját követően 54 labiális kerámiahéjjal történt az esztétikai helyreállítás. A szendvicshéjakat 35,1 hónap megfigyelés után értékeltük a USPHS-kritériumrendszer segítségével. A poszterior érintkezések helyreállása, a betegelégedettség és a funkció is értékelésre kerültek.
A szendvicshéjak túlélése 100%. A kerámiahéjak sikeressége kiváló, míg a palatinális kompozithéjak esetén kisebb hibák előfordultak. Széli elszíneződés (70,8%), kopás (45,8%), felszíni érdesség (20,8%) és széli résképződés (12,5%) voltak a leggyakoribb eltérések. Szoros poszterior érintkezések 4 hét alatt alakultak ki. A funkció és esztétika tekintetében a betegelégedettség kiváló.
Dahl-koncepcióval kombinált nem invazív kezelési lehetőség rövid távú eredményei kedvezőek, az eljárás ígéretes
lokalizált anterior fogkopás ellátásában.
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