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KMID : 1004520190350040244
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Journal of Dental Rehabilitation and Applied Science
2019 Volume.35 No. 4 p.244 ~ p.252
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Strategic surgical-combined orthodontic treatment planning of patient with missing incisors on maxilla: a case report
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Park Je-Hyeok
Jeon Jin
Zhao Sen
Jeon Young-Mi
Kim Jong-Ghee
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Abstract
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Proper positioning of maxillary incisors is key to success of surgery combined treatment. Establishing surgery plan would be a difficult job if maxillary incisors are lost. Patient who lost all of her maxillary incisors due to accident came for orthodontic treatment. Through careful modification of maxillary archform, pre-surgical orthodontic treatment was conducted with four prosthetic space consolidation. Position of incisors was decided by help of 3D prosthetic set-up, and 1-jaw surgery was planned. After relative short treatment period of 28 months, final prosthesis was done. When alveolar bone loss happens, harmonious prosthesis of upper incisors is difficult. Utilizing mandibular set-back surgery and incisor positioning using 3D set-up could make a better environment for treatment outcome. Strategic pre-surgical orthodontic treatment can allow shorter time and less number of prosthetics.
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KEYWORD
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ncisor teeth loss, orthognathic surgery, pre-surgical orthodontic treatment
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