五、治疗

五、治疗

(一)一般治疗

本病主要表现为釉质异常,所以治疗原则是预防以及阻止患者牙体组织的缺损,对于已缺损的牙体组织或已缺失的牙进行修复治疗,从而达到恢复美观和重建功能的目的。

(二)口腔颌面部异常相关的治疗建议

因为病因尚不明确,且基因突变无法逆转,所以目前的治疗方法主要是对症治疗,主要有复合树脂粘结修复技术、嵌体、固定义齿、覆盖义齿等。本病涉及的牙数可能很多,所以对于全口大多数甚至所有牙出现症状的患者,不应该只是把每颗牙单独进行修复,而应考虑进行全口咬合重建。术前应该先评估全口牙情况,制定完善的治疗计划,在此基础上再进行牙体、牙周以及外科治疗,最后进行全牙列的修复,以恢复其美观和功能,拥有稳定的咬合关系。

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(杨卫东 洪清淳)