口腔医学研究 ›› 2023, Vol. 39 ›› Issue (7): 654-657.DOI: 10.13701/j.cnki.kqyxyj.2023.07.018

• 研究生病例精粹———口腔修复系列(7) • 上一篇    

放疗后张口受限患者的咬合重建修复1例

王婧宇, 姚行媚, 王静文, 刘纯, 赵蕤, 赵熠*   

  1. 口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院修复科 湖北 武汉 430079
  • 收稿日期:2023-06-16 发布日期:2023-07-25
  • 通讯作者: *赵熠,E-mail:zhao_yi@whu.edu.cn
  • 作者简介:王婧宇(1999~ ),女,湖南衡阳人,硕士,研究方向:咬合重建、美学修复、颌骨缺损修复。

Occlusal Reconstruction of a Patient with Limited Mouth Opening after Radiotherapy: A Case Report

WANG Jingyu, YAO Xingmei, WANG Jingwen, LIU Chun, ZHAO Rui, ZHAO Yi*   

  1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, Department of Prosthetics, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2023-06-16 Published:2023-07-25

摘要: 鼻咽癌放疗易导致患者颌骨损伤、肌肉纤维化、放射性龋等口腔并发症,给患者后期的修复方案制定带来极大挑战。本文报道了1例鼻咽癌放疗导致全口牙放射性龋坏及张口受限,采用上下颌短牙弓咬合重建义齿修复方案恢复口腔生理及美观功能的治疗案例。

关键词: 放射性龋齿, 张口受限, 咬合重建

Abstract: Radiotherapy for nasopharyngeal carcinoma can easily lead to oral complications such as jaw bone damage, muscle fibrosis and radioactive caries which brings challenges to denture restoration. This article reported a case of occlusive reconstruction after radiotherapy for nasopharyngeal carcinoma, accompanied by radioactive caries of the entire dentition and limited mouth opening. A denture restoration scheme using maxillary and mandibular short arch is used to restore oral physiology and aesthetic function.

Key words: radioactive caries, limited mouthopening, occlusal reconstruction