Voss R
Dtsch Zahnarztl Z. 1975 Feb;30(2):170-5.
In cases of deep bite where the lower front teeth contact the palatal gingiva or where the upper teeth contact the labial gingiva of the lower jaw, the attempt to improve the situation by grinding-in the teeth was always crowned with temporary success only. The question as to whether the front teeth may be maintained determines further measures to be taken. If they can and if they are to be kept it is necessary to change the vertical relation of practically all teeth by safeguarding the antagonistic contract also in the front area. Therapeutical means and risks involved are considerable. If the teeth concerned have to be removed, plastic correction of the alveolar ridge is necessary before bridges and removable dentures are fitted in. This solution is even less satisfactory and disregards the significance of natural teeth for the well-being of the patient.
在深覆合的病例中,当下前牙接触腭侧牙龈或上牙接触下颌唇侧牙龈时,试图通过调磨牙齿来改善这种情况往往仅能取得暂时的成功。关于前牙是否可以保留决定了后续要采取的进一步措施。如果前牙可以保留且需要保留,那么就有必要通过在前牙区域也保护对抗性接触来改变几乎所有牙齿的垂直关系。所涉及的治疗手段和风险都相当大。如果相关牙齿必须拔除,那么在安装桥体和可摘义齿之前,需要对牙槽嵴进行整形矫正。这种解决方案甚至更不尽人意,而且忽视了天然牙对患者健康的重要性。