Luther F, Dominguez-Gonzalez S, Fayle S A
Department of Orthodontics, Leeds Dental Institute, University of Leeds.
Br Dent J. 2005 Apr 9;198(7):407-11. doi: 10.1038/sj.bdj.4812188.
Orthodontic treatment is not without risk. The risks may be due to patient factors (which may not always be evident before treatment) or may come about because of the treatment itself. While the common types of risk are well documented, less information is available as to how some of the more unusual problems can best be managed when they arise; often the need for teamwork between the patient, orthodontist and general dental practitioner (GDP) are underestimated. This paper presents three patients in whom various root-related problems existed either before orthodontic treatment or which arose during orthodontic treatment; demonstrates how they were managed; and highlights the need for teamwork to ensure a 'least harmful' outcome. All patients were followed up for over a year.
正畸治疗并非没有风险。这些风险可能源于患者因素(治疗前可能并不总是明显),也可能是治疗本身导致的。虽然常见的风险类型有充分记录,但对于一些较为罕见的问题出现时如何最佳处理的信息较少;患者、正畸医生和普通牙科医生(GDP)之间团队合作的必要性常常被低估。本文介绍了三名患者,他们在正畸治疗前就存在各种与牙根相关的问题,或者在正畸治疗期间出现了这类问题;展示了这些问题是如何处理的;并强调了团队合作对于确保“危害最小”结果的必要性。所有患者均接受了一年多的随访。