Moullas Alexandros T, Palomo J Martin, Gass Jedidiah R, Amberman B Douglas, White John, Gustovich Donald
Department of Orthodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Am J Orthod Dentofacial Orthop. 2006 Apr;129(4 Suppl):S111-8. doi: 10.1016/j.ajodo.2005.07.005.
A patient with a bilateral Class III molar relationship came to the Department of Orthodontics clinic at Case Western Reserve University. Our first choice for treatment was a combination of orthodontic therapy and orthognathic surgery. The patient, however, opted for a nonsurgical approach that took 34 months and involved the extraction of 4 first premolars and a remaining deciduous tooth, and Class III vertical elastics. Although orthodontic treatment was considered to be a second-line alternative, the results suggest that, for some surgical patients, orthodontic treatment alone might be a better choice because of the favorable cost/benefit ratio.
一名双侧磨牙为III类关系的患者来到凯斯西储大学正畸科诊所。我们首选的治疗方案是正畸治疗与正颌手术相结合。然而，该患者选择了非手术方法，治疗历时34个月，包括拔除4颗第一前磨牙和1颗残留乳牙，并使用III类垂直牵引橡皮圈。尽管正畸治疗被认为是二线选择，但结果表明，对于一些需要手术的患者来说，由于成本效益比良好，单纯正畸治疗可能是更好的选择。
