DeWood Cheryl, Grimes Marlin, Vaden James L
University of Tennessee, Graduate Orthodontic Program, USA.
J Tenn Dent Assoc. 2006 Spring;86(2):12-7.
In summary, early interception of Class III malocclusion is definitely warranted for many patients. A careful analysis of the patient's problem, and an analysis of the patient's airway is essential if one is to make the correct decision as to the amenability of early treatment of the patient's Class III malocclusion. The Class I patient, in most instances, especially if the crowding is severe, can be favorably impacted with guidance of occlusion. This procedure shortens treatment time and lessens the burden for both the patient and the family. Space preservation is also a viable procedure if the Class I patient has minor mandibular anterior crowding. Early Class II intervention can be attempted if all parties concerned know the literature and expectations. Of the three types of malocclusions, the Class II malocclusion presents with the most problems, and early Class II treatment must be viewed pessimistically.
总之,对于许多患者而言,早期阻断III类错牙合畸形是绝对必要的。如果要就患者III类错牙合畸形早期治疗的可行性做出正确决策,仔细分析患者的问题以及气道情况至关重要。在大多数情况下,I类患者,尤其是拥挤严重的患者,可通过咬合诱导得到良好改善。此方法可缩短治疗时间,减轻患者及其家庭的负担。如果I类患者下颌前部轻度拥挤,间隙保持也是一种可行的方法。如果所有相关方都了解相关文献和预期,可尝试早期II类错牙合畸形的干预。在这三种错牙合畸形类型中,II类错牙合畸形问题最多,必须对II类错牙合畸形的早期治疗持悲观态度。