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伴有前牙开颌和颞下颌关节疼痛的II类骨性错颌畸形的外科矫治。

Surgical correction of a Class II skeletal malocclusion associated with anterior open bite and temporomandibular joint pain.

作者信息

Mendes Miguel José Augusto, Cal-Neto Julio Pedra e, da Silveira Henrique Martins

机构信息

Department of Orthodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Am J Orthod Dentofacial Orthop. 2007 Sep;132(3):400-7. doi: 10.1016/j.ajodo.2006.01.033.

Abstract

This case report describes the treatment of a 25-year-old woman with anterior open bite, Class II skeletal malocclusion, and a history of temporomandibular joint pain and sounds. She also had significant anteroposterior and vertical discrepancies and a convex profile with protrusive lips. Intraorally, she had an anterior open bite of 3 mm and an overjet of 5 mm. Mandibular surgical rotation, associated with mandibular incisor extraction, was performed to reduce the protrusion, close the open bite, and minimize the temporomandibular joint disorder.

摘要

本病例报告描述了一名25岁女性的治疗情况,该患者患有前牙开颌、Ⅱ类骨性错颌,并有颞下颌关节疼痛和弹响史。她还存在明显的前后向和垂直向差异,面型凸,嘴唇前突。口内检查发现,她有3mm的前牙开颌和5mm的覆盖。进行了下颌手术旋转并拔除下颌切牙,以减少前突、关闭开颌并减轻颞下颌关节紊乱。

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