Lemongello Gerard J
Dent Today. 2008 Feb;27(2):108, 110, 112-5; quiz 115, 122.
When determining if treatment for malocclusion is indicated, the clinician must understand how the malocclusion affects the patient aesthetically, functionally, and biologically, as well as any impact of treatment. It is important to consult the patient and advise when a less invasive orthodontic treatment plan may be optimal. Once the patient is fully informed of the treatment options and desires treatment without orthodontics, a restorative/ prosthodontic approach using veneers, crowns, or fixed prosthetics can provide exceptional strength, function, and aesthetics. As in all cases, thorough evaluation and planning are essential. The decision to proceed with restorative alignment of the teeth rather than orthodontic alignment is dependent on full disclosure to the patient and the clinician's understanding of preparation design, aesthetics, and occlusion. As demonstrated in this class III case, with proper examination, diagnosis, treatment planning, and communication, excellent aesthetic, phonetic, and functional results can be achieved and maintained. As with all full-mouth restorative cases, periodic occlusal evaluation will be necessary at normal hygiene intervals.
在确定是否需要进行错颌畸形治疗时，临床医生必须了解错颌畸形如何在美学、功能和生物学方面影响患者，以及治疗的任何影响。咨询患者并告知何时采用侵入性较小的正畸治疗方案可能是最佳选择非常重要。一旦患者充分了解了治疗方案并希望不进行正畸治疗，使用贴面、冠或固定修复体的修复/口腔修复方法可以提供出色的强度、功能和美观效果。在所有情况下，全面的评估和规划都是必不可少的。决定采用牙齿修复性排齐而非正畸排齐取决于向患者的充分告知以及临床医生对预备设计、美学和咬合的理解。如本III类病例所示，通过适当的检查、诊断、治疗规划和沟通，可以实现并维持出色的美学、语音和功能效果。与所有全口修复病例一样，需要按照正常的口腔卫生间隔定期进行咬合评估。
