Becker Adrian, Shapira Joseph, Chaushu Stella
Prog Orthod. 2009;10(1):34-47.
The prevalence and severity of malocclusion is especially high in Special Needs individuals. Many have medical limitations to the various procedures that are often needed in the pursuit of excellence from orthodontic treatment and almost all have moderate to severe behavioural problems that make treatment delivery difficult or even impossible to achieve, with any degree of reliability. Nevertheless, the parents are highly motivated to "do the best for their child" and are prepared to become integral members of the treatment delivery team. The present article analyzes the difficulties involved and makes recommendations as to how these may be overcome, based on the authors' published studies in this area and on their broad experience in treating these compromised individuals. Emphasis is placed on the use of pharmacological modalities as the means to providing therapeutic access to many of the more difficult patients. Two case reports are provided to illustrate many of the important principles that pertain to these cases.
错牙合畸形的患病率和严重程度在特殊需求个体中尤其高。许多人在追求正畸治疗卓越效果时经常需要的各种程序上存在医学限制，而且几乎所有人都有中度到重度的行为问题，这使得治疗实施困难甚至无法以任何可靠程度实现。然而，家长们有很高的积极性“为孩子做到最好”，并准备成为治疗实施团队的重要成员。本文分析了其中涉及的困难，并根据作者在该领域已发表的研究以及他们治疗这些有缺陷个体的广泛经验，就如何克服这些困难提出建议。重点是使用药物治疗方法，作为为许多较难治疗的患者提供治疗途径的手段。提供了两个病例报告来说明与这些病例相关的许多重要原则。
