Wintner M S
Western Square Professional Center, Coraopolis, PA 15108.
Am J Orthod Dentofacial Orthop. 1991 Jan;99(1):85-90. doi: 10.1016/S0889-5406(05)81684-1.
An increasing percentage of orthodontic patients are adults with challenging malocclusions. While some aspects of many adult cases are similar to those seen in children, others must be addressed quite differently. Although many adults appear to be generally more cooperative than children in dealing with the inconveniences of orthodontic treatment, they nonetheless require efficient, less lengthy treatment plans. Many are intolerant of multiple extractions or elaborate surgery. Consequently, the need for practical treatment plans that assure good, stable results is real. Also, any perceived change in the soft tissue profile (positive or negative) is likely to be significant to the patient. The case presented here, in which surgically assisted palatal expansion and extraction of one mandibular incisor were employed, illustrates an approach to a difficult adult orthodontic problem that is both practical and efficient from diagnostic and biomechanical points of view. In this case, in which an adult patient exhibited significant transverse discrepancies and dental crowding, a treatment plan that addressed these considerations was employed.
正畸患者中成年人的比例越来越高，他们存在具有挑战性的错牙合畸形。虽然许多成人病例的某些方面与儿童相似，但其他方面必须以截然不同的方式处理。尽管许多成年人在应对正畸治疗的不便时似乎比儿童更配合，但他们仍然需要高效、疗程较短的治疗方案。许多人无法忍受多次拔牙或复杂的手术。因此，确实需要切实可行的治疗方案以确保获得良好、稳定的效果。此外，软组织轮廓的任何可察觉的变化（无论是正面还是负面）对患者来说都可能意义重大。本文介绍的病例采用了手术辅助腭扩展和拔除一颗下颌切牙的方法，从诊断和生物力学角度说明了一种针对成人正畸难题的实用且高效的方法。在这个病例中，一名成年患者存在明显的横向差异和牙列拥挤，采用了一个考虑到这些因素的治疗方案。
