Toll Douglas E, Popović Nenad, Andjelić Jasminka, Drinkuth Nicole
Orthodontic Joint Practice Douglas Toll, DDS and Dr. stom., (Univ. Belgrad) Nenad Popović, Bad Soden, Germany.
J Orofac Orthop. 2010 Mar;71(2):152-62. doi: 10.1007/s00056-010-9948-4. Epub 2010 Apr 1.
The present case report documents the hitherto unusual application of camouflage orthodontics in one of our patients. Our female patient had previously been treated orthodontically alio loco and had also undergone bimaxillary orthognathic surgery. She presented with TMJ complaints, with associated pains. Despite a dental Class I and centrally seated condyles, her discs had prolapsed anteriorly without reduction and she had developed a massive degenerative-inflammatory TMJ disease. Skeletally, she was a Class II case despite previous orthognathic surgery. In addition, there was also an initial suspicion of rheumatic involvement that could not be confirmed. We distalized the entire lower dental arch without bicuspid extraction. Then we advanced the mandible with the Mandibular Anterior Repositioning Appliance (MARA).We discuss exactly how the modified camouflage therapy was structured and how the individual treatment steps took place.
本病例报告记录了我们一位患者中迄今为止不寻常的掩饰性正畸应用情况。我们的女性患者之前在其他地方接受过正畸治疗，还接受过双颌正颌手术。她出现了颞下颌关节（TMJ）问题及相关疼痛。尽管牙列属于I类且髁突位于中心位置，但她的关节盘向前脱垂且未复位，并且她患上了严重的退行性炎症性颞下颌关节疾病。骨骼方面，尽管之前做过正颌手术，但她仍属于II类病例。此外，最初还怀疑有风湿性病变，但无法得到证实。我们在不拔除双尖牙的情况下使整个下牙弓远中移动。然后我们使用下颌前徙矫治器（MARA）使下颌前伸。我们详细讨论了改良掩饰性治疗的结构以及各个治疗步骤是如何进行的。
