Solow Roger A
Pankey Insitute, Key Biscayne, Florida, USA.
Gen Dent. 2010 Sep-Oct;58(5):444-53; quiz 454-5.
This case report illustrates how an interdisciplinary team diagnosis led to occlusal correction of a significant postorthodontic malocclusion. The patient had received complete orthodontics twice previously, from different orthodontists. She could not close without pain or chew comfortably and was concerned about progressive gingival recession. A comprehensive clinical examination, occlusal analysis with diagnostic casts verified in centric relation, bite splint therapy, and full-mouth equilibration were completed prior to limited restorative dentistry. The patient has been comfortable with a stable occlusion for three years.
本病例报告说明了多学科团队诊断如何促成对正畸治疗后严重错牙合畸形的咬合矫正。该患者此前曾先后由两位不同的正畸医生进行过两次完整的正畸治疗。她无法正常咬合且咬合时疼痛，咀嚼也不舒适，还担心牙龈退缩情况日益加重。在进行有限的修复牙科治疗之前，完成了全面的临床检查、在正中关系位用诊断模型进行的咬合分析、牙合垫治疗以及全口调牙合。患者已保持稳定咬合三年，感觉舒适。
