Le Gall Michel, Philip Camille, Salvadori André
Hopital de la Timone, Service d'Odontologie, Marseille, France.
Orthod Fr. 2011 Sep;82(3):241-52. doi: 10.1051/orthodfr/2011115. Epub 2011 Sep 15.
Optimum treatment timing for orthodontic problems continues to be one of the more controversial topics in orthodontics. Especially regarding the correction of Class III malocclusion, there is little consensus as to proper timing or methods for correcting these problems. The orthopedic approach for growth modification is usually limited to children with growth remaining subjected to non hereditary pattern. If the skeletal malocclusion is within the range of an orthodontic treatment, fixed orthodontic appliances with dentoalveolar compensation mechanism can achieve a normal occlusion. Otherwise in patients with a severe skeletal discrepancy, it will be necessary to consider a combined surgical and orthodontic approach. The purpose of this study was to describe treatment planning according to the age and to the initial diagnosis. The management of skeletal Class III malocclusion is still a challenge to orthodontists especially because of relapse due to the late growth of the mandible.
正畸问题的最佳治疗时机一直是正畸学中争议较大的话题之一。特别是在纠正III类错颌畸形方面，对于纠正这些问题的适当时间或方法几乎没有共识。生长改良的矫形方法通常仅限于生长仍遵循非遗传模式的儿童。如果骨骼错颌畸形在正畸治疗范围内，具有牙牙槽代偿机制的固定正畸矫治器可以实现正常咬合。否则，对于骨骼差异严重的患者，有必要考虑手术与正畸联合治疗方法。本研究的目的是根据年龄和初始诊断描述治疗计划。骨骼III类错颌畸形的治疗管理对正畸医生来说仍然是一项挑战，尤其是由于下颌骨后期生长导致的复发。
