Capurso U, Garino G B
Università degli Studi di Ferrara.
Mondo Ortod. 1990 Jan-Feb;15(1):29-59.
In the orthodontic evaluation of the cranio-cervical region, the relation between the form and the function is very important, specially if we consider the most frequent component of the modification of the armony of the system, the asymmetries, that we can classify as skeletal, functional and mixed. In this regards, the cervico-cranio-mandibular posture is a very important factor very often associated with the proper function of the respiratory system. The different factors, as cervical, nasal, temporo-mandibular and dento-alveolar are considered. On this basic approach, a diagnostic procedure is presented, in order to obtain a complete evaluation of the patient by considering the dental and skeletal age, the amount of compensation, the presence of the signs and symptoms of the dysfunction. We obtain a therapeutic procedure that must be individualized: the most important times of the treatment are the interceptive approach, followed by the orthodontics steps and finally, the reevaluation of the results. The guide line of these steps are mostly a continuous monitoring of the symptoms, the priority of the sequences of the treatment, the use of a repositioning splint and a selective biomechanics. Four cases are presented at different ages, with asymmetries, on which the posture play an important role. The treatment procedures and the satisfactory results show the possibility of an interceptive approach of the asymmetries, at least of the postural component in the adult patient, and the important role of the orthodontist in the treatment of these malocclusions.
在颅颈区域的正畸评估中，形态与功能之间的关系非常重要，特别是当我们考虑系统协调性改变中最常见的因素——不对称性时，我们可将其分为骨骼性、功能性和混合性不对称。在这方面，颈颅下颌姿势是一个非常重要的因素，常常与呼吸系统的正常功能相关。我们会考虑不同的因素，如颈椎、鼻腔、颞下颌和牙牙槽因素。基于这种基本方法，本文介绍了一种诊断程序，以便通过考虑牙齿和骨骼年龄、代偿程度、功能障碍的体征和症状来对患者进行全面评估。我们得出了一种必须个体化的治疗程序：治疗的最重要阶段是早期干预方法，其次是正畸步骤，最后是对结果的重新评估。这些步骤的指导原则主要是持续监测症状、治疗顺序的优先级、使用重新定位夹板和选择性生物力学。本文展示了四个不同年龄、存在不对称性且姿势起重要作用的病例。治疗程序和令人满意的结果表明，至少对于成年患者的姿势性成分不对称，有可能采用早期干预方法，并且正畸医生在这些错牙合畸形的治疗中起着重要作用。
