Cousley Richard R J, Gibbons Andrew J
Peterborough and Stamford Hospitals NHS Foundation Trust, UK.
J Orthod. 2014 Sep;41(3):245-53. doi: 10.1179/1465313313Y.0000000094. Epub 2014 Feb 12.
We report on the non-surgical management of an adult female whose bilateral mandibular condylar fractures had resulted in a clockwise (posterior) mandibular rotation, limitation of mandibular movements and increased occlusal loading on the molar teeth. She refused maxillary surgery and was treated with a minimally-invasive approach, involving orthodontic fixed appliances and mini-implant intrusion of the maxillary molar teeth. This provided both occlusal and functional improvements, including a significant increase in the inter-incisal distance, which were stable after one year of retention.
我们报告了一位成年女性双侧下颌髁突骨折的非手术治疗情况,该骨折导致下颌顺时针(向后)旋转、下颌运动受限以及磨牙的咬合负荷增加。她拒绝上颌手术,采用了微创方法进行治疗,包括使用正畸固定矫治器和微型种植体压低上颌磨牙。这带来了咬合和功能的改善,包括切牙间距离显著增加,在保持一年后效果稳定。