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使用正畸微型种植体压低磨牙矫治下颌髁突骨折的咬合及功能后遗症

Correction of the occlusal and functional sequelae of mandibular condyle fractures using orthodontic mini-implant molar intrusion.

作者信息

Cousley Richard R J, Gibbons Andrew J

机构信息

Peterborough and Stamford Hospitals NHS Foundation Trust, UK.

出版信息

J Orthod. 2014 Sep;41(3):245-53. doi: 10.1179/1465313313Y.0000000094. Epub 2014 Feb 12.

Abstract

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.

摘要

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。

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