Cousley Richard R J, Turner Mark J
Orthodontic Department, Peterborough and Stamford Hospitals NHS Foundation Trust, UK.
Department of Oral and Maxillofacial Surgery, Peterborough and Stamford Hospitals NHS Foundation Trust, UK.
J Orthod. 2014 Sep;41 Suppl 1:s54-61. doi: 10.1179/1465313314Y.0000000106.
Orthognathic surgical treatment conventionally relies on the use of full arch fixed orthodontic appliances. However, the introduction of orthodontic mini-implants has altered surgical options in terms of providing an alternative to fixation (intermaxillary fixation, IMF) screws and even to maxillary osteotomy. This paper describes the integration of mini-implants within orthognathic treatments in terms of 'surgery first' treatments and by introducing the concept of the conversion of bimaxillary cases into mandible-only surgery treatments.
正颌外科治疗传统上依赖于使用全牙弓固定正畸矫治器。然而，正畸微型种植体的引入改变了手术选择，它为固定（颌间固定，IMF）螺钉甚至上颌骨切开术提供了一种替代方法。本文从“手术优先”治疗方面描述了微型种植体在正颌治疗中的整合，并介绍了将双颌病例转换为仅下颌骨手术治疗的概念。
