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使用微型钢板矫正伴有明显咬合平面倾斜的安氏II类错牙合：病例报告

Class II malocclusion with accentuated occlusal plane inclination corrected with miniplate: a case report.

作者信息

Farret Marcel Marchiori, Farret Milton M Benitez

机构信息

Centro de Estudos Odontológicos Meridional, Passo Fundo, Rio Grande do Sul, Brazil.

Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.

出版信息

Dental Press J Orthod. 2016 Jun;21(3):94-103. doi: 10.1590/2177-6709.21.3.094-103.oar.

DOI:10.1590/2177-6709.21.3.094-103.oar
PMID:27409658
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4944734/
Abstract

INTRODUCTION

A canted occlusal plane presents an unesthetic element of the smile. The correction of this asymmetry has been typically considered difficult by orthodontists, as it requires complex mechanics and may sometimes even require orthognathic surgery.

OBJECTIVE

This paper outlines the case of a 29-year-old woman with Class II malocclusion, pronounced midline deviation and accentuated occlusal plane inclination caused by mandibular deciduous molar ankylosis.

METHODS

The patient was treated with a miniplate used to provide anchorage in order to intrude maxillary teeth and extrude mandibular teeth on one side, thus eliminating asymmetry. Class II was corrected on the left side by means of distalization, anchored in the miniplate as well. On the right side, maxillary first premolar was extracted and molar relationship was kept in Class II, while canines were moved to Class I relationship. The patient received implant-prosthetic rehabilitation for maxillary left lateral incisor and mandibular left second premolar.

RESULTS

At the end of treatment, Class II was corrected, midlines were matched and the canted occlusal plane was totally corrected, thereby improving smile function and esthetics.

摘要

引言

倾斜的咬合平面呈现出不美观的微笑元素。正畸医生通常认为矫正这种不对称较为困难，因为这需要复杂的力学原理，有时甚至需要正颌手术。

目的

本文概述了一名29岁女性的病例，该患者患有安氏II类错牙合畸形，伴有明显的中线偏移以及由下颌乳牙磨牙粘连导致的咬合平面倾斜加剧。

方法

对患者使用微型钛板提供支抗，以便压低上颌牙齿并在一侧伸长下颌牙齿，从而消除不对称。左侧通过远中移动矫正安氏II类错牙合，同样以微型钛板作为支抗。右侧拔除上颌第一前磨牙，磨牙关系保持为安氏II类，同时将尖牙移动至安氏I类关系。患者接受了上颌左侧侧切牙和下颌左侧第二前磨牙的种植修复。

结果

治疗结束时，安氏II类错牙合得到矫正，中线对齐，倾斜的咬合平面完全矫正，从而改善了微笑功能和美观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/32a04677b44e/2176-9451-dpjo-21-03-00094-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/59abb45084bb/2176-9451-dpjo-21-03-00094-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/2e607b2d5739/2176-9451-dpjo-21-03-00094-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/a738d518eb79/2176-9451-dpjo-21-03-00094-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/8c974d5d1a03/2176-9451-dpjo-21-03-00094-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/488154b68387/2176-9451-dpjo-21-03-00094-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/5234d944ecb0/2176-9451-dpjo-21-03-00094-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/08f6509efc92/2176-9451-dpjo-21-03-00094-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/81d1b2039734/2176-9451-dpjo-21-03-00094-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/80a42d20bde9/2176-9451-dpjo-21-03-00094-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/32a04677b44e/2176-9451-dpjo-21-03-00094-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/59abb45084bb/2176-9451-dpjo-21-03-00094-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/2e607b2d5739/2176-9451-dpjo-21-03-00094-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/a738d518eb79/2176-9451-dpjo-21-03-00094-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/8c974d5d1a03/2176-9451-dpjo-21-03-00094-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/488154b68387/2176-9451-dpjo-21-03-00094-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/5234d944ecb0/2176-9451-dpjo-21-03-00094-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/08f6509efc92/2176-9451-dpjo-21-03-00094-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/81d1b2039734/2176-9451-dpjo-21-03-00094-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/80a42d20bde9/2176-9451-dpjo-21-03-00094-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a4/4944734/32a04677b44e/2176-9451-dpjo-21-03-00094-gf10.jpg

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