Kai Risako, Umeki Daisuke, Sekiya Toshiko, Nakamura Yoshiki
Research associate, Department of Orthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan.
Assistant professor, Department of Orthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan.
Am J Orthod Dentofacial Orthop. 2016 Dec;150(6):1028-1038. doi: 10.1016/j.ajodo.2015.10.035.
When considering camouflage orthodontic treatment of a malocclusion associated with significant facial asymmetry, it is important to define the location of the dental midline. The patient, a 19-year-old Japanese woman, had an anterior open bite and a dental midline discrepancy associated with facial asymmetry. A nonsurgical treatment plan was considered. The main treatment objective was to correct the anterior open bite and the dental midlines in both arches. The dental midline discrepancy was eliminated, and proper overjet and overbite were achieved. Although the facial asymmetry remained, oral esthetics dramatically improved and a favorable occlusion was obtained. The results suggest that appropriately defining the location of the dental midline is critical for successful camouflage treatment of facial asymmetry.
在考虑对伴有明显面部不对称的错牙合畸形进行掩饰性正畸治疗时,确定牙中线的位置很重要。该患者为一名19岁的日本女性,存在前牙开牙合以及与面部不对称相关的牙中线偏差。考虑采用非手术治疗方案。主要治疗目标是矫正两个牙弓的前牙开牙合和牙中线。牙中线偏差得以消除,实现了正常的覆盖和覆牙合。尽管面部不对称依然存在,但口腔美观度显著改善,且获得了良好的咬合关系。结果表明,恰当确定牙中线的位置对于成功掩饰治疗面部不对称至关重要。