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正畸学中的医源性问题及其挑战。

Iatrogenics in Orthodontics and its challenges.

作者信息

Barreto Gustavo Mattos, Feitosa Henrique Oliveira

机构信息

MSc in Orthodontics and Facial Orthopedics, Universidade de São Paulo, Araraquara, Brazil. Diplomate, Brazilian Board of Orthodontics and Facial Orthopedics.

MSc in Orthodontics, Universidade Cidade de São Paulo (UNICID), São Paulo, São Paulo, Brazil.

出版信息

Dental Press J Orthod. 2016 Sep-Oct;21(5):114-125. doi: 10.1590/2177-6709.21.5.114-125.sar.

DOI:10.1590/2177-6709.21.5.114-125.sar
PMID:27901237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5125179/
Abstract

INTRODUCTION

: Orthodontics has gone through remarkable advances for those who practice it with dignity and clinical quality, such as the unprecedented number of patients treated of some type of iatrogenic problems (post-treatment root resorptions; occlusal plane changes; midline discrepancies, asymmetries, etc). Several questions may raise useful reflections about the constant increase of iatrogenics. What is causing it? Does it occur when dentists are properly trained? In legal terms, how can dentists accept these patients? How should they be orthodontically treated? What are the most common problems?

OBJECTIVE

: This study analyzed and discussed relevant aspects to understand patients with iatrogenic problems and describe a simple and efficient approach to treat complex cases associated with orthodontic iatrogenics.

摘要

引言

对于那些以专业素养和临床质量从事正畸治疗的人来说，正畸学已经取得了显著进展，例如治疗某种医源性问题（治疗后牙根吸收、咬合平面改变、中线偏差、不对称等）的患者数量达到了前所未有的规模。关于医源性问题的不断增加，有几个问题可能引发有益的思考。是什么导致了这种情况？在牙医接受了适当培训的情况下会发生吗？从法律角度来看，牙医如何接纳这些患者？应该如何对他们进行正畸治疗？最常见的问题有哪些？

目的

本研究分析并讨论了相关方面，以了解患有医源性问题的患者，并描述一种简单有效的方法来治疗与正畸医源性相关的复杂病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/ace5b1d6b6d8/2176-9451-dpjo-21-05-00114-gf22.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/61aac0ec4c16/2176-9451-dpjo-21-05-00114-gf11.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/ace5b1d6b6d8/2176-9451-dpjo-21-05-00114-gf22.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/fdf3e1633470/2176-9451-dpjo-21-05-00114-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/c93f3ee989f1/2176-9451-dpjo-21-05-00114-gf7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/94a9622b9d83/2176-9451-dpjo-21-05-00114-gf8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/cc81ab901e6e/2176-9451-dpjo-21-05-00114-gf9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/590be5930919/2176-9451-dpjo-21-05-00114-gf10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/61aac0ec4c16/2176-9451-dpjo-21-05-00114-gf11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/2092d433c195/2176-9451-dpjo-21-05-00114-gf12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/06e405600774/2176-9451-dpjo-21-05-00114-gf13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/b1847cd852cd/2176-9451-dpjo-21-05-00114-gf14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/0dcdba457661/2176-9451-dpjo-21-05-00114-gf15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/0f437538d52b/2176-9451-dpjo-21-05-00114-gf16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/fa8c80e82a93/2176-9451-dpjo-21-05-00114-gf17.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/2d77120def37/2176-9451-dpjo-21-05-00114-gf18.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/98e4b1e90b01/2176-9451-dpjo-21-05-00114-gf19.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/80ea163d9ecb/2176-9451-dpjo-21-05-00114-gf20.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/d5fc12334782/2176-9451-dpjo-21-05-00114-gf21.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4e66/5125179/ace5b1d6b6d8/2176-9451-dpjo-21-05-00114-gf22.jpg

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