Alwadei Saleh
Department of Preventive Dental Sciences, College of Dentistry Prince Sattam Bin Abdulaziz University, Al Kharj, Kingdom of Saudi Arabia e-mail:
J Contemp Dent Pract. 2017 Mar 1;18(3):250-256.
Management of growing patients with severe developmental jaw abnormalities can be very difficult. Early surgical intervention may be warranted in situations where function (e.g., mastication, swallowing, breathing, or speech) and/or psychological well-being could be negatively affected. Many surgeons and orthodontists are reluctant to recommend a surgical treatment option for growing patients with severe developmental jaw abnormalities because of their age. Specific surgical procedures can be performed during growth to correct developmental jaw abnormalities with predictable results. A sound understanding of the facial growth and the effects of the surgical procedures on subsequent growth is essential when managing growing patients with severe developmental jaw abnormalities. Children with severely progressive congenital deficiencies affecting function/health should be distinguished from ones with severe developmental jaw abnormalities that can be managed later in life. In this review, we will focus on the management of growing patients with developmental jaw abnormalities who seek orthodontic treatment, rather than patients with progressive congenital deformities affecting function and/or health.
对患有严重发育性颌骨异常的生长发育期患者进行管理可能非常困难。在功能（如咀嚼、吞咽、呼吸或言语）和/或心理健康可能受到负面影响的情况下，早期手术干预可能是必要的。由于年龄原因，许多外科医生和正畸医生不愿为患有严重发育性颌骨异常的生长发育期患者推荐手术治疗方案。在生长过程中可以进行特定的外科手术来矫正发育性颌骨异常，效果可预测。在管理患有严重发育性颌骨异常的生长发育期患者时，充分了解面部生长以及手术操作对后续生长的影响至关重要。患有严重进行性先天性缺陷影响功能/健康的儿童应与那些患有严重发育性颌骨异常但可在以后生活中进行管理的儿童区分开来。在本综述中，我们将重点关注寻求正畸治疗的患有发育性颌骨异常的生长发育期患者的管理，而不是那些患有影响功能和/或健康的进行性先天性畸形的患者。
