Strohl Alexis M, Vitkus Lauren
Upstate Medical Center, Syracuse, New York, USA.
Curr Opin Otolaryngol Head Neck Surg. 2017 Aug;25(4):332-336. doi: 10.1097/MOO.0000000000000371.
The article reviews some commonly used orthodontic treatments as well as new strategies to assist in the correction of malocclusion. Many techniques are used in conjunction with surgical intervention and are a necessary compliment to orthognathic surgery. Basic knowledge of these practices will aid in the surgeon's ability to adequately treat the patient.
Many orthodontists and surgeons are eliminating presurgical orthodontics to adopt a strategy of 'surgery first' orthodontics in orthognathic surgery. This has the benefit of immediate improvement in facial aesthetics and shorter treatment times. The advent of virtual surgical planning has helped facilitate the development of this new paradigm by making surgical planning faster and easier. Furthermore, using intraoperative surgical navigation is improving overall precision and outcomes.
A variety of surgical and nonsurgical treatments may be employed in the treatment of malocclusion. It is important to be familiar with all options available and tailor the patient's treatment plan accordingly. Surgery-first orthodontics, intraoperative surgical navigation, virtual surgical planning, and 3D printing are evolving new techniques that are producing shorter treatment times and subsequently improving patient satisfaction without sacrificing long-term stability.
本文回顾了一些常用的正畸治疗方法以及有助于矫正错牙合畸形的新策略。许多技术与手术干预联合使用，是正颌外科手术必不可少的补充。了解这些方法的基本知识将有助于外科医生充分治疗患者。
许多正畸医生和外科医生在正颌手术中摒弃术前正畸，采用“先手术”正畸策略。这有利于面部美观立即改善且治疗时间缩短。虚拟手术规划的出现，通过使手术规划更快、更容易，推动了这一新模式的发展。此外，术中手术导航提高了整体精度和治疗效果。
治疗错牙合畸形可采用多种手术和非手术治疗方法。熟悉所有可用选项并据此为患者量身定制治疗方案很重要。先手术正畸、术中手术导航、虚拟手术规划和3D打印是不断发展的新技术，可缩短治疗时间，从而提高患者满意度，且不影响长期稳定性。
