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一名患有骨性开颌和颞下颌关节紊乱症患者的双颌磨牙压低的骨锚固

Skeletal anchorage for intrusion of bimaxillary molars in a patient with skeletal open bite and temporomandibular disorders.

作者信息

Iwasa Akihiko, Horiuchi Shinya, Kinouchi Nao, Izawa Takashi, Hiasa Masahiro, Kawai Nobuhiko, Yasue Akihiro, Hassan Ali H, Tanaka Eiji

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

Department of Biomaterials and Bioengineering, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.

出版信息

J Orthod Sci. 2017 Oct-Dec;6(4):152-158. doi: 10.4103/jos.JOS_63_17.

DOI:10.4103/jos.JOS_63_17
PMID:29119097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5655966/
Abstract

The treatment of severe skeletal anterior open bite is extremely difficult in adults, and orthognathic surgery is generally selected for its treatment. We report the case of an 18-year-old adult patient with skeletal anterior open bite and temporomandibular disorders who was successfully treated using temporary anchorage devices. She had an open bite of -2.0 mm and an increased facial height. Miniplates were implanted in both the maxilla and mandible, and molar intrusion resulted in counterclockwise rotation of the mandible over a period of 12 months. After active treatment, her upper and lower first molars were intruded by approximately 2 mm and her overbite became +2.5 mm. Her retrognathic profile improved with counterclockwise rotation of the mandible. Orthodontic treatment aided with skeletal anchorage is beneficial for intrusion of bimaxillary molars in patients with anterior open bite.

摘要

严重骨性前牙开颌在成人中的治疗极具难度，通常选择正颌手术进行治疗。我们报告了一例18岁成年骨性前牙开颌伴颞下颌关节紊乱患者，采用临时支抗装置成功治疗的病例。她有2.0毫米的开颌，面高增加。在上颌和下颌均植入微型钛板，磨牙压低导致下颌逆时针旋转，持续12个月。积极治疗后，她的上下第一磨牙压低约2毫米，覆颌变为2.5毫米。下颌逆时针旋转使她后缩的侧貌得到改善。采用骨支抗辅助的正畸治疗有利于前牙开颌患者的双颌磨牙压低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/1e095e0e1444/JOS-6-152-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/594fd367af40/JOS-6-152-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/3ef48006ee33/JOS-6-152-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/b8ea8c03dcd0/JOS-6-152-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/69e4456b53ec/JOS-6-152-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/632c5c11ac4e/JOS-6-152-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/1e095e0e1444/JOS-6-152-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/594fd367af40/JOS-6-152-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/712918617bfb/JOS-6-152-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/9d8fa4400d5e/JOS-6-152-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/3ef48006ee33/JOS-6-152-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/b8ea8c03dcd0/JOS-6-152-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/69e4456b53ec/JOS-6-152-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/632c5c11ac4e/JOS-6-152-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37f4/5655966/1e095e0e1444/JOS-6-152-g009.jpg

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本文引用的文献

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Treatment of severe anterior open bite with skeletal anchorage in adults: comparison with orthognathic surgery outcomes.成人严重前牙开（牙合）的骨支抗治疗：与正颌外科手术效果的比较
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