Tavares Carlos Alberto Estevanell, Sheffer Miguel Angelo R, Allgayer Susiane
Private practice, Porto Alegre, Rio Grande Do Sul, Brazil; Department of Orthodontics, Associação Brasileira de Odontologia, Seção Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
Private practice, Porto Alegre, Rio Grande do Sul, Brazil.
Am J Orthod Dentofacial Orthop. 2018 Jan;153(1):118-130. doi: 10.1016/j.ajodo.2016.09.035.
This case report describes the orthodontic retreatment a patient with a skeletal Class III malocclusion. The clinical examination showed a concave profile caused by a retruded maxilla and a prognathic mandible, an occlusal cant, and absence of all first premolars. A surgery-first approach was combined with skeletal anchorage implants in the maxillary arch and tandem mechanics. The esthetic facial profile, pleasant smile, appropriate occlusion, and overall good treatment outcomes remained stable 5 years after active orthodontic treatment.
本病例报告描述了一名骨性III类错牙合患者的正畸再治疗情况。临床检查显示，上颌后缩和下颌前突导致面部轮廓凹陷、咬合斜面以及所有第一前磨牙缺失。采用了手术优先的方法，并结合上颌骨支抗种植体和串联力学技术。在积极的正畸治疗5年后，美观的面部轮廓、怡人的笑容、合适的咬合以及总体良好的治疗效果保持稳定。
