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面部不对称:虚拟规划以优化治疗可预测性和美学效果。

Facial asymmetry: virtual planning to optimize treatment predictability and aesthetic results.

作者信息

Brito Hélio Henrique de Araújo, Mordente Carolina Morsani

机构信息

Pontifícia Universidade Católica de Minas Gerais, Programa de Pós-graduação em Odontologia, Departamento de Ortodontia (Belo Horizonte/MG, Brazil).

出版信息

Dental Press J Orthod. 2018 Nov-Dec;23(6):80-89. doi: 10.1590/2177-6709.23.6.080-089.bbo.

DOI:10.1590/2177-6709.23.6.080-089.bbo
PMID:30672989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6340196/
Abstract

Facial asymmetry is a condition that compromises function and social interactions and, consequently, the quality of life. Orthodontic-surgical treatment may be indicated to achieve a stable occlusion and significant improvement in facial aesthetics. The virtual planning of the maxillary, mandibular and chin movements can be done prior to surgery. These movements can be successfully performed with the use of prototyped guides obtained from virtual planning. The aim of this article is to show the state of the art of treatments of facial asymmetries, and emphasize how important is the multi-disciplinary approach to achieve predictable aesthetic and functionally stable results in a patient with facial asymmetry and chin protrusion.

摘要

面部不对称是一种会影响功能和社交互动,进而影响生活质量的状况。正畸-外科治疗可能有助于实现稳定的咬合,并显著改善面部美观。上颌、下颌和下巴运动的虚拟规划可以在手术前进行。利用从虚拟规划中获得的原型导板可以成功完成这些运动。本文的目的是展示面部不对称治疗的最新技术,并强调多学科方法对于在面部不对称和下巴前突患者中获得可预测的美学和功能稳定结果的重要性。

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本文引用的文献

1
Digital platform for planning facial asymmetry orthodontic-surgical treatment preparation.用于规划面部不对称正畸-外科治疗准备的数字平台。
Dental Press J Orthod. 2018 May-Jun;23(3):80-93. doi: 10.1590/2177-6709.23.3.080-093.sar.
2
Simultaneous Rhinoseptoplasty and Orthognathic Surgery: Outcome Analysis of 250 Consecutive Patients Using a Modified Le Fort I Osteotomy.同期鼻-上颌整形与正颌外科:250 例采用改良 Le Fort I 截骨术患者的疗效分析。
Aesthetic Plast Surg. 2018 Aug;42(4):1090-1100. doi: 10.1007/s00266-018-1121-2. Epub 2018 Mar 20.
3
Upper airway assessment using four different maxillary expanders in cleft patients: A cone-beam computed tomography study.
在腭裂患者中使用四种不同上颌扩弓器的上气道评估:一项锥形束计算机断层扫描研究。
Angle Orthod. 2016 Jul;86(4):617-24. doi: 10.2319/032015-174.1. Epub 2015 Nov 23.
4
Computer-aided planning in orthognathic surgery-systematic review.正颌外科中的计算机辅助规划——系统评价
Int J Oral Maxillofac Surg. 2014 Nov 25. doi: 10.1016/j.ijom.2014.10.025.
5
Evaluation of life quality of patients submitted to orthognathic surgery.接受正颌外科手术患者的生活质量评估。
Dental Press J Orthod. 2013 Sep-Oct;18(5):107-14. doi: 10.1590/s2176-94512013000500018.
6
Virtual model surgery for efficient planning and surgical performance.用于高效规划和手术操作的虚拟模型手术。
J Oral Maxillofac Surg. 2011 Mar;69(3):638-44. doi: 10.1016/j.joms.2010.10.047.
7
Elimination of transverse dental compensation is critical for treatment of patients with severe facial asymmetry.消除横向牙齿代偿对于治疗严重面部不对称的患者至关重要。
Am J Orthod Dentofacial Orthop. 2010 Apr;137(4):552-62. doi: 10.1016/j.ajodo.2007.10.064.
8
Virtual occlusion in planning orthognathic surgical procedures.虚拟咬合在正颌外科手术规划中的应用。
Int J Oral Maxillofac Surg. 2010 May;39(5):457-62. doi: 10.1016/j.ijom.2010.02.002. Epub 2010 Mar 11.
9
Asymmetry of the face in orthodontic patients.正畸患者面部的不对称。
Angle Orthod. 2008 May;78(3):421-6. doi: 10.2319/022107-85.1.
10
Two-dimensional cephalometry and computerized orthognathic surgical treatment planning.二维头影测量与计算机化正颌外科治疗计划
Clin Plast Surg. 2007 Jul;34(3):417-26. doi: 10.1016/j.cps.2007.04.005.