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[使用透明矫治器治疗生长发育期的II类错颌患者:采用哪种方案?]

[Treatment of class II for growing patients by clear aligners: which protocol?].

作者信息

Sabouni Waddah, Eichelberger Alexandre, Des Georges Olivia

机构信息

Bandol Rivage, 2524 route de Bandol, 83110 Sanary-Sur-Mer, France.

出版信息

Orthod Fr. 2019 Mar;90(1):13-27. doi: 10.1051/orthodfr/2019003. Epub 2019 Apr 17.

Abstract

INTRODUCTION

Skeletal class II, frequently associated with retromandibular and overjet > 2 mm, lead to functional and aesthetic damage, that orthodontic treatment has to correct. The aim of this article is to describe a treatment protocol by aligners for class II growing patients according to the value of the class II and the maturity state of cervical vertebrae.

MATERIALS AND METHODS

Through clinical cases, this article will present three different therapeutic approaches depending on the growth state.

RESULTS

The study of the auxologic potential and determination of the bone age (radiological analysis of the maturation of the cervical vertebrae) will allow to determine the best moment to treat class II and the most appropriate therapeutic attitude according to growing state.

DISCUSSION

This study before treatment is essential to adapt an individualized clinical protocol to each patient. In this way, aligners are devices that respond well to this imperative because they are customizable in view of the strategy and the treatment plan considered by the practitioner. We must keep in mind, however, that with any therapy, it is essential to ensure good patient compliance.

摘要

引言

骨性II类错颌常伴有下颌后缩和覆盖大于2毫米,会导致功能和美观受损,正畸治疗必须予以纠正。本文旨在根据II类错颌的程度和颈椎的成熟状态,描述一种针对生长发育期II类错颌患者的隐形矫治器治疗方案。

材料与方法

通过临床病例,本文将根据生长状态介绍三种不同的治疗方法。

结果

对生长潜力的研究和骨龄的测定(颈椎成熟度的放射学分析)将有助于确定治疗II类错颌的最佳时机以及根据生长状态确定最合适的治疗方案。

讨论

治疗前的这项研究对于为每位患者制定个性化临床方案至关重要。通过这种方式,隐形矫治器很好地满足了这一需求,因为鉴于从业者所考虑的策略和治疗计划,它们是可定制的。然而,我们必须牢记,对于任何治疗,确保患者良好的依从性至关重要。

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