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用于加速正畸的牙槽骨皮质切开术:一种新的微创技术。

Alveolar corticotomies for accelerated orthodontics: A new mini-invasive technique.

作者信息

Charrier Jean-Baptiste, Ancel Hugo

机构信息

Chirurgie exclusive de la face, Pratique libérale, 75007 Paris, France.

Pratique Libérale, 54700 Saint-Dié-des-Vosges et Pont-à-Mousson, France.

出版信息

Int Orthod. 2019 Sep;17(3):562-566. doi: 10.1016/j.ortho.2019.06.017. Epub 2019 Jul 8.

Abstract

Orthodontic and surgical techniques are constantly evolving and practitioners are facing an increasing demand for shorter treatments, with an expectation of results equivalent to conventional treatments. Corticotomies have made it possible to partly meet this need by facilitating dental movement in adult orthodontic care. Many surgical corticotomy techniques were proposed in the past presenting advantages but also a certain number of disadvantages. After retracing the various surgical techniques proposed and explaining the biological principles, we will introduce a new minimally invasive technique, without mucoperiosteal flap and without piezosurgery. This technique can be performed in the dental chair under local anaesthesia or sedation. It is simple and reproducible. This type of treatment combines comfort, speed and periodontal protection. Our objective is to provide more patients and practitioners with corticotomies while controlling the benefit/risk ratio.

摘要

正畸和外科技术在不断发展,从业者面临着对缩短治疗时间的需求日益增加,同时期望获得与传统治疗相当的效果。皮质切开术通过促进成人正畸治疗中的牙齿移动,使得部分满足这一需求成为可能。过去提出了许多外科皮质切开术技术,它们各有优点,但也存在一定数量的缺点。在追溯了所提出的各种外科技术并解释了生物学原理之后,我们将介绍一种新的微创技术,无需黏膜骨膜瓣且无需压电手术。该技术可在局部麻醉或镇静下于牙科椅上进行。它简单且可重复。这种治疗方式兼具舒适性、速度和牙周保护。我们的目标是在控制获益/风险比的同时,为更多患者和从业者提供皮质切开术。

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