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新型弹性功能矫形器治疗Ⅲ类错[牙合]的足垫支撑和姿势控制的长期疗效评价。

Long-term evaluation of the efficacy on the podalic support and postural control of a new elastic functional orthopaedic device for the correction of Class III malocclusion.

机构信息

University of Brescia, Italy.

出版信息

Eur J Paediatr Dent. 2019 Sep;20(3):199-203. doi: 10.23804/ejpd.2019.20.03.06.

Abstract

AIM

Correlations between occlusion and posture are open to new perspectives, which include treatment of functional alterations traditionally approached separately. The aim of this study is to evaluate whether the treatment of Class III malocclusion, through an innovative elastic functional orthopaedic device, allows an overall improvement of the podalic support.

MATERIALS AND METHODS

A 5½-year-old patient with Angle Class III malocclusion and c anterior ross bite in deciduous dentition has been treated for 7 years with a functional orthopaedic device (MSB Class III). Assessment of frontal and lateral postural plumb line was performed with stabilo-baro-podometric platform analysis, in order to record the podalic support discrepancy between feet, both in static phase and in dynamic phase. The patient has been posturally re-evaluated at nine and twelve years old.

RESULTS

The functional device allowed the restoration of the correct intermaxillary relationship, favourably conditioning also the posture. In particular, the correction of the valgus flat foot and a significative reduction of the podalic support discrepancy between feet has been obtained.

CONCLUSIONS

A global approach to the patient can successfully address both malocclusion and postural alterations.

摘要

目的

口颌系统的咬合与姿势之间存在关联,这为治疗传统上分开治疗的功能改变提供了新的视角。本研究旨在评估通过创新的弹性功能矫形装置治疗 III 类错颌畸形是否能整体改善足的支撑。

材料与方法

我们治疗了一名 5 岁半的患者,该患者为安氏 III 类错颌,乳牙列中有 c 型前牙反𬌗。该患者使用功能矫形装置(MSB Class III)治疗了 7 年。我们使用静态和动态稳定杆秤足印分析平台评估了额状面和侧面的姿势铅垂线,以记录双脚的足底支撑差异。患者在 9 岁和 12 岁时进行了姿势再评估。

结果

功能矫形装置恢复了正确的颌间关系,对口颌系统的姿势也产生了有利影响。特别是,我们矫正了足外翻扁平足,并显著减少了双脚的足底支撑差异。

结论

对患者进行全面治疗可以成功解决错颌和姿势改变的问题。

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