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伴有Ⅲ类错颌和开颌的复杂临床病例：七年之后的稳定性。

Complex clinical case with Class III and open bite: stability after seven years.

作者信息

Almeida Rhita Cristina Cunha, Nunes Livia Kelly Ferraz, Vieira Ingrid Balbino Sousa Coelho, Carvalho Felipe de Assis Ribeiro, Almeida Marco Antonio de Oliveira

机构信息

Departamento de Ortodontia, Faculdade de Odontologia, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

Dental Press J Orthod. 2020 Mar;25(2):32-43. doi: 10.1590/2177-6709.25.2.032-043.oar. Epub 2020 May 29.

DOI:10.1590/2177-6709.25.2.032-043.oar
PMID:32490928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7265672/
Abstract

A healthy 15-year-old boy with anterior open bite, edge-to-edge transverse discrepancy, and Class III skeletal relationship sought a nonsurgical orthodontic treatment. The patient was treated with premolars extraction, a Hyrax expander and intrusion mechanics with vertical elastics. This mechanics allowed for excellent facial and occlusal results. The final occlusion presented Class I molar and canine relationships, ideal overjet and overbite, and straight facial profile. Analysis of the posttreatment and follow-up radiographs showed that the treatment outcomes remained stable seven years after active orthodontic treatment. Thus, although combined orthodontic and surgical treatment should be considered for patients with this skeletal malocclusion, this case report proves that well controlled orthodontic movement with the patient's cooperation can be a valid alternative treatment, with good and stable outcomes for patients who refuse surgery.

摘要

一名15岁健康男孩，患有前牙开颌、横向牙尖对牙尖差异以及III类骨骼关系，寻求非手术正畸治疗。该患者接受了拔除前磨牙、使用Hyrax扩弓器以及垂直弹力牵引的内收矫治技术。这种矫治技术取得了出色的面部和咬合效果。最终咬合呈现I类磨牙和尖牙关系、理想的覆盖和覆合，以及直面型。治疗后及随访X线片分析显示，在积极正畸治疗7年后，治疗效果保持稳定。因此，尽管对于这种骨骼错颌畸形患者应考虑正畸与手术联合治疗，但本病例报告证明，在患者配合下进行良好控制的正畸移动可以是一种有效的替代治疗方法，对于拒绝手术的患者可取得良好且稳定的效果。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fa0/7265672/1c473ba5674b/2176-9451-dpjo-25-02-32-gf14.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fa0/7265672/581179290c86/2176-9451-dpjo-25-02-32-gf11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fa0/7265672/afd0c63f0007/2176-9451-dpjo-25-02-32-gf12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fa0/7265672/14e2b830f405/2176-9451-dpjo-25-02-32-gf13.jpg
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Evaluation of long-term stability of skeletal anterior open bite correction in adults treated with maxillary posterior segment intrusion using zygomatic miniplates.使用颧骨微型接骨板对上颌后段进行牵引治疗的成人骨骼性前牙开颌矫治的长期稳定性评估
Am J Orthod Dentofacial Orthop. 2016 Jul;150(1):78-88. doi: 10.1016/j.ajodo.2015.12.014.
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Craniodentofacial characteristics, dental esthetics-related quality of life, and self-esteem.
颅颌面特征、与牙齿美学相关的生活质量和自尊。
Am J Orthod Dentofacial Orthop. 2015 Jun;147(6):711-8. doi: 10.1016/j.ajodo.2015.01.027.
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Camouflage treatment of skeletal Class III malocclusion with multiloop edgewise arch wire and modified Class III elastics by maxillary mini-implant anchorage.上颌骨微型种植体支抗的多曲方丝弓和改良型 III 类橡皮链矫治骨性 III 类错[牙合]的掩饰治疗。
Angle Orthod. 2013 Jul;83(4):630-40. doi: 10.2319/091312-730.1. Epub 2013 Jan 11.
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Long-term stability of anterior open-bite treatment by intrusion of maxillary posterior teeth.通过上颌后牙压低进行前牙开颌治疗的长期稳定性。
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Three-year stability of open-bite correction by 1-piece maxillary osteotomy.采用上颌整体截骨术矫治开牙合的三年稳定性
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