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生长发育期患者前牙反颌的肌功能治疗

Myofunctional Treatment of Anterior Crossbite in a Growing Patient.

作者信息

Pellegrino Marianna, Cuzzocrea Maria Laura, Rao Walter, Pellegrino Gioacchino, Paduano Sergio

机构信息

Independent Researcher, Caserta, Italy.

Independent Researcher, Pavia, Italy.

出版信息

Case Rep Dent. 2020 Oct 8;2020:8899184. doi: 10.1155/2020/8899184. eCollection 2020.

Abstract

The purpose of this case report is to add another means of treatment for the anterior crossbite malocclusion in early mixed dentition. The selected functional device is an eruption guidance appliance (EGA). The analysed patient had a functional anterior crossbite, a mandibular protrusion tendency, and a normodivergent growth pattern. The early treatment was suggested to correct the malocclusion and avoid unfavourable occlusal conditions that could end in a class III malocclusion growth pattern. After 18 months of treatment, with night-time use, the malocclusion was completely resolved. This therapy strategy allowed the correction of the sagittal jaws' relationship and maximum control of the vertical dimension. After 2 years of follow-up, the results were preserved. The peculiarity of this kind of intraoral orthodontic tools is the use of the erupting forces rather than the active forces. This early treatment of anterior crossbites with EGA may be considered an effective treatment approach for achieving good functional and aesthetic results.

摘要

本病例报告的目的是为早期混合牙列期的前牙反合错颌畸形增加另一种治疗方法。所选用的功能性矫治器是萌出引导矫治器(EGA)。分析的患者存在功能性前牙反合、下颌前突倾向以及垂直生长型正常。建议进行早期治疗以纠正错颌畸形,避免可能导致III类错颌生长型的不利咬合情况。经过18个月的夜间佩戴治疗,错颌畸形完全得到解决。该治疗策略能够纠正矢状向颌骨关系并最大程度控制垂直维度。经过2年的随访,结果得以保持。这类口腔正畸工具的独特之处在于利用萌出力而非矫治力。使用EGA对前牙反合进行早期治疗可被视为实现良好功能和美观效果的一种有效治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4288/7568144/56e3c249528a/CRID2020-8899184.001.jpg

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