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正颌外科手术与正畸治疗联合实现口面部协调:病例报告。

Orthognathic surgery and orthodontics associated with orofacial harmonization: Case report.

作者信息

Dall'Magro Alessandra Kuhn, Dogenski Letícia Copatti, Dall'Magro Eduardo, Figur Nicoly Schmidt, Trentin Micheline Sandini, De Carli João Paulo

机构信息

Department of Bucomaxillofacial Surgery, São Vicente de Paulo Hospital, Passo Fundo, Brazil.

Post-graduation Program in Oral Diagnosis, Faculty of Dentistry, Universidade Federal de Santa Catarina, Florianópolis, Brazil.

出版信息

Int J Surg Case Rep. 2021 Jun;83:106013. doi: 10.1016/j.ijscr.2021.106013. Epub 2021 May 26.

Abstract

INTRODUCTION AND IMPORTANCE

Orthognathic surgery aims to restore the functional and esthetic standards of the face and non-surgical or minimally invasive procedures have been optimizing the results of facial orthosurgical treatments. This case report aimed to show the use of minimally invasive techniques that, associated with orthognathic surgery, represent a trend in current oral and maxillofacial rehabilitation.

CASE PRESENTATION

A female patient, 28 years old, white, sought care from the Dentistry team of the São Vicente de Paulo Hospital, in Passo Fundo, Brazil, complaining of mandibular prognathism, anteroposterior maxillary deficiency, dental crowding, malocclusion, functional and esthetic changes that negatively affected her psychosocial interactions and stomatognathic function. The treatment involved orthodontics, orthognathic surgery, and orofacial harmonization with dermal fillers.

CLINICAL DISCUSSION

The multidisciplinarity among the specialties of Oral and Maxillofacial Surgery and Traumatology, Orthodontics, and Orofacial Harmonization add and contribute to the process of planning and implementing the treatment proposed, as well as the prognosis toward patient satisfaction.

CONCLUSION

The surgical procedure associated with minimally invasive facial harmonization not only corrected the functional complaint of the patient but also played an important role in improving facial harmony, contributing significantly to self-esteem.

摘要

引言与重要性

正颌外科旨在恢复面部的功能和美学标准,非手术或微创程序一直在优化面部正颌外科治疗的效果。本病例报告旨在展示微创技术的应用,这些技术与正颌外科相结合,代表了当前口腔颌面康复的一种趋势。

病例介绍

一名28岁的白人女性患者前往巴西帕索丰杜圣保罗医院的牙科团队就诊,主诉下颌前突、上颌前后部发育不足、牙列拥挤、咬合不正、功能和美学改变,这些对她的心理社会互动和口颌功能产生了负面影响。治疗包括正畸、正颌外科手术以及使用真皮填充剂进行口腔颌面协调。

临床讨论

口腔颌面外科与创伤学、正畸学以及口腔颌面协调等专业之间的多学科合作,为所提议治疗方案的规划、实施过程以及患者满意度的预后增添并做出了贡献。

结论

与微创面部协调相关的外科手术不仅纠正了患者的功能问题,还在改善面部和谐方面发挥了重要作用,对自尊有显著贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e50/8178104/c52bee17fcd2/gr1.jpg

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