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多曲方丝弓技术矫治严重前牙开颌伴釉质发育不全

Multiloop edgewise archwire treatment for a patient with a severe anterior open bite and amelogenesis imperfecta.

出版信息

Angle Orthod. 2022 Jan 1;92(1):137-147. doi: 10.2319/032221-228.1.

Abstract

Amelogenesis imperfecta is a rare hereditary disorder that affects dental enamel and is often associated with an anterior open bite. Orthodontic treatment of a 16-year-old female patient with hypocalcified amelogenesis imperfecta and a 9-mm anterior open bite was presented. Radiographic examination revealed a steep mandibular plane angle, an increased lower face height, a Class II skeletal pattern, and a convex profile. Additionally, the patient had stainless steel crowns on all upper and lower posterior teeth and composite veneers on the upper anterior teeth. The patient was treated nonsurgically using a multiloop edgewise archwire (MEAW). MEAW mechanics allowed for successful correction of the anterior open bite, with significant reduction in the mandibular plane angle and improvement in the patient's profile. No fixed retainers were used, and the results remained stable 78 months after removal of orthodontic appliances. MEAW mechanics should be considered for patients with large anterior open bites, although this technique requires excellent patient compliance.

摘要

遗传性牙釉质不全是一种罕见的遗传性疾病,影响牙釉质,常伴有前牙开颌。本文介绍了 1 例 16 岁女性低矿化型牙釉质不全伴 9mm 前牙开颌患者的正畸治疗。影像学检查显示下颌平面陡,下面高增加,Ⅱ类骨骼型,凸面型。此外,患者上颌和下颌所有后牙均有不锈钢冠,上颌前牙有复合贴面。该患者采用多曲方丝弓技术(MEAW)非手术治疗。MEAW 力学可成功矫正前牙开颌,显著降低下颌平面角,改善患者侧貌。未使用固定保持器,矫治器去除后 78 个月,结果稳定。对于前牙开颌较大的患者,应考虑使用 MEAW 技术,但该技术需要患者有良好的配合。

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