Private practice, Osaka, Japan.
Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea; The Forsyth Institute, Harvard School of Dental Medicine Affiliate, Cambridge, Mass.
Am J Orthod Dentofacial Orthop. 2022 Feb;161(2):293-312.e1. doi: 10.1016/j.ajodo.2021.09.007. Epub 2021 Dec 4.
Posterior crossbite and mandibular asymmetry affect esthetics and function. We report treatment of 3 patients with posterior crossbite with mandibular asymmetry but different anteroposterior and vertical characteristics. Treatment methods included maxillary skeletal expander, miniscrews, and lingual appliances. The results show that by using these appliances, ideal transverse, anteroposterior, and vertical control is possible in patients who have concerns about the esthetics of buccal appliances. Lingual appliances can provide satisfying results when combined with a maxillary skeletal expander and miniscrews in complex patients.
后牙反合和下颌偏斜会影响美观和功能。我们报告了 3 例后牙反合伴下颌偏斜但具有不同前后向和垂直向特征的患者的治疗情况。治疗方法包括上颌骨扩张器、微螺钉和舌侧矫治器。结果表明,对于那些对颊侧矫治器美观有顾虑的患者,使用这些矫治器可以实现理想的横向、前后向和垂直控制。在复杂的患者中,舌侧矫治器与上颌骨扩张器和微螺钉结合使用可以取得满意的效果。