手术优先治疗方法：牙周病患者的福音——病例报告
Surgery-First Approach: A Boon for Periodontally Compromised Patients - A Case Report.
作者信息
Adeni Moina Khaja, Sanjana Mary, Khan Nayeemullah, Vijayalakshmi Devaki, Parameswaran Ratna, Parameswaran Anantanarayanan
机构信息
Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
Department of Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
出版信息
Ann Maxillofac Surg. 2021 Jul-Dec;11(2):344-348. doi: 10.4103/ams.ams_436_20. Epub 2022 Feb 1.
THE RATIONALE
The surgery-first approach (SFA) has revolutionized orthognathic surgery in recent years and in trend because it addresses the dentofacial abnormalities first, making the patient compliant and outcome more predictable.
PATIENT CONCERNS
A 22-year-old female was concerned about her forwardly placed teeth.
DIAGNOSIS
She had a compromised periodontium with a skeletal Class II malocclusion and dental malocclusion.
TREATMENT
A SFA plan was executed with the extraction of all first premolars followed by postsurgical orthodontic treatment.
OUTCOMES
Optimal functional and dentofacial esthetics were achieved by 11 months.
TAKE-AWAY LESSONS: Research has attributed several advantages of SFA over the conventional triphasic approach, which has proven to be beneficial in periodontally compromised individuals as it intends to relieve any traumatic occlusion primarily by stabilizing tissue integrity. It is most favorable in patients seeking a quick transformation with the least possible duration.
原理
近年来，手术优先方法（SFA）彻底改变了正颌外科手术，且呈发展趋势，因为它首先解决牙颌面异常问题，使患者更配合，治疗结果更可预测。
患者关注点
一名22岁女性担心自己牙齿前突。
诊断
她患有牙周组织受损，伴有骨骼II类错牙合畸形和牙列错牙合畸形。
治疗
执行了手术优先方法计划，拔除所有第一前磨牙，随后进行术后正畸治疗。
结果
11个月时实现了最佳功能和牙颌面美观效果。
经验教训
研究表明，手术优先方法比传统的三阶段方法有多个优势，事实证明，这种方法对牙周组织受损的个体有益，因为它主要通过稳定组织完整性来缓解任何创伤性咬合。对于寻求快速转变且疗程尽可能短的患者来说，这种方法最为有利。
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