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早期正畸治疗:何时、为何及如何?

Very early orthodontic treatment: when, why and how?

机构信息

Private practice (Bolzano, Italy).

University of Ferrara, Ferrara School of Orthodontics (Ferrara, Italy).

出版信息

Dental Press J Orthod. 2022 Jun 10;27(2):e22spe2. doi: 10.1590/2177-6709.27.2.e22spe2. eCollection 2022.

Abstract

INTRODUCTION

Several orthodontic problems should already be treated at an early age to prevent the necessity of future complex and expensive procedures. Scientific evidence suggests that posterior crossbites, mild to moderate Class III, as well as certain Class II malocclusions, open bites and arch length discrepancies can benefit from simple, but efficient interceptive therapy.

OBJECTIVE

To summarize the existing evidence-based literature on early orthodontic treatment, and to illustrate its application and effectiveness by showcasing multiple clinical examples.

CONCLUSION

Early short-term interceptive orthodontic treatment with simple appliances, in the deciduous or early mixed dentition phase, can efficiently correct certain malocclusions and help to either reduce the complexity or even avoid the necessity of complex and expensive procedures during puberty. For certain patients with significant arch length discrepancy the concept of serial extractions should be part of the orthodontic armamentarium.

摘要

引言

一些正畸问题应在早期进行治疗,以防止未来需要复杂且昂贵的治疗方案。科学证据表明,后牙反合、轻度至中度 III 类错合、某些 II 类错合、开颌和牙弓长度不调可以从简单但有效的阻断性治疗中获益。

目的

总结现有的关于早期正畸治疗的循证文献,并通过展示多个临床实例来说明其应用和效果。

结论

在乳牙期或早期混合牙列期,使用简单的矫治器进行短期的早期阻断性正畸治疗,可以有效地矫正某些错合畸形,有助于降低复杂性,甚至避免在青春期需要进行复杂且昂贵的治疗方案。对于某些存在明显牙弓长度不调的患者,序列拔牙的概念应该成为正畸治疗手段的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6241/9191856/232b9f0d4fec/2177-6709-dpjo-27-02-e22spe2-gf1.jpg

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