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手术掩饰作为完全代偿失败的解决方案:Ⅲ类病例的有趣经验

Surgical Camouflage as a Solution for Complete Decompensating Failures: An Interesting Experience With Class III Case Scenarios.

作者信息

Parameswaran Ratna, Ganapathi Dharshini, Rajkumar Balaji, Parameswaran Anantanarayanan

机构信息

Orthodontics and Dentofacial Orthopedics, Meenakshi Ammal Dental College, Chennai, IND.

Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College, Chennai, IND.

出版信息

Cureus. 2022 Jun 14;14(6):e25926. doi: 10.7759/cureus.25926. eCollection 2022 Jun.

Abstract

Dental compensations are an integral part of skeletal malocclusions. Failure to achieve optimal decompensation may lead to compromised surgical movements, thereby resulting in sub-optimal occlusion and soft tissue profile. Hence the mandibular subapical osteotomy was chosen as a minimalistic surgical alternative to the traditional combination of Le Fort 1 and bilateral sagittal split osteotomy. The choice was made by prioritizing soft tissue considerations, which offered the probability of a better post-treatment outcome. This paper highlights two such challenging case scenarios where the surgical plan was modified in accordance with the soft tissue as the primary objective.

摘要

牙齿代偿是骨性错牙合畸形的一个组成部分。未能实现最佳的去代偿可能会导致手术移动受限,从而导致咬合和软组织轮廓不理想。因此,下颌根尖下截骨术被选为一种简约的手术方式,替代传统的Le Fort 1型截骨术和双侧矢状劈开截骨术的联合使用。做出这一选择是出于对软组织因素的优先考虑,这为获得更好的治疗后效果提供了可能性。本文重点介绍了两个具有挑战性的病例,其中手术计划根据软组织这一主要目标进行了修改。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfbb/9281467/1a3b50b01c41/cureus-0014-00000025926-i01.jpg

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