Resident, Oral and Maxillofacial Surgery, University of Toronto, Toronto, ON, Canada.
Center for Corrective Jaw Surgery, University of Toronto.
J Craniofac Surg. 2023 May 1;34(3):1061-1063. doi: 10.1097/SCS.0000000000008941. Epub 2022 Aug 29.
Clear aligner therapy is becoming a mainstay of contemporary orthodontic treatment. As such wide-spread adoption and case-selection for surgical-orthodontic treatment in patients with Clear aligner therapy is increasing. Passive aligners generally lack adequate rigidity for retention of segmental movements in the immediate postoperative period. In this report we discuss our techniques for maintaining retention in the weeks after segmental maxillary osteotomies by use of a modified clear aligner orthognathic splint, and a custom palatal horseshoe splint, including the relative indications of each method.
Clear aligner 疗法正成为当代正畸治疗的主要方法。因此,越来越多的患者在接受 Clear aligner 治疗的同时选择进行手术-正畸治疗。被动矫正器通常缺乏足够的刚性,无法在术后即刻保持分段运动。在本报告中,我们讨论了通过使用改良的透明矫正器正颌夹板和定制的腭马蹄形夹板来维持上颌骨分段截骨术后数周内的保持的技术,包括每种方法的相对适应证。