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使用微螺钉与改良多曲方丝弓技术对重度开（牙合）病例进行非手术正畸治疗

Nonsurgical Orthodontic Treatment of a Severe Open Bite Case Using Miniscrews with Modified Multiloop Edgewise Arch Wire Technique.

作者信息

Hatrom Abdulkarim A, Kanwal Bushra, Hamooda Fatima, Alzahrani Hashim A

机构信息

Department of Orthodontics, Alnoor Hospital, Ministry of Health, Makkah, Saudi Arabia.

Private Practitioner, AL Baha, Saudi Arabia.

出版信息

Case Rep Dent. 2022 Sep 15;2022:1844167. doi: 10.1155/2022/1844167. eCollection 2022.

DOI:10.1155/2022/1844167
PMID:36157202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9499781/
Abstract

Skeletal open bite is one of the most challenging malocclusions to treat and maintain due to the difficulty and instability of correction. Although a combination of orthodontic treatment and orthognathic surgery may be the ideal approach in most cases, the complications, risks, and costs of surgery have sparked an interest in alternative treatment options that use temporary anchorage devices to achieve orthognathic-like effects. Adult patients can be treated without the need for special compliance using temporary anchorage devices such as miniscrews. This case report demonstrates a goal-oriented strategy for nonsurgical treatment of a complex skeletal open bite malocclusion in an adult patient using miniscrews and a modified multiloop edgewise arch wire (MEAW) technique, with the results evaluated clinically and cephalometrically.

摘要

由于矫正的难度和不稳定性，骨性开颌是最难治疗和维持的错颌畸形之一。尽管正畸治疗和正颌手术相结合在大多数情况下可能是理想的方法，但手术的并发症、风险和成本引发了人们对使用临时锚固装置来实现类似正颌效果的替代治疗方案的兴趣。成年患者可以使用微型螺钉等临时锚固装置进行治疗，而无需特殊的配合。本病例报告展示了一种以目标为导向的策略，用于使用微型螺钉和改良多曲方丝弓（MEAW）技术对成年患者复杂的骨性开颌错颌畸形进行非手术治疗，并通过临床和头影测量对结果进行评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/cfc6b4047385/CRID2022-1844167.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/41fa02c0ec02/CRID2022-1844167.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/56445ece6fde/CRID2022-1844167.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/040ef2d2ce4a/CRID2022-1844167.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/04dca78a2abb/CRID2022-1844167.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/3619de58a5df/CRID2022-1844167.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/e02e46fff8c6/CRID2022-1844167.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/a3878d68f29d/CRID2022-1844167.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/f8d1a3bc6a69/CRID2022-1844167.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/cfc6b4047385/CRID2022-1844167.009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/41fa02c0ec02/CRID2022-1844167.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/56445ece6fde/CRID2022-1844167.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/040ef2d2ce4a/CRID2022-1844167.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/04dca78a2abb/CRID2022-1844167.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/3619de58a5df/CRID2022-1844167.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/e02e46fff8c6/CRID2022-1844167.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/a3878d68f29d/CRID2022-1844167.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/f8d1a3bc6a69/CRID2022-1844167.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22e3/9499781/cfc6b4047385/CRID2022-1844167.009.jpg

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本文引用的文献

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J Evid Based Dent Pract. 2022 Mar;22(1):101688. doi: 10.1016/j.jebdp.2021.101688. Epub 2021 Dec 24.
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Anterior openbite malocclusion in adults.成人前牙开颌。
Angle Orthod. 2022 Jan 1;92(1):27-35. doi: 10.2319/071221-549.1.
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Nonsurgical Treatment of Class III Malocclusion with Both Anterior and Posterior Crossbites Combined with Impacted and Congenitally Missed Teeth.
伴有前牙和后牙反牙合以及埋伏牙和先天性缺牙的III类错牙合畸形的非手术治疗
Case Rep Dent. 2020 Sep 7;2020:8825212. doi: 10.1155/2020/8825212. eCollection 2020.
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