重度骨性III类错牙合畸形的多学科正畸掩饰治疗及1年随访——病例报告
Multi-disciplinary orthodontic camouflage treatment of a severe skeletal class III malocclusion with 1 year follow-up - A case report.
作者信息
Adeni Moina K, Parameswaran Ratna, Vijayalakshmi Devaki, Sainulabdeen Junaid
机构信息
Department of Orthodontics and Dentofacial Orthopedics, Opal Dentistry, Chennai, Tamil Nadu, India.
Department of Orthodonticsa nd Dentofacial Orthopedics, Meenakshi Ammal Dental College and Hospital, Maduravoyal, Chennai, Tamil Nadu, India.
出版信息
Indian J Dent Res. 2022 Jul-Sep;33(3):338-343. doi: 10.4103/ijdr.IJDR_551_20.
RATIONALE
Orthodontic camouflage serves its purpose in treating mild to moderate skeletal dysplasia and in conditions where the patient is reluctant to opt for orthognathic surgery or when it is contraindicated.
PATIENT CONCERNS
A 22-year-old male was concerned about his irregular teeth.
DIAGNOSIS
Angle's dentoalveolar class III malocclusion on class III skeletal on an average mandibular plane angle with anterior crossbite, deep bite, crowding in maxillary and mandibular anteriors, proclined maxillary anteriors and retroclined mandibular anteriors with reverse overjet and congenitally missing 12, 22, palatally impacted 13 and retained deciduous 63 and palatally placed 23.
TREATMENT
Orthodontic camouflage with a multi-disciplinary approach.
OUTCOME
Optimal functional and dentofacial aesthetics were achieved by 22 months.
TAKE-AWAY LESSON: The limitations of camouflage must be kept in mind and explained to the patient. The biomechanics need to be customized and integrating different specialties helps maximize the treatment benefits.
原理
正畸掩饰治疗适用于治疗轻至中度骨骼发育异常，以及患者不愿选择正颌手术或存在手术禁忌的情况。
患者关注点
一名22岁男性担心自己牙齿不整齐。
诊断
安氏Ⅲ类牙-牙槽骨错牙合伴Ⅲ类骨骼，平均下颌平面角，前牙反牙合、深覆牙合，上颌和下颌前牙拥挤，上颌前牙前倾、下颌前牙后倾，伴有反覆盖，先天性缺失12、22，13腭侧阻生，63乳牙滞留，23腭侧异位。
治疗
采用多学科方法进行正畸掩饰治疗。
结果
22个月时实现了最佳的功能和牙颌面美学效果。
经验教训
必须牢记并向患者解释掩饰治疗的局限性。生物力学需要定制，整合不同专业有助于使治疗效益最大化。
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