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使用Alt-RAMEC方案和骨支抗矫治青少年晚期骨性III类错颌。

Correction of late adolescent skeletal Class III using the Alt-RAMEC protocol and skeletal anchorage.

作者信息

Büyükçavuş Muhammed Hilmi, Sari Ömer Faruk, Findik Yavuz

机构信息

Department of Orthodontics, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Süleyman Demirel University, Isparta, Turkey.

出版信息

Korean J Orthod. 2023 Jan 25;53(1):54-64. doi: 10.4041/kjod21.337.

DOI:10.4041/kjod21.337
PMID:36696959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9877360/
Abstract

This case report describes skeletal anchorage-supported maxillary protraction performed with the Alternate Rapid Maxillary Expansion and Constriction (Alt-RAMEC) protocol over a treatment duration of 14 months in a 16-year-old female patient who was in the late growth-development period. Miniplates were applied to the patient's aperture piriformis area to apply force from the protraction appliance. After 9 weeks of following the Alt-RAMEC protocol, miniplates were used to transfer a unilateral 500-g protraction force to a Petit-type face mask. A significant improvement was observed in the soft tissue profile in measurements made both cephalometrically and in three dimensional photographs. Subsequently, the second phase of fixed orthodontic treatment was started and the treatment was completed with the retention phase. Following treatment completion, occlusion, smile esthetics, and soft tissue profile improved significantly in response to orthopedic and orthodontic treatment.

摘要

本病例报告描述了一名处于生长发育后期的16岁女性患者,采用交替快速上颌扩弓与缩弓(Alt-RAMEC)方案,在14个月的治疗期间进行骨骼锚固支持的上颌前牵引治疗。微型钛板应用于患者的梨状孔区域,以施加来自前牵引矫治器的力。在遵循Alt-RAMEC方案9周后,使用微型钛板将单侧500克的前牵引力传递至Petit型面罩。通过头影测量和三维照片测量发现,软组织侧貌有显著改善。随后,开始了第二阶段的固定正畸治疗,并在保持阶段完成了治疗。治疗完成后,咬合、微笑美学和软组织侧貌因正畸和矫形治疗而显著改善。

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