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生长发育期患者的剪刀式咬合:使用隐形矫治器治疗的病例报告

Scissor Bite in Growing Patients: Case Report Treated with Clear Aligners.

作者信息

Pinho Teresa, Gonçalves Sara, Rocha Duarte, Martins Maria Luís

机构信息

UNIPRO-Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal.

IBMC-Instituto Biologia Molecular e Celular, i3S-Inst. Inovação e Investigação em Saúde, Universidade do Porto, 4200-135 Porto, Portugal.

出版信息

Children (Basel). 2023 Mar 27;10(4):624. doi: 10.3390/children10040624.

Abstract

Scissor bite (SB.) is a rare malocclusion that is challenging to diagnose and is often associated with a retrognathic mandible and a series of functional and structural abnormalities that negatively affect the patient. This article intends to analyze the treatment approaches applied to growing patients younger than 16 years old, comparing the conventional appliances described in the literature and a clinical case treated with clear aligners with mandibular advancement (MA.). SB is primarily related to skeletal Class I and II, according to Angle classification. In the various cases analyzed, it can also be mentioned as a significant number of cases with SB of dental origin (seven of dental and four of skeletal) in young patients. In children and adolescents who still have growth potential, the therapeutic possibilities are numerous. A comprehensive literature search was manually performed from 2002 until January 2023, in PubMed and BVS databases with the following conjugated keywords: "scissor bite OR brodie bite" AND "malocclusion" AND "treatment OR correction OR therapeutics". The present case report on a young patient demonstrated the efficiency of the clear aligners with MA to correct an SB, associated with several functional and structural anomalies such as Class II division 1 with an increased overjet and overbite as well as a severe curve of Spee in a hypodivergent biotype.

摘要

剪刀式咬合(SB.)是一种罕见的错牙合畸形,诊断具有挑战性,且常与下颌后缩以及一系列对患者产生负面影响的功能和结构异常相关。本文旨在分析应用于16岁以下生长发育期患者的治疗方法,比较文献中描述的传统矫治器和一例采用下颌前导(MA.)的透明矫治器治疗的临床病例。根据安氏分类,SB主要与骨骼I类和II类相关。在分析的各种病例中,也可提及在年轻患者中有相当数量的牙源性SB病例(7例牙源性和4例骨骼性)。对于仍有生长潜力的儿童和青少年,治疗可能性众多。从2002年至2023年1月,在PubMed和BVS数据库中手动进行了全面的文献检索,使用了以下组合关键词:“剪刀式咬合或布罗迪咬合”、“错牙合畸形”、“治疗或矫正或疗法”。本关于一名年轻患者的病例报告证明了采用MA的透明矫治器矫正SB的有效性,该病例伴有多种功能和结构异常,如安氏II类1分类,覆盖和覆牙合增加,以及低角生物型中严重的司皮曲线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78b4/10136876/3639eec6f5e0/children-10-00624-g001.jpg

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