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正畸掩饰性治疗双侧唇腭裂、双侧反颌、上颌侧切牙过小患者。

Orthodontic camouflage treatment for a patient with bilateral cleft lip and palate, bilateral crossbite, and microdontic maxillary lateral incisors.

机构信息

Department of Orthodontics, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, No. 14, 3Rd Section of South Renmin Rd, Chengdu, 610041, Sichuan, China.

出版信息

Eur J Med Res. 2024 Feb 13;29(1):119. doi: 10.1186/s40001-023-01589-3.

DOI:10.1186/s40001-023-01589-3
PMID:38347657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10863274/
Abstract

Cleft lip and palate is a congenital craniofacial anomaly that affects the lip and oral cavity. The management and orthodontic treatment of this anomaly is important but challenging. This article reports the successful treatment of a patient with bilateral cleft lip and palate, Class III malocclusion, bilateral crossbite, crowding and microdontic maxillary lateral incisors. One mandible incisor was extracted, and three miniscrew anchorages were utilized to distalize the maxillary left dental arch and retract the mandibular arch. After treatment, ideal occlusion and a better profile were established, and long-term stability was confirmed by a 4-year follow-up. This article represents a successful attempt of orthodontic camouflage treatment of severe dentofacial discrepancy, as an important part of the series treatment of cleft lip and palate, to provide some insight into the clinical field.

摘要

唇腭裂是一种先天性颅面畸形,影响唇和口腔。这种异常的管理和正畸治疗很重要,但具有挑战性。本文报告了一例双侧唇腭裂、III 类错颌、双侧反颌、拥挤和上颌侧切牙小牙的成功治疗。一个下颌切牙被拔除,三个迷你螺钉种植体被用于远移上颌左侧牙弓和后缩下颌牙弓。治疗后,建立了理想的咬合和更好的侧貌,4 年的随访证实了长期的稳定性。本文代表了严重牙颌面畸形的正畸掩饰治疗的成功尝试,作为唇腭裂系列治疗的重要组成部分,为临床领域提供了一些见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/b70feb3c02ab/40001_2023_1589_Fig12_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/7404defba3d7/40001_2023_1589_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/1483acb28324/40001_2023_1589_Fig5_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/2e80219179b2/40001_2023_1589_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/6a80fded7b8d/40001_2023_1589_Fig9_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/b70feb3c02ab/40001_2023_1589_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/39f848de2b0e/40001_2023_1589_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/70a632a741de/40001_2023_1589_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/7c4f2ef0ea49/40001_2023_1589_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/7404defba3d7/40001_2023_1589_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/1483acb28324/40001_2023_1589_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/d3ffb2262a9b/40001_2023_1589_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/2e80219179b2/40001_2023_1589_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/e3b293661896/40001_2023_1589_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/6a80fded7b8d/40001_2023_1589_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/1501aa095057/40001_2023_1589_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/d81b722beeb1/40001_2023_1589_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1a8/10863274/b70feb3c02ab/40001_2023_1589_Fig12_HTML.jpg

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本文引用的文献

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BMC Oral Health. 2022 Dec 22;22(1):631. doi: 10.1186/s12903-022-02675-4.
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Protocols in the management of cleft lip and palate: A systematic review.唇腭裂管理方案:一项系统评价。
J Stomatol Oral Maxillofac Surg. 2023 Apr;124(2):101338. doi: 10.1016/j.jormas.2022.11.014. Epub 2022 Nov 21.
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Nonsurgical maxillary orthopedic protraction treatment for an adult patient with hyperdivergent facial morphology, Class III malocclusion, and bilateral crossbite.
非手术上颌骨矫形牵引治疗成人高角型骨性三类错牙合伴双侧后牙反牙合
Am J Orthod Dentofacial Orthop. 2022 Aug;162(2):264-278. doi: 10.1016/j.ajodo.2021.02.027. Epub 2022 May 6.
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One Step before 3D Printing-Evaluation of Imaging Software Accuracy for 3-Dimensional Analysis of the Mandible: A Comparative Study Using a Surface-to-Surface Matching Technique.3D打印前的一步——下颌骨三维分析成像软件准确性评估:一项使用表面到表面匹配技术的比较研究
Materials (Basel). 2020 Jun 21;13(12):2798. doi: 10.3390/ma13122798.
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Oral habits and malocclusion in children resident in Ile-Ife Nigeria.尼日利亚伊费地区儿童的口腔习惯与错牙合畸形
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Assessment of lower incisor alveolar bone width using cone-beam computed tomography images in skeletal Class III adults of different vertical patterns.使用锥形束计算机断层扫描图像评估不同垂直模式的骨骼Ⅲ类成年患者的下切牙牙槽骨宽度。
Korean J Orthod. 2018 Nov;48(6):349-356. doi: 10.4041/kjod.2018.48.6.349. Epub 2018 Sep 14.
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Treatment decision in adult patients with class III malocclusion: surgery versus orthodontics.成人 III 类错颌畸形患者的治疗决策:手术与正畸。
Prog Orthod. 2018 Aug 2;19(1):28. doi: 10.1186/s40510-018-0218-0.
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