使用Carriere Motion 3D矫治器的“矢状面优先”矫治方法：病例报告

"Sagittal First" Approach Using Carriere Motion 3D Appliance: A Case Report.

作者信息

Shruthi D P, Ahmed Nausheer, Urukalan Haritha, Suryavanshi Sharddha, Joseph Rithika, Nikhil P M

机构信息

Department of Orthodontics, Government Dental College and Research Institute, Bengaluru, Karnataka, India.

Department of Orthodontics and Dentofacial Orthopedics, DA Pandu Memorial RV Dental College, Bengaluru, Karnataka, India.

出版信息

Int J Clin Pediatr Dent. 2024 Apr;17(4):490-496. doi: 10.5005/jp-journals-10005-2830.

DOI:10.5005/jp-journals-10005-2830

PMID:39144167

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11320820/

Abstract

AIM

To present a case with skeletal class II malocclusion and mandibular retrusion treated using Carriere Motion Appliance (CMA).

BACKGROUND

Management of class II malocclusion in adolescent patients by growth modulation is one of the most debated topics in orthodontics. Fixed functional appliances are generally used in the patients who are at the end of the postpubertal growth spurt. However, most of the fixed functional appliances are placed only after the initial alignment and leveling, which takes up considerable duration of time. The Carriere Motion 3D is an efficient and effective way of correcting the sagittal component of class II malocclusion within the first half year of treatment followed by comprehensive therapy using fixed appliances.

CASE DESCRIPTION

A 15-year-old male patient reported with the chief compliant of forwardly placed upper front teeth and functional jaw retrusion. It was treated initially with CMA and class II elastics for mandibular advancement. Simultaneously, lower arch was bonded with MBT 0.022" prescription for alignment and leveling. After 6 months, class I molar and canine relationship was achieved before proceeding with full orthodontic treatment. After 12 months of fixed orthodontics, the treatment goals were achieved.

CONCLUSION

Carriere Distalizer appears to be more comfortable, offer a more positive overall experience, and has fewer side effects. The changes were mainly dentoalveolar in nature, but there were some skeletal changes, particularly in the sagittal and vertical dimensions.

CLINICAL SIGNIFICANCE

A significant forward displacement of the mandible was the principal element for successful correction of class II malocclusion. CMA provides the best results for class II management, enabling us to treat such cases with a nonextraction approach rather than contemplating extractions.

HOW TO CITE THIS ARTICLE

P SD, Ahmed N, Urukalan H, "Sagittal First" Approach Using Carriere Motion 3D Appliance: A Case Report. Int J Clin Pediatr Dent 2024;17(4):490-496.

摘要

目的

介绍一例使用Carriere Motion矫治器（CMA）治疗的安氏II类错牙合伴下颌后缩病例。

背景

通过生长调控治疗青少年安氏II类错牙合是正畸领域最具争议的话题之一。固定功能矫治器通常用于青春期后生长高峰期结束的患者。然而，大多数固定功能矫治器仅在初始排齐整平后放置，这占用了相当长的时间。Carriere Motion 3D是一种在治疗的前半年内有效矫正安氏II类错牙合矢状分量的方法，随后使用固定矫治器进行综合治疗。