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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。

病例描述

一名15岁男性患者，主诉上前牙前突和功能性下颌后缩。最初采用CMA和II类牵引进行下颌前导治疗。同时，在下牙弓粘结MBT 0.022英寸规格的矫治器进行排齐整平。6个月后，在进行全面正畸治疗前实现了I类磨牙和尖牙关系。经过12个月的固定正畸治疗，达到了治疗目标。

结论

Carriere远中移动矫治器似乎更舒适，提供更积极的总体体验，且副作用更少。变化主要是牙牙槽骨性质的，但也有一些骨骼变化，特别是在矢状和垂直方向。

临床意义

下颌明显向前移位是成功矫正安氏II类错牙合的主要因素。CMA为II类错牙合的治疗提供了最佳效果，使我们能够采用非拔牙方法治疗此类病例，而无需考虑拔牙。

如何引用本文

P SD, Ahmed N, Urukalan H, “矢状优先”方法使用Carriere Motion 3D矫治器：一例报告。《国际临床儿科牙科学杂志》2024；17(4):490 - 496。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/11320820/77d1965db6c4/ijcpd-17-4-490-g014.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/11320820/4e35b6227896/ijcpd-17-4-490-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/11320820/a1bbe5fc3a0b/ijcpd-17-4-490-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/11320820/f0380c198c6c/ijcpd-17-4-490-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/11320820/7c9638df4082/ijcpd-17-4-490-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4714/11320820/c01a7ed56cdf/ijcpd-17-4-490-g011.jpg
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本文引用的文献

1
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Angle Orthod. 2019 Nov;89(6):839-846. doi: 10.2319/121418-872.1. Epub 2019 Jun 24.
2
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Contemp Clin Dent. 2016 Apr-Jun;7(2):221-5. doi: 10.4103/0976-237X.183044.
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Treatment effects of fixed functional appliances in patients with Class II malocclusion: a systematic review and meta-analysis.
固定功能矫治器治疗安氏II类错颌畸形患者的疗效：一项系统评价与Meta分析
Eur J Orthod. 2016 Apr;38(2):113-26. doi: 10.1093/ejo/cjv034. Epub 2015 May 19.
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Class II correction prior to orthodontics with the carriere distalizer.使用Carriere远中移动矫治器进行正畸治疗前的II类错颌矫治
Int J Orthod Milwaukee. 2013 Fall;24(3):35-6.
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Effectiveness of comprehensive fixed appliance treatment used with the Forsus Fatigue Resistant Device in Class II patients.应用 Forsus 疲劳阻力矫治器的综合性固定矫正治疗对安氏Ⅱ类患者的疗效。
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