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类正颌正畸治疗：成人患者骨性安氏II类错牙合的管理

Orthognathic-Like Orthodontics: Management of Skeletal Class II Malocclusion in an Adult Patient.

作者信息

Ahuja Dhruv, Batra Puneet, Mv Ashith, Singh Ashish K

机构信息

Orthodontics and Dentofacial Orthopedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, IND.

Orthodontics and Dentofacial Orthopedics, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Mangalore, IND.

出版信息

Cureus. 2024 Sep 18;16(9):e69628. doi: 10.7759/cureus.69628. eCollection 2024 Sep.

DOI:10.7759/cureus.69628
PMID:39429430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11487456/
Abstract

Advances in orthodontic treatment, particularly with the use of temporary anchorage devices (TADs), have significantly improved outcomes for adult patients with skeletal Class II malocclusion. Traditionally reliant on orthognathic surgery, these malocclusions can now benefit from non-surgical options like maxillary molar distalization. Bone screws offer superior anchorage compared to conventional methods, enabling precise tooth movement without undesirable side effects. This case report explores the efficacy of TAD-assisted maxillary molar distalization in an adult patient while focusing on a 50-year-old female who sought orthodontic treatment for Class II malocclusion, characterized by deep bite and increased overjet. Treatment involved the use of an infra-zygomatic crest (IZC) bone screw for maxillary molar distalization as a camouflage strategy to achieve optimal dento-skeletal and soft tissue profile improvements. The case also discusses the key considerations and benefits of utilizing bone screws in adult orthodontic treatment, particularly in minimizing reciprocal effects and reducing dependence on patient compliance.

摘要

正畸治疗的进展，特别是临时锚固装置（TADs）的使用，显著改善了成年骨性II类错牙合患者的治疗效果。这些错牙合畸形传统上依赖正颌手术，现在可以从非手术选择中受益，如下颌磨牙远移。与传统方法相比，骨螺钉提供了更好的锚固，能够实现精确的牙齿移动而无不良副作用。本病例报告探讨了TAD辅助下颌磨牙远移在成年患者中的疗效，重点关注一名50岁女性，她因II类错牙合前来寻求正畸治疗，其特征为深覆牙合和覆盖增加。治疗采用颧下嵴（IZC）骨螺钉进行下颌磨牙远移，作为一种掩饰策略，以实现最佳的牙-骨骼和软组织轮廓改善。该病例还讨论了在成人正畸治疗中使用骨螺钉的关键考虑因素和益处，特别是在最小化相互作用和减少对患者依从性的依赖方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/23eb9975f415/cureus-0016-00000069628-i14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/db5a96c2f33f/cureus-0016-00000069628-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/c7a383c5920b/cureus-0016-00000069628-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/42fcf0343b4b/cureus-0016-00000069628-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/ccdd6dd06c76/cureus-0016-00000069628-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/abc93889d42b/cureus-0016-00000069628-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/1dc6c0dba3d9/cureus-0016-00000069628-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/afcc0c357486/cureus-0016-00000069628-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/19410dcf4bdd/cureus-0016-00000069628-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/1107fa80d662/cureus-0016-00000069628-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/3d63b7aaa429/cureus-0016-00000069628-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/ec7ce7eba7b1/cureus-0016-00000069628-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/1b18d0c25d7d/cureus-0016-00000069628-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/fd26a201ad65/cureus-0016-00000069628-i13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/23eb9975f415/cureus-0016-00000069628-i14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/db5a96c2f33f/cureus-0016-00000069628-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/c7a383c5920b/cureus-0016-00000069628-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/42fcf0343b4b/cureus-0016-00000069628-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/ccdd6dd06c76/cureus-0016-00000069628-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/abc93889d42b/cureus-0016-00000069628-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/1dc6c0dba3d9/cureus-0016-00000069628-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/afcc0c357486/cureus-0016-00000069628-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/19410dcf4bdd/cureus-0016-00000069628-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/1107fa80d662/cureus-0016-00000069628-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/3d63b7aaa429/cureus-0016-00000069628-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/ec7ce7eba7b1/cureus-0016-00000069628-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/1b18d0c25d7d/cureus-0016-00000069628-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/fd26a201ad65/cureus-0016-00000069628-i13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c69f/11487456/23eb9975f415/cureus-0016-00000069628-i14.jpg

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