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使用被动自锁系统对一名成人骨性III类错牙合畸形进行非手术正畸治疗:病例报告

Nonsurgical Orthodontic Treatment in an Adult with Skeletal Class III Malocclusion Using Passive Self-ligating System: A Case Report.

作者信息

Alhasyimi Ananto Ali, Suparwitri Sri

机构信息

Department of Orthodontics, Faculty of Dentistry, Universitas Gadjah Mada, Indonesia.

出版信息

Acta Med Philipp. 2023 Apr 28;57(4):73-80. doi: 10.47895/amp.vi0.4234. eCollection 2023.

DOI:10.47895/amp.vi0.4234
PMID:39618979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11603080/
Abstract

Skeletal Class III malocclusion treatment is complex, especially when jaw deviations are serious. Camouflage treatment of skeletal Class III malocclusion improves prognosis with a slight-to-moderate functional shift. This report presents the case of a 23-year-old male with poor facial esthetics associated with chin protrusion and an uncomfortable bite. He had a concave profile, unfavorable incisor displays, protrusive lower lip, and strained lip closure. Camouflage therapy with a passive self-ligating (PSL) system through the anterior teeth of the maxilla protraction and arch expansion was used. After 14 months of treatment, the overjet outcome was positive. The teeth were arched, asymmetry was addressed, the convex profile and no deviation occurred when the jaw was closed. Factors in using the PSL system were low friction between the bracket and archwire, torque selection, and the significant dental arch expansion ability. The PSL system is an appropriate option in treating adults with skeletal Class III malocclusion to achieve a normal occlusion and a pleasant facial profile.

摘要

骨性III类错颌畸形的治疗较为复杂,尤其是当颌骨偏斜严重时。对于骨性III类错颌畸形,采用掩饰性治疗可改善预后,伴有轻微至中度的功能移位。本报告介绍了一名23岁男性病例,其面部美学不佳,伴有下巴前突和咬合不适。他面部轮廓凹陷,前牙暴露不佳,下唇前突,唇部闭合紧张。采用被动自结扎(PSL)系统进行掩饰性治疗,通过上颌前牙牵引和牙弓扩展。治疗14个月后,覆盖结果为阳性。牙齿排列成弓形,不对称问题得到解决,面部轮廓变凸,闭口时无偏斜。使用PSL系统的因素包括托槽与弓丝之间的低摩擦力、转矩选择以及显著的牙弓扩展能力。PSL系统是治疗成人骨性III类错颌畸形以实现正常咬合和良好面部轮廓的合适选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/4349f53448c7/AMP-57-4-4234-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/1b9d862868b6/AMP-57-4-4234-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/88305006f540/AMP-57-4-4234-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/4349f53448c7/AMP-57-4-4234-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/63512c9e1ab8/AMP-57-4-4234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/0730dec6653e/AMP-57-4-4234-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/5a1d42554a2c/AMP-57-4-4234-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/dadd471d2581/AMP-57-4-4234-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/15f6d9e6756a/AMP-57-4-4234-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/1b9d862868b6/AMP-57-4-4234-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/88305006f540/AMP-57-4-4234-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18fe/11603080/4349f53448c7/AMP-57-4-4234-g008.jpg

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本文引用的文献

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J Clin Orthod. 2020 Dec;54(12):765-772.
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Orthodontic decompensation and correction of skeletal Class III malocclusion with gradual dentoalveolar remodeling in a growing patient.生长期患者通过逐渐的牙-牙槽骨重塑实现正畸补偿和骨骼 III 类错合畸形的矫正。
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Mechanical properties of NiTi and CuNiTi shape-memory wires used in orthodontic treatment. Part 1: stress-strain tests.
正畸治疗中使用的镍钛和铜镍钛形状记忆丝的力学性能。第1部分:应力-应变测试。
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Maxillary arch width changes during orthodontic treatment with fixed self-ligating and traditional straight-wire appliances.使用固定自结扎矫治器和传统直丝弓矫治器进行正畸治疗期间上颌牙弓宽度的变化。
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Comparison of incisor inclination in patients with Class III malocclusion treated with orthognathic surgery or orthodontic camouflage.正颌手术或正畸掩饰治疗的III类错颌患者中切牙倾斜度的比较。
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