Bryant R A, McNeill R W, West R A
J Am Dent Assoc. 1984 Jan;108(1):33-40. doi: 10.14219/jada.archive.1984.0214.
Orthodontic and orthognathic surgical procedures are important adjuncts to the provision of optimum restorative and periodontal care. Dentoalveolar and skeletal abnormalities of either developmental or acquired origin can be corrected primarily, thus eliminating the necessity for compromise in prosthetic design. Dental relationships that are contributory to irreversible periodontal deterioration can be normalized to facilitate stabilization of the periodontal condition and to increase the longevity of the natural dentition. Maxillofacial surgical treatment is technically complex but is more conservative than many traditionally accepted treatment procedures. It is based on the rationale of conservation of natural structures rather than their radical ablation or their sacrifice to uncontrollable progressive disease processes. Patient participation to establishment of treatment objectives and extensive patient education are essential ingredients in such treatment. Interdisciplinary communication and coordination contribute to a mutual appreciation of treatment possibilities and limitations. Thus, orthodontic and orthognathic surgical options should be considered in planning the solution to a wide variety of periodontal and restorative treatment problems.
正畸和正颌外科手术是提供最佳修复和牙周治疗的重要辅助手段。发育性或后天性牙牙槽骨和骨骼异常可得到初步矫正，从而消除在修复设计中妥协的必要性。导致不可逆牙周恶化的牙关系可恢复正常，以促进牙周状况的稳定并延长天然牙列的寿命。颌面外科治疗技术复杂，但比许多传统认可的治疗方法更保守。它基于保留天然结构的理念，而不是对其进行彻底切除或为不可控的进行性疾病过程而牺牲。患者参与治疗目标的确定和广泛的患者教育是此类治疗的重要组成部分。跨学科的沟通与协调有助于相互理解治疗的可能性和局限性。因此，在规划解决各种牙周和修复治疗问题的方案时，应考虑正畸和正颌外科选择。
