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[一、正畸学与口腔外科的界限]

[I. Borderlines between orthodontics and oral surgery].

作者信息

Stöckli P W

出版信息

SSO Schweiz Monatsschr Zahnheilkd. 1980 May;90(5):495-509.

PMID:6931403
Abstract

The division of responsibility between orthodontics and surgery is determined by the severity of deviation in facial development. In young, growing patients the border cannot be always determined at first. As a result there is an area of overlap whose extent is primarily influenced by the developmental age and cooperativeness of the patient, as well as by the cephalofacial type and therefore growth pattern. When the indications are for a surgical treatment of the facial structures, thre is a fundamental change in the orthodontic goals. One of the first steps of a joint planning must be the determination of which facial structures, in which directions and to what extent, must be the determination of which facial structures, in which directions and to what extent, should be surgically moved. The proposed, but not yet realised, skeletal outline is the matrix for the orthodontic preparation. The presurgical efforts include, at a minimum, the removal of occlusal barriers that would interfere with the surgical displacement of the skeletal units and at a maximum, the anticipating coordination of both arches so that immediately after surgery perfect occlusal harmony is reached.

摘要

正畸与外科之间的责任划分取决于面部发育偏差的严重程度。对于年轻的生长发育期患者,一开始往往无法确定界限。因此存在一个重叠区域,其范围主要受患者的发育年龄、合作程度以及头面部类型进而生长模式的影响。当适应证为对面部结构进行外科治疗时,正畸目标会发生根本性变化。联合规划的首要步骤之一必须是确定哪些面部结构、向哪些方向以及在何种程度上应进行手术移动。所设想但尚未实现的骨骼轮廓是正畸准备的基础。术前的努力至少包括消除会干扰骨骼单元手术移位的咬合障碍,最多包括对上下牙弓进行预期协调,以便术后立即实现完美的咬合和谐。

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