Eisel A, Katsaros C, Berg R
Abteilung für Kieferorthopädie, Universität des Saarlandes, Homburg/Saar.
Fortschr Kieferorthop. 1994 Feb;55(1):1-8. doi: 10.1007/BF02175369.
In this study treatment progress and treatment results of a consecutively treated group of 44 patients displaying a Class II malocclusion were evaluated in their relationship to the treatment goal. 41% of the patients had come to see the orthodontist on the advice of their family dentist but without any subjective problems as regards their tooth position. In 43% of the patients the treatment could not be finished in accordance with the treatment plan. In approximately 2/3 of these cases the reasons for the compromised results were due to patient cooperation problems. In the other 1/3 various types of treatment problems were encountered with loss of anchorage being the most typical. Over the entire treatment period patient cooperation was good in only approximately 50% of the cases. Oral hygiene was good in 27% of the patients at the first consultation appointment, but during the course of treatment this percentage increased to 64%. 85% of the patients expressed satisfaction with treatment results, but 34% of the patients did find the treatment to have been a burden. Enamel decalcifications were noticed in eleven patients. In another eleven patients root resorption of more than 2 mm of at least one upper incisor was noted.
在本研究中，对连续治疗的44例安氏II类错牙合患者的治疗过程和治疗结果与治疗目标的关系进行了评估。41%的患者是在家庭牙医的建议下来看正畸医生的，但他们对牙齿位置没有任何主观问题。43%的患者未能按照治疗计划完成治疗。在这些病例中，约2/3结果不理想的原因是患者合作问题。在另外1/3的病例中，遇到了各种治疗问题，其中支抗丧失最为典型。在整个治疗期间，只有约50%的病例患者合作良好。在首次会诊时，27%的患者口腔卫生良好，但在治疗过程中，这一比例增至64%。85%的患者对治疗结果表示满意，但34%的患者确实觉得治疗是一种负担。11例患者出现了牙釉质脱矿。在另外11例患者中，发现至少一颗上切牙的牙根吸收超过2毫米。
