Betts N J, Vanarsdall R L, Barber H D, Higgins-Barber K, Fonseca R J
University of Pennsylvania School of Dental Medicine Philadelphia 19104, USA.
Int J Adult Orthodon Orthognath Surg. 1995;10(2):75-96.
Treatment of skeletally mature patients is often complicated by inadequately treated or undiagnosed transverse skeletal discrepancy. This report emphasizes diagnosis of transverse maxillo-mandibular discrepancy and describes recommendations for treatment. Proper treatment strategy must consider the type and magnitude of transverse deficiency, patient's growth status, dentofacial esthetics, stability factors, and periodontal tissue health. Indications for surgically assisted maxillary expansion are listed, and the recommended surgical technique to improve frontal dentofacial esthetics, provide better stability, and enhance long-term periodontal health is described. Specific modifications in surgical technique to help prevent postoperative complications are included. New recommendations for sequencing, timing, and correction of transverse deficiency are presented.
骨骼成熟患者的治疗常常因横向骨骼差异治疗不充分或未被诊断而变得复杂。本报告强调横向上下颌差异的诊断，并描述治疗建议。恰当的治疗策略必须考虑横向不足的类型和程度、患者的生长状态、牙颌面美学、稳定性因素以及牙周组织健康。列出了手术辅助上颌扩弓的适应证，并描述了为改善正面牙颌面美学、提供更好的稳定性以及增强长期牙周健康而推荐的手术技术。还包括手术技术的具体改进措施以帮助预防术后并发症。提出了关于横向不足的序列、时机和矫正的新建议。
