Smatt V, Bennaceur S, Brethaux J, Themar P
Service de Stomatologie et de Chirurgie Maxillo-Faciale Pédiatrique, Hôpital Robert Debré, Paris.
Rev Stomatol Chir Maxillofac. 1997 Aug;98(2):84-90.
A discordance in the shape and relation between dental arches may be corrected by functional orthopaedics. Discovered in the adolescence, the dysgnathia has yet run its course and it remains just a bit of growth power, this situation justifies to recourse to interceptive surgery, meant for facilitation of oral reeducation and thus harmonisation of residual facial growth. This "functional surgery" is composed of tongue myoplasty, functional genioplasty and the early corrective orthopaedic surgery which is defined by its association with immediate reeducation. It is characterized by its benignity and stability of its results if occlusal and functional surroundings are equilibrated. Moreover, its profits by residual growth power which became well guided, and assures improvement of immediate postoperative results, if needed.
牙弓形态及关系的不协调可通过功能矫形予以纠正。青春期发现的牙颌畸形尚在发展进程中，且仅剩余少量生长潜力，这种情况有理由采用阻断性手术，旨在促进口腔再训练，从而使面部剩余生长协调一致。这种“功能性手术”包括舌肌成形术、功能性颏成形术以及早期矫正矫形手术，后者因其与即刻再训练相结合而有别于其他手术。其特点是，如果咬合及功能环境达到平衡，手术具有良性及效果稳定性。此外，它借助已得到良好引导的剩余生长潜力，如有必要，可确保术后即刻效果得到改善。
