严重的上突起用手术辅助的快速上扩张来治疗
Sonoko Okuhashi1,2, Masaru Kobayashi3, Eiji Tanaka4
1Department of Craniofacial Growth and Development Dentistry, Division of Orthodontics, Kanagawa Dental University, Yokosuka 238-8580, Japan.
Journal of clinical medicine
|July 27, 2024
概括
手术辅助快速上扩张 (SARME) 有效治疗严重的上突起和拥挤. 将SARME与Anchor-Lock系统相结合,可以实现稳定的长期结果,并减少复发.
科学领域:
- 牙科 牙科是指牙科的专业.
- 矯正牙科 矯正牙科是一種矯正牙科.
- 口腔和牙面部外科手术
背景情况:
- 骨大突起与严重拥挤和过度喷射呈现复杂的正牙挑战.
- 手术辅助快速大扩张 (SARME) 是这种情况的成年患者可行的治疗选择.
研究的目的:
- 为了评估手术辅助快速大扩张 (SARME) 结合Anchor-Lock系统治疗骨大突起的疗效.
- 评估这种综合治疗方法的长期稳定性和闭合性结果.
主要方法:
- 在一个25岁的女性患者身上进行了SARME,该患者被诊断为骨上突起,严重拥挤和过度喷射.
- 总共实现了8.0毫米的上侧向扩张.
- 手术后,Hyrax器件被取代为锁系统,用于大牙脱稳,在中间部接骨愈合之前启动.
主要成果:
- 25个月的治疗导致了可接受和稳定的闭塞与适当的间关系.
- 长期随访超过4年,显示出高闭合稳定性,复发率最小.
- 结合SARME和Anchor-Lock系统,便于成功管理复杂的上异常.
结论:
- 随着锁系统的应用,SARME为严重拥挤和过度喷射的骨大突起提供了一个可行的治疗选择.
- 这种综合方法可能会带来有利和稳定的长期闭合结局,最大限度地降低复发风险.
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