带有骨架 anchorage 的主动垂直控制,用于在严重的II类高角度突起的情况下优化面部形状
The Angle orthodontist
|August 28, 2024
概括
本案例报告详细介绍了一名患有严重骨II类缺陷和垂直过剩的患者的成功非手术正牙治疗. 这种创新方法使用了骨 anchorage 进行主动垂直控制,显著改善了面部形状和遮.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 牙面部整形外科 牙面部整形外科
背景情况:
- 类II骨图案具有逆转性下,的下角和上垂直过剩, presents复杂的治疗挑战.
- 唇部无能经常与这种骨差异有关,影响面部美学和功能.
研究的目的:
- 描述一个患有严重的II类骨图案和大垂直过剩的患者的非手术正牙管理.
- 为了说明使用骨架 anchorage 和一个新的设备,以积极的垂直控制和伪装处理.
主要方法:
- 使用了与骨架 anchorage (midpalatal miniscrews) 结合的正牙机制.
- 一种新的弹性悬挂架设备被用于积极的垂直控制和牙的入侵/撤回.
- 两个门都采用了最大固定原理,以实现精确的牙移动.
主要成果:
- 显著改善了患者的面部形状,并实现了最佳的遮.
- 脑仪分析证实了成功的切口 retraction 和入侵.
- 观察到下前向旋转,有助于更平衡的面部结构.
结论:
- 使用骨架固定和主动垂直控制的非手术管理可以有效地伪装具有垂直过剩的严重II类缺陷.
- 描述的治疗方法表明,在特定的复杂病例中,手术干预是一种可行的替代方案.
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