基于软组织范式的治疗计划在骨类III的治疗计划
YoungCheol Kim1, Seung Il Song2, Sung Hyo Lee1
1Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine, Suwon, South Korea.
Clinical oral investigations
|November 26, 2024
概括
骨III类缺陷的正牙治疗表明,虽然手术产生了显著的骨变化,但非提取和提取伪装治疗都提供了明显的软组织改善,指导治疗选择.
科学领域:
- 矯正牙醫和牙臉整形醫學
- 头脑测量分析的分析
- 骨缺陷的治疗 骨缺陷的治疗
背景情况:
- 骨III类缺陷 (ANB <0°) 在实现最佳面部美学方面存在挑战.
- 治疗决策涉及平衡硬组织纠正与软组织结果.
- 评估软组织变化,如鼻角 (CKHA),对于治疗成功至关重要.
研究的目的:
- 为了比较非提取的软组织改善效果,提取伪装,和骨架III类缺陷骨的正手术.
- 提出基于软组织反应的治疗选择指南.
- 为了将硬组织变化 (ANB) 与软组织变化 (CKHA) 相关联.
主要方法:
- 对66名患有III级骨缺陷的患者进行了回顾性脑膜测量分析.
- 患者被划分为三个组:非提取 (G1),提取 (G2) 和正肢手术 (G3).
- 在治疗前和治疗后分析了侧侧脑电图,以比较ANB和CKHA的变化.
主要成果:
- 在非提取 (G1) 和提取/手术 (G2/G3) 组之间发现了ANB的显著差异.
- 在治疗后的三个治疗组中,没有观察到CKHA的显著差异.
- 在提取组 (G2) 中,CKHA接近正常值 (-1.8°),表明软组织可能正常化,骨变化最小.
结论:
- 整形手术提供了最实质性的骨纠正.
- 非提取和提取伪装治疗都在软组织结果方面提供了显著的优势.
- 提取伪装 (G2) 显示后下唇运动和软组织B点转移,有助于改善美学效果.
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