Orthodontics, Corrective

正畸学,Corrective
  • 文章类型: Case Reports
    背景:在正畸学中,前路开放咬合是一种常见的错牙合畸形,经常复发。因为前开口咬伤的原因千差万别,医疗专业人员必须根据每个患者的独特病因为他们制定定制的治疗方案。通过降低后牙,闭合前牙间隙,并配合颌间牵引,本病例研究中概述的治疗计划旨在实现稳定的闭塞.
    方法:本病例报告旨在描述一名15岁女性患者的正畸伪装治疗,牙弓宽度差异和颞下颌关节紊乱史。患者接受颌间垂直弹性和多个边缘弓丝(MEAW)入路治疗。经过29个月的正畸治疗,获得了令人满意的咬合和中性磨牙关系。髁术记录显示,该患者的闭塞在我们的治疗前后都趋于更稳定。本案例研究的目的是提供对女性患者进行正畸伪装治疗的概述,有颞下颌关节病史的人,前开口咬伤,和拱宽度差异。
    结论:我们的结果表明,应更加注意平整咬合平面,磨牙的侵入,正畸期颞下颌关节减压及错牙合畸形的病因因素。
    BACKGROUND: In orthodontics, anterior open bite is a common malocclusion that recurs frequently. Because the causes of anterior open bite are so varied, medical professionals must create customized treatment programs for each patient based on their unique etiology. Through the lowering of the posterior teeth, closure of the anterior teeth gap, and cooperation with intermaxillary traction, the treatment plan outlined in this case study sought to achieve a stable occlusion.
    METHODS: This case report aims to describe an orthodontic camouflage treatment of a 15-year-old female patient with anterior open bite, arch width discrepancy and a history of temporomandibular joint disorder. The patient was treated with intermaxillary vertical elastics and the multiple edgewise arch wire (MEAW) approach. A satisfactory occlusion with a neutral molar relationship was attained after 29 months of orthodontic therapy. The condylography recording showed that this patient\'s occlusion tended to be more stable both before and after our treatment. The purpose of this case study is to provide an overview of an orthodontic camouflage treatment for a female patient, who had a history of temporomandibular joint disease, anterior open bite, and arch width disparity.
    CONCLUSIONS: Our results demonstrated that more attention should be paid to levelling the occlusal plane, intrusion of the molars, decompression of temporomandibular joints and the etiology factors of malocclusion during the orthodontic period for those patients with anterior open bite.
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  • 文章类型: Case Reports
    II类细分的非手术治疗可能涉及复杂的力学或不对称的拔牙。该报告证明了使用不对称安装的Herbst矫治器和常规固定的正畸矫治器治疗的II类细分的结果和短期稳定性。该方法允许校正单侧II类磨牙关系并增加过度喷射,以及牙齿中线的偏差,嘴唇姿势和面部轮廓的改善。治疗两年后结果保持稳定,确认治疗成功。
    Non-surgical treatment of Class II subdivision may involve complex mechanics or asymmetric tooth extraction in its resolution. This report demonstrates the result and the short-term stability of Class II subdivision treated with asymmetrically installed Herbst appliance followed by conventional fixed orthodontic appliance. The approach allowed the correction of the unilateral Class II molar relationship and increased overjet, as well as the deviation of dental midlines, with improvement in lip posture and facial profile. The results remained stable two years after treatment, confirming the treatment success.
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  • 文章类型: Case Reports
    1998年9月24日;性别:女性。
    13岁5个月;2012年3月7日。
    方法:带双挤压的I类骨架,发散不足的面部图案;角度II级第1级,有咬合;中度牙颌上颌差异;上颌切牙错位。
    具有II类弹性的双腋窝口腔固定器具。积极治疗时间:25个月。
    15岁7个月;2014年5月9日。保留后文件:(至少1年)16岁9个月;2015年7月8日。保留期限:无限制。
    UNASSIGNED: 24/09/1998; sex: female.
    UNASSIGNED: 13 years 5 months old; 07/03/2012.
    METHODS: Skeletal Class I with biretrusion, hypodivergent facial pattern; angle\'s Class II division 1 with overbite; moderate dento-maxillary discrepancy; maxillary incisor malposition.
    UNASSIGNED: Bimaxillary buccal fixed appliance with Class II elastics. Active treatment duration: 25 months.
    UNASSIGNED: 15 years 7 months old; 09/05/2014. POST-RETENTION DOCUMENTS: (minimum 1 year) 16 years 9 months old; 08/07/2015. Retention period: unlimited.
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  • 文章类型: Case Reports
    出生日期>2004-09-06;性别:女性。治疗前文件>13岁4月龄:2017年7月7日。诊断>II类骨骼伴下颌后缩,中性面部图案;二级师2。治疗方案>双颌颊固定矫治器。积极治疗的持续时间>29个月。后处理文件>15年6个月;2019年20月12日。保留后文件>16年7个月;2021年01月04日。保存期>2年9个月,仍在继续。
    Date of birth>09/06/2004; sex: female. Pre-treatment documents>13years 4months old: 07/07/2017. Diagnosis>Skeletal class II with mandibular retrusion, normodivergent facial pattern; class II division 2. Treatment planning>bimaxillary buccal fixed appliance. Duration of active treatment>29months. Post-treatment documents>15years 6months; 20/12/2019. Post-retention documents>16years 7months old; 04/01/2021. Retention period>2years 9months and still continued.
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    文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Case Reports
    Cerebral palsy is a common cause of chronic motor neuron impairment. A constant prevalence of 2 to 3/1000 births in industrialized countries has been described. This case report describes the treatment of a 9 year old boy presenting this form of motor neuron impairment and class II malocclusion with an overjet of 14 mm, hyperdivergent growth pattern and various habits. Orthodontic treatment consisted mainly of a two-phase treatment. The first phase was treated with removable appliances and followed by a phase with fixed appliances. Treatment duration with removable appliances was 4 years and 5 months and for the fixed appliance phase, 1 year and 7 months. A class I occlusion could be achieved in this case by removable and fixed orthodontic appliances combined with adjunctive treatment for the hypotonic orofacial musculature.
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  • 文章类型: Case Reports
    DiamondBlackfan贫血(DBA)是一种慢性先天性红细胞发育不全,其中红系前体细胞水平较低。DBA反映了核糖体功能障碍,并伴有造血细胞凋亡,贫血,和各种躯体症状。我们报告了两个DBA病例的颅面区域的特征性症状和正畸治疗。病例1为12岁女性。DBA缺乏典型的身体和面部特征。在初步检查中,她表现出骨骼的II级下颌和端到端磨牙关系以及大的过度喷射。拔除第一上颌前磨牙后放置边缘矫治器。3年零11个月后,适当的过喷和过咬,刚性咬合,和可接受的概况是明显的,没有任何临床不良反应。病例2是一名13岁的女性。她表现出骨骼一级的下巴关系,一个间隔开的牙弓,Binder综合征的颌面部发育不良特征,右下颌髁突发育不全,上颌和下颌切牙的唇突起。我们放置了一个边缘设备,在1年零7个月后,在没有任何不良反应的情况下,封堵效果最佳.我们的两个DBA病例表现出广泛的身体和牙面部症状。DBA患者通常被处方联合类固醇/双膦酸盐治疗。两种药物都可能影响拔牙和正畸牙齿移动后的牙槽骨重塑。必须根据各种牙面特征仔细考虑药物。
    Diamond Blackfan anemia (DBA) is a chronic congenital form of erythrocytic hypoplasia in which erythroid precursor cell levels are low. DBA reflects ribosomal dysfunction and is accompanied by hematopoietic cell apoptosis, anemia, and various somatic symptoms. We report the characteristic symptoms of the craniofacial region and the orthodontic treatments of two DBA cases. Case 1 was a 12-year-old female. The typical physical and facial characteristics of DBA were lacking. On initial examination, she exhibited a skeletal Class II jaw and end to end molar relationships and a large overjet. An edgewise appliance was placed after extraction of the first maxillary premolars. After 3 years and 11 months, an appropriate overjet and overbite, rigid intercuspation, and an acceptable profile were evident without any clinical adverse effects. Case 2 was a 13-year-old female. She exhibited a skeletal Class I jaw relationship, a spaced dental arch, the maxillofacial dysplasia characteristic of Binder syndrome, hypoplasia of the right mandibular condyle, and labial protrusions of the maxillary and mandibular incisors. We placed an edgewise appliance and after 1 year and 7 months, the occlusion was optimal in the absence of any adverse effects. Our two DBA cases exhibited a broad spectrum of physical and dentofacial symptoms. Patients with DBA are often prescribed combined steroid/bisphosphonate therapies. Both agents are likely to affect alveolar bone remodeling after tooth extraction and orthodontic tooth movement. Careful consideration of medication with reference to various dentofacial characteristics is necessary.
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  • 文章类型: Case Reports
    本文报道1例青少年骨性Ⅱ类错牙合患者的二次矫治过程,一期矫治阶段主要纠正口腔不良习惯,二期固定矫治阶段上下牙列排齐后,通过头帽-口外弓牵引,用矫形力抑制上颌生长,最终实现患者咬合及面型的良好改善。.
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  • 文章类型: Case Reports
    在过去的几十年里,要求正畸治疗的成年患者数量有所增加。正颌手术可以矫正成人的骨骼畸形。用双膦酸盐治疗的骨质疏松患者的管理是正畸医生和颌面外科医生的主要挑战。对这些患者进行的研究很少,迄今为止已经描述了四例正颌手术。据报道,在接受双膦酸盐治疗的骨质疏松患者中,罕见的正畸手术治疗病例。一名38岁的患者希望在颌面骨科咨询中改善面部美观。回忆揭示了双膦酸盐治疗骨质疏松症的历史。该患者表现出高度发散的骨骼III类,伴有下颌畸形。咬合诊断为III类,前磨牙和犬齿开放咬伤,齿间介质不一致和牙齿拥挤。患者接受正畸和上颌下颌截骨术治疗。记录到术后骨愈合延迟4周。该病例报告讨论了在骨质疏松症中使用双膦酸盐治疗的患者进行与正颌手术相关的正畸治疗的可能性。正畸和颌面外科医生必须为使用双膦酸盐治疗的患者做好准备。应考虑进行研究,以指定最佳的管理方法。
    In last decades, the number of adult patients requesting orthodontic treatments has increased. Orthognathic surgery allows correction of skeletal dysmorphoses in adults. The management of osteoporotic patients treated with bisphosphonates is a major challenge for orthodontists and maxillofacial surgeons. Few studies have been conducted in these patients and four cases of orthognathic surgery have been described to date. A rare case of orthodontic surgical treatment in an osteoporotic patient who has been treated with bisphosphonates is reported. A 38-year-old patient wishing to improve the aesthetics of her face presented in dentofacial orthopedic consultation. Anamnesis revealed a history of bisphosphonate treatment for osteoporosis. The patient presented a hyperdivergent skeletal class III with laterognathia. The occlusal diagnosis was a class III with premolar and canine open bite, interincisal media discordance and dental crowding. The patient was treated by orthodontics and maxillomandibular osteotomy. A postoperative bone Healing delay of four weeks was recorded. This case report discusses the possibility of performing orthodontic treatment associated with orthognathic surgery in patients treated with bisphosphonates in context of osteoporosis. Orthodontics and maxillofacial surgeons must be prepared for the management of patients treated with bisphosphonates. Studies should be considered in order to specify the optimal methods of management.
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  • 文章类型: Journal Article
    OBJECTIVE: To evaluate perceptions of fifth-year dental students\' towards case-based orthodontic education.
    METHODS: The sample population consisted of 108 final year dental students (39 men, 69 women) who volunteered to participate in the project during their orthodontic clinical internship. Patient files including extraoral, intraoral photographs, hand-wrist, panoramic and cephalometric radiographs were randomly distributed. Each group presented their evaluations after 1 week. At the end of case discussions, students were given a questionnaire regarding their perceptions of case-based education. Differences in mean scores between groups were compared by independent samples t‑test.
    RESULTS: The response rate was 100%. The majority of students strongly agreed that their interest and ability to interpret and diagnose the orthodontic data were increased. More than 60% strongly agreed that this education had a positive effect on their attention and effective learning. More than 45% strongly agreed that their communication with colleagues was increased, and women were significantly more inclined to group work than men (p < 0.05). More than 45% declared no additional burden.
    CONCLUSIONS: Orthodontic case-based education was well received by final year dental students. The most noted improvement was observed in motivation, ability to comment on the diagnosis and treatment planning of orthodontic cases, without feeling an extra workload.
    UNASSIGNED: ZIEL: Untersucht wurde die Einstellung von Zahnmedizinstudierenden im fünften Studienjahr zur fallbezogenen kieferorthopädischen Ausbildung.
    UNASSIGNED: Die Stichprobenpopulation bestand aus 108 Zahnmedizinstudierenden im letzten Studienjahr (39 Männer, 69 Frauen), die während ihres kieferorthopädischen klinischen Praktikums freiwillig an dem Projekt teilnahmen. Die Patientenakten mit extra- und intraoralen Fotos, Hand-Handgelenk‑, Panorama- und Fernröntgenaufnahmen wurden nach dem Zufallsprinzip verteilt. Jede Gruppe präsentierte ihre Auswertungen nach einer Woche. Nach Abschluss der Fallbesprechungen erhielten die Studenten einen Fragebogen zu ihren Wahrnehmungen der fallbezogenen Ausbildung. Die Unterschiede in den Mittelwerten zwischen den Gruppen wurden mit dem t‑Test für unabhängige Stichproben verglichen.
    UNASSIGNED: Die Rücklaufquote betrug 100 %. Die Mehrheit der Studierenden stimmte der Aussage, dass ihr Interesse und ihre Fähigkeit, die kieferorthopädischen Daten zu interpretieren und zu diagnostizieren, erhöht worden seien, entschieden zu. Mehr als 60% stimmten deutlich zu, dass diese Ausbildung einen positiven Effekt auf Aufmerksamkeit und effektives Lernen gehabt habe. Mehr als 45% stimmten stark zu, dass ihre Kommunikation mit Kollegen gesteigert worden sei, wobei Frauen signifikant häufiger zur Gruppenarbeit neigten als Männer (p < 0,05). Mehr als 45 % gaben keine zusätzliche Belastung an.
    UNASSIGNED: Die fallbezogene kieferorthopädische Ausbildung wurde von den Zahnmedizinstudierenden im letzten Jahr des Studiums gut angenommen. Die am meisten wahrgenommene Verbesserung wurde beobachtet bei der Motivation und der Fähigkeit, die Diagnose und Behandlungsplanung von kieferorthopädischen Fällen zu kommentieren, ohne dass eine zusätzliche Arbeitsbelastung empfunden wurde.
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