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正畸正颌技术联合矫治成人严重双颌前突 被引量:15

TREATMENT FOR ADULT SKELETAL BIMAXILLARY BY ORTHOGNATHIA
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摘要 目的:探讨临床正畸、正颌外科技术联合矫治成人骨性双颌前突症的疗效。方法:选择成人骨性双颌前突患者16例,制定正畸、正颌共同矫治方案,先进行术前正畸矫治,然后行正颌外科手术,手术采用上下颌去除第一前磨牙牙骨块,尖牙区根尖下截骨后整体后退。颌间牵引固定2个月,术后进行必要的正畸治疗,调整牙齿尖窝关系。结果:手术后面形凸度明显改善SNA、SNB角明显减小,术后患者软组织唇突点均位于美容线附近。所有的患者均对治疗结果表示满意。结论:正畸、正颌技术联合矫治成人骨性双颌前突,是一种疗效显著、患者满意的临床治疗方法。 Objective:Evaluate to treat adult skeletal bim axillary by orthodontists and surge ons.Methods:16cases with skeletal bi-maxillary were treated.It is necessary for orthodontic treatment before surgery.Then they have been made op eration that the first pre-molars and its surrounding tissues were completely removed and the whole anterior part was cut down and drifte d backward.It has been fixed by inter -maxillary elastics f or 2months.Finally,the intercuspi ds were adjusted by orthodontic trea tment.Results:It is signifi-cantly improved for the profile of ca ses.The angles of SNA and SNB were gre atly decreased.Upper and lower lip q uoins were near the lines of esthetics.It is satisfacto ry for all cases getting good results.Conclusions :It is successful treatment for orthodontists cooperation with surgeons and satifactory for all adult skeletal bimaxillary cases.[
出处 《中国美容医学》 CAS 2002年第5期470-472,共3页 Chinese Journal of Aesthetic Medicine
基金 西安市科技计划项目(GG200115)
关键词 双颌前突 正颌 口腔正畸 成年人 手术适应证 bimaxillary orthognathia orthod ontics aesthtics
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  • 1Lande L MJ. Growth behavior of the human facial profiles as revealed by serial cephalometric roentgenology. Angle Orthod 1952; 22: 78.
  • 2Broadie AG. Behavior of normal and abnormal facial growth patterns. Am J Orthod Oral Surg 1941; 27: 633.
  • 3Bhatia SN, Leighton BC. A manual of facial growth: A computer analysis of longitudinal cephalometric growth data. 1st ed. Oxford: Oxford University Press, 1993: 244.
  • 4Baumrind S. The role of clinical research in orthodontics. Angle Orthod 1993; 63: 235.

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