Objective To study the relationship between severity of skeletal Class Ⅲ malocclusion and the patient's emotional status, as well as motivation for seeking surgical correction and satisfaction with the outcome o...Objective To study the relationship between severity of skeletal Class Ⅲ malocclusion and the patient's emotional status, as well as motivation for seeking surgical correction and satisfaction with the outcome of the surgery Methods One hundred and forty consecutive Chinese patients with skeletal Class Ⅲ malocclusion who had been treated with a combined orthodontic and surgical approach were studied Sixty seven percent (40 males and 54 females) responded to a questionnaire Fifty four percent had two jaw deformities, 32% mandibular hyperplasia and 14% maxillary hypoplasia Surgical procedures: 77% received two jaw surgeries, 15% maxillary advancement and 8% mandibular setback This was a retrospective study based on questionnaires with numerical scale ranked answers (0: not at all; 1: a little; 2: moderately; 3: quite a bit; and 4: extremely) Results ANB angle was significantly negatively correlated with feelings about the nickname related to their facial problems (embarrassment: r =-0 30, P <0 01; worn out r =-0 32, P <0 01; angry r = -0 24, P <0 05) ANB angle also had a significant negative correlation with the reasons for having the surgery (pressure from their friends: r =-0 21, P <0 05, and referred by physician: r =-0 24, P <0 05) Changes in life style as a result of surgery were significantly negatively correlated with the ANB angle before treatment, positive influence on relationships with the opposite sex ( r =-0 25, P <0 05), positive influence in social activiies ( r =-0 22, P <0 05) Conclusion The psychological status before surgery and the outcome following orthognathic surgery in patients with skeletal Class Ⅲ malocclusion were closely related to severity of the malocclusion展开更多
Metallic implants are commonly used in various orthopaedic surgeries, like fracture fixation, spinal instrumentation, joint replacement and bone tumour surgery.Patients may need to adapt to the fixed dimensions of the...Metallic implants are commonly used in various orthopaedic surgeries, like fracture fixation, spinal instrumentation, joint replacement and bone tumour surgery.Patients may need to adapt to the fixed dimensions of the standard implants. It may result in suboptimal fit to the host bones and possible adverse clinical results. The standard traditional implants may not address the reconstructive challenges such as severe bone deformity or bone loss after implant loosening and bone tumour resection. With the advent of digital technologies in medical imaging, computer programming in three-dimensional（3 D） modelling and computer-assisted tools in precise placement of implants, patient-specific implants（PSI） have gained more attention in complex orthopaedic reconstruction. Additive manufacturing technology, in contrast to the conventional subtractive manufacturing, is a flexible process that can fabricate anatomically conforming implants that match the patients’ anatomy and surgical requirements. Complex internal structures with porous scaffold can also be built to enhance osseointegration for better implant longevity. Although basic studies have suggested that additive manufactured（AM） metal structures are good engineered biomaterials for bone replacement, not much peer-reviewed literature is available on the clinical results of the new types of implants. The article gives an overview of the metallic materials commonly used for fabricating orthopaedic implants, describes the metal-based additive manufacturing technology and the processing chain in metallic implants; discusses the features of AM implants;reports the current status in orthopaedic surgical applications and comments on the challenges of AM implants in orthopaedic practice.展开更多
文摘Objective To study the relationship between severity of skeletal Class Ⅲ malocclusion and the patient's emotional status, as well as motivation for seeking surgical correction and satisfaction with the outcome of the surgery Methods One hundred and forty consecutive Chinese patients with skeletal Class Ⅲ malocclusion who had been treated with a combined orthodontic and surgical approach were studied Sixty seven percent (40 males and 54 females) responded to a questionnaire Fifty four percent had two jaw deformities, 32% mandibular hyperplasia and 14% maxillary hypoplasia Surgical procedures: 77% received two jaw surgeries, 15% maxillary advancement and 8% mandibular setback This was a retrospective study based on questionnaires with numerical scale ranked answers (0: not at all; 1: a little; 2: moderately; 3: quite a bit; and 4: extremely) Results ANB angle was significantly negatively correlated with feelings about the nickname related to their facial problems (embarrassment: r =-0 30, P <0 01; worn out r =-0 32, P <0 01; angry r = -0 24, P <0 05) ANB angle also had a significant negative correlation with the reasons for having the surgery (pressure from their friends: r =-0 21, P <0 05, and referred by physician: r =-0 24, P <0 05) Changes in life style as a result of surgery were significantly negatively correlated with the ANB angle before treatment, positive influence on relationships with the opposite sex ( r =-0 25, P <0 05), positive influence in social activiies ( r =-0 22, P <0 05) Conclusion The psychological status before surgery and the outcome following orthognathic surgery in patients with skeletal Class Ⅲ malocclusion were closely related to severity of the malocclusion
文摘Metallic implants are commonly used in various orthopaedic surgeries, like fracture fixation, spinal instrumentation, joint replacement and bone tumour surgery.Patients may need to adapt to the fixed dimensions of the standard implants. It may result in suboptimal fit to the host bones and possible adverse clinical results. The standard traditional implants may not address the reconstructive challenges such as severe bone deformity or bone loss after implant loosening and bone tumour resection. With the advent of digital technologies in medical imaging, computer programming in three-dimensional（3 D） modelling and computer-assisted tools in precise placement of implants, patient-specific implants（PSI） have gained more attention in complex orthopaedic reconstruction. Additive manufacturing technology, in contrast to the conventional subtractive manufacturing, is a flexible process that can fabricate anatomically conforming implants that match the patients’ anatomy and surgical requirements. Complex internal structures with porous scaffold can also be built to enhance osseointegration for better implant longevity. Although basic studies have suggested that additive manufactured（AM） metal structures are good engineered biomaterials for bone replacement, not much peer-reviewed literature is available on the clinical results of the new types of implants. The article gives an overview of the metallic materials commonly used for fabricating orthopaedic implants, describes the metal-based additive manufacturing technology and the processing chain in metallic implants; discusses the features of AM implants;reports the current status in orthopaedic surgical applications and comments on the challenges of AM implants in orthopaedic practice.
