手术先行矫治骨性Ⅲ类牙颌面畸形的临床观察  

Clinical observation on surgery-first approach of skeletal Class Ⅲ malocclusion

作　　者：于洋[1,2] 王思雨 杜一飞 程杰[1,2] 陈文静[3] 万林忠[1,2] 江宏兵[1,2] 王震东[3] 袁华[1,2] YU Yang;WANG Siyu;DU Yifei;CHENG Jie;CHEN Wenjing;WAN Linzhong;JIANG Hongbing;WANG Zhendong;YUAN Hua(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Nanjing 210029,China;Department of Oral and Maxillofacial Surgery,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China;Department of Orthodontic,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室,江苏南京210029 [2]南京医科大学附属口腔医院口腔颌面外科,江苏南京210029 [3]南京医科大学附属口腔医院口腔正畸科,江苏南京210029

出　　处：《口腔生物医学》2018年第1期28-32,共5页Oral Biomedicine

基　　金：江苏高校优势学科建设工程资助项目(2014-37);江苏省科教强卫工程青年医学人才项目(QNRC2016852)

摘　　要：目的:初步评价"手术先行"矫治骨性Ⅲ类牙颌面畸形患者的临床疗效。方法:回顾性分析了2010年7月至2017年6月接受"手术先行"正颌外科治疗的37例骨性Ⅲ类牙颌面畸形患者的治疗过程,并对临床疗效进行初步分析。结果:所有患者均顺利完成整个"手术先行"正颌外科的治疗程序,除1例有轻微复发,其余患者均获得较为满意的面部外形及咬合。整个治疗周期为6~19月,平均13.8月。结论:"手术先行"矫治策略可以用于矫治骨性Ⅲ类牙颌面畸形,并可缩短治疗周期,获得较好的临床效果。Objective:To evaluate the clinical efficacy of surgery first or surgery early approach for skeletal ClassⅢmalocclusion.Methods:A retrospective analysis of medical records was conducted on 37 patients with skeletal ClassⅢmalocclusion,who were treated with surgery-first approach in this hospital from July 2010 to June 2017,and preliminary analysis was carried out on the clinical efficacy.Results:Whole procedure with surgery-first approach was successfully completed on all of the patients and all of them were satisfied with the appearance and occlusion,excepting for one case of mild recurrence.The whole period was 6-19 months,with an average of 13.8 months.Conclusions:Computer assisted surgery-first approach can be used in treatment for skeletal ClassⅢmalocclusion,which can shorten the treatment period with satisfactory clinical efficacy.

关 键 词：手术先行 正颌外科 骨性Ⅲ类牙颌面畸形 

分 类 号：R782.2[医药卫生—口腔医学]