骨皮质切开术联合个性化舌侧矫治技术在成人严重双颌前突正畸治疗中的应用  

Application of corticotomy associated with customized lingual orthodontics in treatment of severe bimaxillary protrusion in adults

作　　者：房兵[1] Fang Bing(Department of Orthodontics,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine&College of Stomatology,Shanghai Jiao Tong University&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Shanghai Key Laboratory of Stomatology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔正畸科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,200011

出　　处：《中华口腔医学杂志》2021年第10期961-965,共5页Chinese Journal of Stomatology

摘　　要：双颌前突发病率高,对面部美观破坏较大,可影响患者心理健康;其临床表现为开唇露齿、上下前牙区牙槽骨垂直向及矢状向发育过度等。严重双颌前突的常用治疗方式为减数正畸或正畸-正颌联合治疗,但治疗难度均较大。笔者通过系统化力学设计,以骨皮质切开术配合个性化舌侧矫治器这一治疗体系,实现前牙垂直向及转矩控制,获得美学与健康兼顾的正畸疗效,为严重双颌前突的治疗提供临床策略。Bimaxillary protrusion is a clinical condition with high prevalence rate,which damages facial esthetics and affects the mental health of patients.Its clinical manifestations include protrusion of lips,overexposure of teeth,vertical and sagittal overdevelopment of alveolar bone in the anterior areas of upper and lower anterior jaws,and so on.The common protocols for the treatment of severe bimaxillary protrusion is orthodontic treatment with exaction of premolars or combined orthognathic-orthodontic treatment.However,either method is of great difficulty.By systematic mechanical design,the author used the treatment system of customized lingual appliances associated with corticotomy to realize the vertical and torque control of the anterior teeth,and obtain the orthodontic treatment effect of both esthetics and health.The clinical strategies for the treatment of severe bimaxillary protrusion were provided.

关 键 词：正畸学 矫正 牙移动 双颌前突 骨皮质切开术 个性化舌侧矫治器 

分 类 号：R783.5[医药卫生—口腔医学]