口腔正畸理论更新与技术研发的几点思考  

A reflectional insight into orthodontic theoretical renovation and technological innovation

作　　者：沈刚 SHEN Gang(Shanghai Tai Kang ByBo Dental Hospital,Shanghai 200001)

机构地区：[1]上海泰康拜博口腔医院,上海200001

出　　处：《上海口腔医学》2023年第2期113-119,共7页Shanghai Journal of Stomatology

摘　　要：本文对近年来口腔正畸理论创新、技术研发及临床进展作了详尽梳理与深入思考,主要包括以下领域:(1)关于错[牙合]畸形分类体系,在审视欧美经典分类的历史局限基础上,探索中国特色“突面”“凹面”与偏颌畸形分类的临床意义;(2)关于颌位重建矫形技术,提出含颌位因素错[牙合]畸形重要概念,通过颌位重建达到咬合对接是正畸治疗学组成部分,阐述颌位重建诱发髁突适应性改建的临床意义;(3)关于伴颞下颌关节病(TMD)错[牙合]畸形的正畸治疗,提出伴关节病错[牙合]畸形鉴别诊断理念,总结错[牙合]畸形与TMD易感性之间的关联规律,确立伴TMD错[牙合]畸形正畸治疗原则与方案;(4)关于研发无托槽隐形正畸原创系列,通过理论创新与GS颌位重建理念,扩增隐形牙套技术含量,拓展隐形技术适应证与治疗边界,从而推进隐形正畸的临床应用。Orthodontics,among other specialties in dentistry,remains most dynamic and vigorous in upgrading and reforming its fundamental doctrines and clinical technologies.Orthodontic specialty in China has played a leading role in recent years in reshaping fundamental theories and in creating cutting-edge therapeutic modalities.The newly developed diagnostic classification system,a complementary addition to that of Angle's,not only defines the natures,but also identifies the developmental mechanisms of malocclusions.Orthopedic therapy aiming to relocate the mandible before correcting the dentition is emerging as an indispensable treatment mode to malocclusions concurring with mandibular deviation.Whilst correlations exist between malocclusion and TMD susceptibility and incidence,the specifically designed orthopedic and orthodontic approaches have proven effective in managing cases inflicted by TMD conditions.Innovative efforts that create the GS products,have redefined the clear appliances much more beyond merely clear aligners,thus further pushing the boundaries of both the indications and clinical use for clear appliances.

关 键 词：错[牙合]畸形诊断分类 正畸颌位重建技术 伴关节病正畸治疗 隐形正畸产品体系 

分 类 号：R783.5[医药卫生—口腔医学]