Management of the dento-periodontomuscular imbalances in the incisor–canine mandibular region by labiomental weakening surgery and corticotomy

Jean-Gabriel Chillès, Sylvia Riemenschneider-Chillès, Amir-André Doustkam, Daniel Chillès
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Abstract

Incisor and canine mandibular regions are a key mechanical vault, which strives with strong muscle and occlusal centripetal forces. In cases of dental and / or periodontal weakness and / or excessive mechanical stress, situations of imbalance can affect the stability of orthodontic treatments and periodontal durability.This article reports two surgical techniques to prevent and treat these situations: The labiomental weakening in growing children and adolescents; Alveolar corticotomy with vestibular allograft bone in adults;Both techniques allow functional management of mechanical imbalance, improvement of the periodontal biotype, and promote lower incisors’ relocation.
唇缘弱化手术及皮质切开术治疗切犬下颌骨牙周肌肉失衡
门牙和犬齿下颌骨区域是一个关键的机械拱顶,它与强大的肌肉和咬合向心力作斗争。在牙齿和/或牙周虚弱和/或过度机械应力的情况下,不平衡的情况会影响正畸治疗的稳定性和牙周的耐久性。本文报告了预防和治疗这些情况的两种手术技术:发育中的儿童和青少年的唇网膜衰弱;成人前庭同种异体骨的牙槽皮质切开术:这两种技术都可以对机械失衡进行功能管理,改善牙周生物型,并促进下门牙的重新定位。
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