Terapia ortopedica della malocclusione di III Classe

M. Mucedero, C. Pavoni, P. Cozza
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Abstract

Objectives

To analyze characteristics, indications and use of Face Mask; to describe the FM/BB protocol based on the combined use of a Delaire face mask and a lower bite block.

Materials and methods

With the introduction of facemask therapy it has become possible to move the maxilla forward by extra-oral traction. Some authors reported that the association of expansion and orthopedic advancement of the upper jaw may give many benefits in the treatment of Class III patients due both to crossbite correction, frequently associated with a Class III malocclusion, and to loosening of perimaxillary sutures.

Results

Recent studies demonstrated that facemask therapy with or without palatal expansion produced equivalent changes in the dentofacial complex with a significant improvement of skeletal relationships through modifications of soft tissues, hard tissues and teeth.

Conclusions

The results of many clinical studies have shown that applying orthopaedic force on cranio-facial complex during early growth may contribute to the treatment of Class III malocclusions.

三班骨科结肠炎治疗
目的分析医用口罩的特点、适应证及使用方法;描述基于Delaire面罩和下咬合块联合使用的FM/BB方案。材料和方法随着面罩疗法的引入,通过口外牵引使上颌骨向前移动成为可能。一些作者报道,上颌扩张和矫形前移的关联可能会给III类患者的治疗带来许多好处,因为交叉咬合矫正(通常与III类错牙合相关)和上颌周围缝合线松动。结果最近的研究表明,通过改变软组织、硬组织和牙齿的骨骼关系,有或没有腭扩张的面罩治疗对牙面复合体产生了相当的变化。结论大量临床研究结果表明,在生长早期对颅面复合体施加矫形力可能有助于治疗III类错颌。
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