牵张成骨术治疗面肌短小症1例生长观察及正畸治疗。

IF 1.9 3区 医学 Q1 Dentistry
Korean Journal of Orthodontics Pub Date : 2020-03-01 Epub Date: 2020-03-24 DOI:10.4041/kjod.2020.50.2.136
Nam Hyung Chung, So Jin Yang, Jae Yoen Kang, Young-Mi Jeon, Jong Ghee Kim
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引用次数: 2

摘要

面庞短小症(HFM)患者在生长发育过程中,由于面部外观异常,可能出现情绪戒断。在早期进行牵张成骨以改善其外观可以鼓励这些患者。受影响侧的一些异常可以通过早期牵张成骨来克服。然而,由于HFM的特性,在剩余的生长期中,受影响侧和未受影响侧之间的生长速度差异是不可避免的。因此,生长完成后应重新评估,以便通过正颌手术或伪装正畸治疗实现稳定的咬合。一个八岁的病人访问了诊所,表现出HFM的特征,轻微的下颌受累。他接受了牵张成骨和功能矫治器的I期治疗。在右支进行牵张成骨术,导致右后牙列开咬。牵张成骨后,使用功能矫治器和部分固定矫治器对患后牙列进行挤压,对未患后牙列进行咬合调整沉降。患者定期到门诊随访,20岁时出现下颌骨面部不对称,下颌骨向右侧偏移。他在生长期后接受了正畸治疗以改善后牙列的咬合。通过伪装正畸治疗,在不进行正颌手术的情况下,获得了稳定的咬合和满意的面部外观。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Growth observation and orthodontic treatment of a hemifacial microsomia patient treated with distraction osteogenesis.

Growth observation and orthodontic treatment of a hemifacial microsomia patient treated with distraction osteogenesis.

Growth observation and orthodontic treatment of a hemifacial microsomia patient treated with distraction osteogenesis.

Growth observation and orthodontic treatment of a hemifacial microsomia patient treated with distraction osteogenesis.

Hemifacial microsomia (HFM) patients may experience emotional withdrawal during their growth period due to their abnormal facial appearance. Distraction osteogenesis at an early age to improve their appearance can encourage these patients. Some abnormalities of the affected side can be overcome by distraction osteogenesis at an early age. However, differences in the growth rate between the affected and unaffected sides during the rest of the growth period are inevitable due to the characteristics of HFM. Therefore, re-evaluation should be performed after completion of growth in order to achieve stable occlusion through either orthognathic surgery or camouflage orthodontic treatment. An eight-year-old patient visited the clinic exhibiting features of HFM with slight mandibular involvement. He received phase I treatment with distraction osteogenesis and a functional appliance. Distraction osteogenesis was performed at the right ramus, which resulted in an open bite at the right posterior dentition. After distraction osteogenesis, a functional appliance and partial fixed appliance were used to achieve extrusion of the affected posterior dentition and settlement of the occlusion adjustment on the unaffected posterior dentition. The patient visited the clinic regularly for follow-up assessments, and at the age of 20 years, he showed facial asymmetry of the mandible, which had deviated to the right side. He received orthodontic treatment to improve the occlusion of his posterior dentition after the growth period. Without orthognathic surgery, stable occlusion and a satisfactory facial appearance were obtained through camouflage orthodontic treatment.

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来源期刊
Korean Journal of Orthodontics
Korean Journal of Orthodontics Dentistry-Orthodontics
CiteScore
2.60
自引率
10.50%
发文量
48
审稿时长
3 months
期刊介绍: The Korean Journal of Orthodontics (KJO) is an international, open access, peer reviewed journal published in January, March, May, July, September, and November each year. It was first launched in 1970 and, as the official scientific publication of Korean Association of Orthodontists, KJO aims to publish high quality clinical and scientific original research papers in all areas related to orthodontics and dentofacial orthopedics. Specifically, its interest focuses on evidence-based investigations of contemporary diagnostic procedures and treatment techniques, expanding to significant clinical reports of diverse treatment approaches. The scope of KJO covers all areas of orthodontics and dentofacial orthopedics including successful diagnostic procedures and treatment planning, growth and development of the face and its clinical implications, appliance designs, biomechanics, TMJ disorders and adult treatment. Specifically, its latest interest focuses on skeletal anchorage devices, orthodontic appliance and biomaterials, 3 dimensional imaging techniques utilized for dentofacial diagnosis and treatment planning, and orthognathic surgery to correct skeletal disharmony in association of orthodontic treatment.
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