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嚴重牙周患者之手術輔助快速矯正

Surgically Assisted Rapid Tooth Movement in Periodontally Compromised Patients

摘要


現代化社會患者對治療效率的要求越來越高,成人患者希望在更短的時間內以齒顎矯正改善美觀與咬合不正。本文針對PAOO(periodontal accelerated osteogenic orthodontics)手術輔助的快速矯正方式進行文獻回顧,探討快速矯正的使用時機、手術方法、組織反應,並與傳統齒顎矯正術式做比較。此外,將以病例報告說明如何以牙周手術輔助矯正治療達到嚴重牙周患者齒顎快速移動的效果,提供患者與牙醫師在臨床牙周跨專業治療上的另一選擇。

關鍵字

快速矯正 牙周手術

並列摘要


The demanding for the efficacy of dental therapy is increasing in modern society. Adult orthodontic patients wish to correct their esthetics and malocclusion in a shorter period of time. The purposes of this paper are to review the history of rapid orthodontic therapy, to discuss the indications, surgical and orthodontic techniques, histological tissue response, and to make a comparison to traditional orthodontic therapy. Two case reports are presented to demonstrate the indications and treatment procedures of surgical-assisted rapid tooth movement in adult periodontally compromised patients and to provide the patient and the dentist a new treatment option.

參考文獻


Chen CY, Dung SZ, Lin LW, Kuang SH. Guided tissue regeneration and orthodontic tooth movement. J Taiwan Assoc Orthod, 16:26-31, 2004.
Köle H. Surgical operation on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol, 12:515-529, 1959.
Gantes B, Rathbun E, Anholm M. Effects on the periodontium following corticotomy-facilitated orthodontics. Case reports. J Periodontol, 61:234- 238, 1990.
Liou EJW, Huang CS. Rapid canine retraction through distraction of the periodontal ligment. Am J Orthod Dentofacial Orthop, 114:372-382, 1998.
Murphy KG, Wi l c k o MT, Wilcko WM, Ferguson DJ. Periodontal accelerated osteogenic orthodontics: a description of the surgical technique. J Oral Maxillofac Surg, 67:2160-2166, 2009.

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