- 期刊
嚴重成人牙周病之矯正治療
Orthodontic Treatment of Advanced Adult Periodontitis
摘要
要成功的治療具進行性成人形牙周病的患者在臨床上經常需要許多的步驟。很多情形患者都是因為門牙過度突出外翻，齒間縫隙明顯導致咬合功能、外觀及言談上功能不良而來求診。要改善這些問題有許多方法如：J型鉤頭套、萬用矯正弓線、具下壓內縮彎曲的的閉合形弧線或基底矯正弓線。本病例為一49歲2個月的成人女性。口腔檢查發現上顎門牙過度突出，齒間縫隙明顯；上顎第一大臼齒挺出；下顎第二大臼齒近心傾斜。經過牙周病的治療與控制之後，使用具下壓內縮彎曲的的閉合形弧線來改正排列不整的牙齒。經過排列與齊平及肌功能的訓練（Myofunctuial therapy），門牙以016 × .016英吋的不鏽鋼線來做下壓內縮，經過一年七個月的治療，咬合穩定。
並列摘要
The successful treatment of the patient with advanced adult periodontitis often required varies step in therapy. In many instance, patient seek treatment for elongated and spared incisors causing a liability in function, appearance and speech. The correction of the problems may be brought about in several ways: 1. J hook. 2. Utility arches.3. Intrusion bend into loops with full arch. 4. Base arch as described by Burstone. This case was a 49Y2M female. Oral examination revealed: 1. Flare-out, elongated and spacing of incisors. 2. Upper first molar elongation. 3. Lower second molar mesial tipping. After treatment and control of periodontal disease, this case uses intrusion adjustments bent into loops with full arch for correction malposition teeth. After leveling & alignment, the incisors was intruded with .016 × .016” S.S.W. following by myofunctional therapy. Final records were taken 1year and 7 months during bracket removal. The resultant occlusion appears to be stable.