Essentials of Efficiency-Integrating Orthodontic Treatment to Your Daily Practice

家庭牙科醫師如何每天有效率的執行齒顎矯正治療

周公亮(Ernest Gong-Liang Jou) ； 連淑惠(Sue Shu-Hui Lean)

《中華民國家庭牙醫學雜誌》 6卷3期 (2011/12) Pp. 4-16

https://doi.org/10.6566/JFD/2011.6(3).4

摘要

一個以達到完美治療成效為導向的矯正學理，可以讓整個療程更有系統及效率。為了要達到這個令人滿意的結果，我們會詳述下述的矯正治療目標及系統性的技術。治療目標共有五個，分別為：1.Andrew六大咬合要素（Andrews' six keys to occlusion）；2.Roth功能性咬合（Roth'sfunctional occlusion）；3.MBT治療學理（MBT treatment philosophy）；4.最美觀之上顎門牙位置；5.牙周組織的健康。系統性矯正治療技術，取決於下列四項要素的互相作用及影響：1.矯正器的選擇；2.矯正器的定位；3.矯正線的選擇；4.矯正力的使用。一個協調的組合，會使治療更有效率，更可得到一致性的療效。如果，忽視了其中任一要素，可能會相互影響，以致減低了療效。近來因為社會經濟的進步，患者對矯正治療的接受度越來越高，所以如何把矯正治療整合至家庭牙醫師的日常門診中，已成為現今一個重要的課題。如果每個家庭牙醫師，都可以了解及應用上述討論的矯正治療目標、理論和技術，他們一定可以體會到矯正治療的精髓，使其門診治療更有效率。（J. Family Dent. 6（3）: 4－16，2011）

關鍵字

Andrew六大咬合要素 ； Roth功能性咬合 ； MBT治療學理

並列摘要

A goal-directed orthodontic philosophy makes the treatment much more efficient and consistent. To achieve a pleasing result, the goals of treatment and mechanics listed bellow will be emphasized. The goals are: 1. Andrews' six keys to occlusion; 2. Roth's functional occlusion; 3. MBT treatment philosophy; 4. Best possible esthetics- position of the upper incisors; 5. Periodontal health. The systemic orthodontic treatment mechanics are determined by the four following elements: 1. Bracket selection; 2. Bracket positioning; 3. Arch wire selection; 4. Force levels. A balanced combination of these elements will achieve an efficient and systemized result. However, variation in any one of them can substantially undermine the treatment result. How to integrate orthodontics to a dentist's daily practice is an important issue today because more people are willing to accept brackets now. The family dentist will appreciate the essentials of efficiency in orthodontics if they follow the goals and practical mechanics discussed here. (J. Family Dent. 6(3): 4-16, 2011)

並列關鍵字

Andrews' six keys to occlusion ； Roth's functional occlusion ； MBT treatment philosophy