透過您的圖書館登入
IP:18.224.64.226
  • 期刊

骨性三級咬合不正之齒顎矯正合併正顎手術治療:病例報告

Surgical-orthodontic Treatment of Skeletal Class III - A Case Report

摘要


骨性三級異常咬合在亞洲人種比例來的比歐美國人種多,而其成因包括上顎後縮、下顎前突、或者是兩者合併。成人治療的方式包含單純矯正或是矯正搭配正顎手術。手術的方式分為上顎前移(maxillary advancement)、下顎後移(mandibular setback)或是雙顎手術(bimaxillary osteotomy)。本病例為二十五歲女性患者,診斷為骨性三級異常咬合合併前牙錯咬。治療計畫為矯正搭配正顎手術,治療過程拔除上顎雙側第一小臼齒,治療中也使用迷你骨釘來幫助上下顎牙弓相符合。治療後達到良好咬合及外觀。

並列摘要


In Taiwan, skeletal Class III jaw relation has a higher incident rate than the white population. The etiology of skeletal Class III jaw relation including excessive growth of mandible, deficient growth of maxilla, and the combination of both. In dealing with skeletal Class III jaw relation combine facial asymmetry, the common treatment plan is mandible set back with jaw rotation. If orthodontic treatment only is used in severe skeletal Class III problem, it may make the chin more prominent. Therefore, orthognathic surgery combined orthodontic therapy can achieve better occlusion and facial aesthetic.

延伸閱讀