臼齒傾斜症候群及其矯正處理：文獻回顧

Tilted Molar Syndrome and its Orthodontic Correction: A Literature Review

洪宗義(Droung-Yi Hong) ； 盧志超(Tzchau-Chao Lu) ； 傅鍔(Earl Fu)

《中華民國牙周病醫學會雜誌》 3卷4期 (1998/12) Pp. 175-182

https://doi.org/10.6121/CJP.199812_3(4).0001

摘要

第二大臼齒近心傾斜是牙科臨床上最常遇見和不易處理的問題之一，其所造成臨床症候的治療，需要牙科多種專科醫師的會診及配合處理，才能達成完整性的結果；包括：牙周病科牙周組織方面之處理，贗復科牙齒縱軸傾斜變化及缺牙空間之復形，及矯正或口腔外科，恢復牙齒軸心及位置以重建健康之功能與組織狀態。本文回顧相關文獻探討－臼齒近心傾斜之病因、症狀，牙周組織在矯正治療後之變化，贗復治療前後牙周組織受力之變化，傾斜牙齒之贗復應用，矯正及手術治療在傾斜臼齒直立移動之應用等，供臨床醫師在處理臼齒近心傾斜病例時，作為完整性治療之參考。

關鍵字

近心傾斜 ； 臼齒直立移動 ； 完整性治療

並列摘要

One of the most common and most difficult cases in dental clinical practice is the mandibular mesial tilted second molar. The treatment of changed environment caused of the tilted molar syndrome requires interdisciplinary dentofacial therapy. This literature review discusses the contents including the etiologies and signs of the tilted molar syndrome, periodontal tissues changed after molar uprighting, loading stress modification on periodontal structure after the replacement of prosthesis, the application of orthodontic and surgical approaches, and provide the clinical dentists with a comprehensive therapy concept for the tilted molar syndrome.

並列關鍵字

mesial tilted molar ； molar uprighting ； comprehensive therapy