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| 題 名 | 利用骨板作為錨定裝置改善前牙開咬及三級異常咬合--病例報告=Correction of Anterior Open Bite and Class III Malocclusion with Miniplate Anchorage--A Case Report |
|---|---|
| 作 者 | 曾于娟; 陳玠甫; 賴聖宗; 顏真星; 張宏博; | 書刊名 | 中華民國齒顎矯正學雜誌 |
| 卷 期 | 18:4 民95.12 |
| 頁 次 | 頁56-63 |
| 分類號 | 416.97 |
| 關鍵詞 | 骨板; 開咬; 大臼齒壓入; Miniplate; Open bite; Molar intrusion; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 對於前牙開咬的病人而言,在垂直方向的控制是治療中相當重要的一部份。傳統的矯正裝置,不論是利用多環方形牙弓線矯正法,或是口外錨定裝置,對於成年人而言,都無法有效的將後牙壓入,因而開咬的改善往往以前牙突出的方式來達成。本病例為十九歲男性,其主訴期望改善前牙開咬的情形,而且希望以非手術的方式進行治療。經診斷後發現患者為骨性三級異常咬合,前牙開咬,上下顎前牙排列不整。治療計畫乃藉由骨板作為絕對的錨定裝置,改善前牙開咬及三級異常咬合。我們先用固定矯正裝置改善牙齒排列,再利用彈力圈連接後牙與作為錨定裝置的骨板,將後牙壓入並關閉前牙開咬。治療後不論在顏面外觀及齒列咬合均獲得令人滿意的結果。相較於骨釘,骨板不論在穩定度與位置的選擇性及調整性方面都較為優異,對於改善前牙開咬的病例而言,比起傳統治療開咬的矯正機轉更能夠達到理想的結果。 |
| 英文摘要 | Vertical control is an important part of orthodontic treatment for correction of anterior open bite. Numerous extraoral and intraoral mechanical modalities have been proposed for molar intrusion but these appliances can't effectively intrude posterior teeth, especially in adult patient. Therefore, the correction of open bite may be attainmented by relative extrusion of anterior teeth. This was a 19 year-old male, his chief complain was anterior open bite. He wanted to correction of the malocclusion by non-surgical method. After diagnosis, he was skeletal Class Ⅲ, anterior open bite. The mini-plates are planned to place as absolute orthodontic anchorage units to assist molar intrusion and correct anterior openbite. The treatment results showed the correction of anterior openbite and anterior crossbite. Miniplate is a viable modality to intrude and distalize maxillary and mandibular molars for correcting anterior openbite and anterior crossbite. |
本系統中英文摘要資訊取自各篇刊載內容。