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題名 | A Surgery-first Approach in Surgical-orthodontic Treatment of Mandibular Prognathism-- A Case Report=以手術先行方式進行下顎骨前突的正顎手術-齒列矯正治療--病例報告 |
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作者 | 余忠志; 陳柏勳; 劉人文; 黃炯興; 陳昱瑞; | 書刊名 | 長庚醫誌 |
卷期 | 33:6 2010.11-12[民99.11-12] |
頁次 | 頁699-705 |
分類號 | 416.97 |
關鍵詞 | 下顎骨前凸; 安格氏第三類咬合不良; 齒列矯正; 正顎手術; 手術先行治療方式; Mandibular prognathism; Malocclusion; Angle Class III; Orthodontics; Orthognathic surgery; Surgery-first approach; |
語文 | 英文(English) |
英文摘要 | The conventional approach in orthodontic surgery treatment of dentofacial anomalies requires a varied period of pre-surgical orthodontic treatment. This presurgical period is considered to be important for adequate surgical treatment and stable results. This period is usually long bothersome for patients because dental decompensation is required and there is consequent deterioration of aesthetics and function, especially in cases of skeletal Class III occlusion. At Chang Gung Craniofacial Center, a surgery-first approach (SFA), i.e. minimal pre-surgical orthodontics, is one of the treatment choices for Class III patients. In this report, we present a 19-year-old man with mandibular prognathism, an anterior open bite and severe dental crowding treated with SFA. The patient received orthognathic surgery a week after bracing of the teeth. The operation and recovery were uneventful as well as the following orthodontic treatment. The total treatment time was only four months, much shorter than with the conventional approach. The patient benefitted from immediate improvement of the facial profile after surgery, and a much shorter total treatment, and the results were not compromised. We believe in selected cases, SFA is a good and effective treatment alternative. |
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