目标引导的骨性III类错多学科联合治疗一例

doi:10.12337/zgkqjxjyzz.2021.05.005

中国口腔医学继续教育杂志 ›› 2021, Vol. 24 ›› Issue (5): 303-314.DOI: 10.12337/zgkqjxjyzz.2021.05.005

目标引导的骨性III类错多学科联合治疗一例

张力伟¹, 董唯吉¹, 雷洋¹, 陈迪¹, 郭泾²

¹山东省口腔组织再生实验室,山东大学口腔医学院·口腔医院正畸科;
²山东大学齐鲁医学院口腔医学院·口腔医院正畸科山东省口腔组织再生重点实验室山东省口腔生物材料与组织再生工程实验室

出版日期:2021-09-30 发布日期:2022-03-01
通讯作者: 郭泾,联系方式 0531-88382493,电子邮件 guojing@sdu.edu.cn,通讯地址山东省济南市文化西路44-1号,250012

Online:2021-09-30 Published:2022-03-01

摘要/Abstract

摘要： 目标引导的正畸治疗（Objective oriented orthodontics）囊括主诉、牙面美学、动态咬合、稳定、关节健康、气道健康、牙周牙体健康、心理等八个方面。本文报道一例以正畸治疗目标为导向的严重骨性III类错患者的多学科联合治疗病例。在明确诊断的前提下,制定计划如下：牙周辅助加速成骨（Periodontally accelerated osteogenic orthodontics,PAOO）手术后进行上下颌牙列去代偿;经外科会诊后拟行Lefort I型截骨术前徙上颌骨,矢状劈开并后退及逆旋下颌骨伴颏成型术。术后颌位检查显示咬合高点与正中关系-正中颌位不调,CBCT显示左侧髁突-关节窝关系不良并发现上颌骨骨性宽度不足,稳定性板治疗后行种植钉辅助上颌快速扩弓（Maxillary skeletal expander, MSE）;下颌采用关闭曲法实现下前牙控根,继而通过短颌间牵引精调尖、磨牙关系。经由多学科联合治疗,同时依赖患者的配合与信赖,基本实现初定的治疗目标,患者及家属对治疗结果满意。

关键词: 多学科联合治疗, 正畸治疗目标, 稳定性板, 牙周辅助加速成骨正畸治疗术, 种植钉辅助上颌扩弓

张力伟, 董唯吉, 雷洋, 陈迪, 郭泾. 目标引导的骨性III类错多学科联合治疗一例[J]. 中国口腔医学继续教育杂志, 2021, 24(5): 303-314.

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目标引导的骨性III类错多学科联合治疗一例

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