成年骨性双颌前突个性化舌侧固定矫治1例

doi:10.12337/zgkqjxjyzz.2024.06.001

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (6): 445-456.DOI: 10.12337/zgkqjxjyzz.2024.06.001

• 病例报告 • 下一篇

成年骨性双颌前突个性化舌侧固定矫治1例

经典, 欧阳宁鹃, 房兵^*

上海交通大学医学院附属第九人民医院口腔正畸科; 上海交通大学口腔医学院; 国家口腔医学中心; 国家口腔疾病临床医学研究中心; 上海市口腔医学重点实验室; 上海市口腔医学研究所

出版日期:2024-11-30 发布日期:2025-06-06
通讯作者: ^*房兵,联系方式：021-23271699,电子邮箱：fangbing@sjtu.edu.cn,通讯地址：上海市黄浦区制造局路639号,200011
基金资助:
国家重点研发计划（项目编号：2022YFC2405904）; 国自然科学基金面上项目（项目编号：82370988）

The Application of Customized Fixed Lingual Orthodontics in the Treatment of an Adult with Skeletal Class I Malocclusion and Bimaxillary Protrusion: A Case Report

Dian Jing, Ningjuan Ouyang, Bing Fang^*

Department of Orthodontics, Shanghai Ninth People’ s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai, P.R. China

Online:2024-11-30 Published:2025-06-06
Contact: Bing Fang. Tel: 021-23271699. Email: fangbing@sjtu.edu.cn. Address: No. 639 Zhizaoju Road, Huangpu District, Shanghai 200011, P.R. China.
Supported by:
National Key R&D Program of China (No.2022YFC2405904); National Science Foundation of China (No.82370988)

摘要/Abstract

摘要： 目的：本文介绍1例41岁女性患者骨性I类双颌前突的个性化舌侧固定矫治,联合骨皮质切开术,以实现安全有效的牙颌改建及面型改善。诊治经过：明确诊断及知情同意后,拟定$\begin{array}{l|l}4 & 4 \\\hline 4 & 4\end{array}$正畸拔牙方案,使用个性化舌侧矫治系统,设计横腭杆联合微种植体支抗。排齐整平牙列后,实施上下颌骨皮质切开术加速前牙内收,精细调整。结果： 29个月结束治疗,患者侧貌明显改善,磨牙中性关系,前牙覆𬌗覆盖正常。结论： 数字化舌侧固定矫治适用于骨性I类双颌前突错𬌗畸形病例,本病例基于舌侧矫治生物力学机制对牙弓进行有效三维控制,实现了美学与健康兼顾的正畸疗效。

关键词: 个性化舌侧固定矫治, 骨皮质切开术, 骨性I类错牙合畸形, 双颌前突, 减数正畸治疗

Abstract: Objective: We presented a case of customized fixed lingual orthodontic treatment combined with corticotomy for a 41-year-old female patient with skeletal Class I bimaxillary protrusion, aiming to achieve safe and effective dentoalveolar remodeling and facial profile improvement. Diagnosis and Treatment: After thorough analysis, diagnosis, and informed consent, a treatment plan involving orthodontic extraction of teeth $\begin{array}{l|l}4 & 4 \\\hline 4 & 4\end{array}$ was performed. A customized fixed lingual orthodontic system was used, incorporating a transverse palatal arch and temporary anchorage device. Following alignment and leveling of the dental arches, corticotomy of the upper and lower alveolar bones was performed to retract the anterior teeth, followed by fine adjustments. Results: After 29 months of treatment, the patient’s profile was significantly improved, molar relationships were neutral, and the anterior teeth exhibited normal overbite and overjet. Conclusions: Digital customized fixed lingual orthodontic treatment is suitable for cases of skeletal Class I bimaxillary protrusion malocclusion. By leveraging the advantages of anchorage control and incorporating corticotomy, the treatment achieved an optimal balance of aesthetics and health in orthodontic outcomes..

Key words: customized fixed lingual orthodontic appliance, corticotomy, skeletal class I malocclusion, bimaxillary protrusion, orthodontic treatment with extraction

经典, 欧阳宁鹃, 房兵. 成年骨性双颌前突个性化舌侧固定矫治1例[J]. 中国口腔医学继续教育杂志, 2024, 27(6): 445-456.

Dian Jing, Ningjuan Ouyang, Bing Fang. The Application of Customized Fixed Lingual Orthodontics in the Treatment of an Adult with Skeletal Class I Malocclusion and Bimaxillary Protrusion: A Case Report[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(6): 445-456.

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成年骨性双颌前突个性化舌侧固定矫治1例

The Application of Customized Fixed Lingual Orthodontics in the Treatment of an Adult with Skeletal Class I Malocclusion and Bimaxillary Protrusion: A Case Report

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