微型正畸螺钉伪装治疗成人III类咬合不良的诊断和治疗注意事项——文献综述

V. Bhaskar
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引用次数: 2

摘要

III类错牙合对正畸医生来说是一个挑战,治疗成年患者这种情况的传统治疗方案包括正颌手术或正畸伪装。直到几年前,矫正III类问题的正畸伪装还涉及下前牙的后倾和上前牙的内旋。骨骼锚固系统的出现为掩盖下颌前突引起的III类错牙合开辟了新的前景。本文综述了通过微型螺钉辅助下颌齿列远端化来掩饰III类错牙合的各种治疗计划考虑因素,包括临床和放射学,并讨论了治疗方案、程序、生物力学和可能的陷阱。
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Diagnosis and Treatment Considerations of Orthodontic Miniscrews in Camouflage Treatment of Adult Class III Malocclusions by Distalization of the Mandibular Dentition- A Review of Literature
Class III malocclusions pose a challenge to the orthodontist, and conventional treatment options to treat this condition in an adult patient include orthognathic surgery, or orthodontic camouflage. Up until a few years ago, orthodontic camouflage for correction of a Class III problem involved retroclination of the lower anterior teeth and proclination of the upper anterior teeth. The advent of skeletal anchorage systems has opened up new vistas in camouflaging Class III malocclusion due to mandibular prognathism. This article reviews the various treatment planning considerations, both clinical and radiographic, for camouflage of Class III malocclusion by miniscrew assisted distalization of the mandibular dentition, and also discusses treatment options, procedures, biomechanics and possible pitfalls.
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