正畸病例分析英文版VIP免费

正畸B组第1小组SummaryKeyinformationlongface16-year-oldgirlfromnortheastfamilyhistorytaciturnityComewithhermomWeekend-opendmaintroubleHyperosteogeniedMandibularmandibularprotrusionAllabove？HighAngleunderbiteHereditycircumstance：Congenital（Macroglossiadisease）Acquired（1）hyperpituitarism（2）maxillarydeciduousteethearly-missed、retention、Inadequatecanineabrasion（3）earlymaxillarypermanentteetheruption（4）functionalfactor：suckle、hypertrophyoftonsil、muscledysfunction（5）badhaditOtherinformationneeded（1）Inquiry：systemicdisease、badhadit、alreadytreatment、Duration、familyhistory、psychologicalguidance（2）inspection：①insidecheck：toothcount、toothshape、Oralhygiene、dentalarchshape、occlusalstatus、Softtissuelesions②outsidecheck：photograph、Symmetricface？proportion?overlengthlowed1/3？auxiliaryexamination：X-ray：PanoramicradiographexaminationlateralcephlometricsCTOthercheck:modelanalysisTMJcheckmusculartensioncheck①Extraoralphotographs：Frontalview：horizontal：Facialisasymmetry,anditmovestorightsidevertical：partiallengthisinthe1/3lowerfaceslip:thedegreeofclosure、underlipisthickerthanupperLateralview：facialmorphology：concavetypelip:thedegreeofclosure、Hline，Elinementolabialsulcus：shallow、Mandibularadvancement②Intraoralphotographs：Frontalview：overbiteinanterior22、23、32、33openbitedistemain11and21crowdedinmaxillaryLateralview：angleⅢ，anteriorteethisreverseoverjetandreverseoverbitemaxillaryanteriorteeth：labialinclinationmandibularanteriorteeth：lingualinclinationOcclusalview：dentalarchsareoval，crowdinginthemaxillary.maxillarycentralincisor：torsionoralhygiene：poorPeriodontium：healthygingivaAlveolarbone：thelabialboneofmandibleisthinLabialfrenum、linguaefrenum：normalsoftandhardtissuesPantomography：impactedteeth：18、28、38、48normalThemeasurementitemsPermanentteethperiodsignificancemeasuredvaluenormalvalueSNA88º>82.8ºmaxillaryprotrusionSNB94º>80.1ºMandibularprotrusionANB-6º<2.7ºNegative，mandibularprotrusionWits-17mm<-1.5mmmandibularprotrusion，class,mesiocluⅢsionNP-FH88º>85.4ºmandibularprotrusionYaxis67º>66.3ºmandibularprotrusion;GrowthbeforethebottomNA-PA-7º<6.0ºmaxillaryretrusionMP-FH40º>31.1ºSteepnessofmandibularbody,largemandibularAngle,highfacialheightThemeasurementitemsPermanentteethperiodsignificancemeasuredvaluenormalvalueMax1-SN128º>105.7ºmaxillarycentralincisorislabialinclinationMand1-MP66º<92.6ºmandibularcentralincisorislingualinclinationMax1-NA40.1º>22.8ºmaxillarycentralincisorislabialinclinationandbulgingMax1-NA9mm>5.1mmmaxillarycentralincisorislabialinclinationandbulgingislargeMand1-NB16.7º<30.3ºMandibularcentralincisorislingualinclinationandbulgingislargeMax-Mand1129.3º>125.4ºUpanddownthefrontofthedentalarchdegreeisrelativelysmallThemeasurementitemsPermanentteethperiodsignificancemeasuredvaluemeasuredvaluenormalvaluenormalvalueN-Me122mm>119.7mmTheheightofthefaceismorethannormalN-ANS52mm<53.8mmmaxillarygrowthisInadequateANS-Me70mm>65.8mmpartiallengthisinthe1/3lowerfacesN-ANS/N-Me43%<45%maxillarygrowthisInadequateANS-Me/N-Me57%>55%partiallengthisinthe1/3lowerfaces1、maxillaryretrusion，mandibularprotrusion2、maxillarycentralincisorislabialinclinationmandibularcentralincisorislingualinclination3、Theheightofthefaceismorethannormal，maxillarygrowthisInadequate,partiallengthisinthe1/3lowerfacesConclusiontherapeuticregimenORTHODONTIC-ORTHOGNATHICSURGERYoption1IndicationClassIII,mesioclusion(ANB<-4˚,upperincisorisobviouslylabialtilted，lowerincisorlingualtilted，anteriorofdeepreverseoverjet)Pre-surgicalorthodontictreatmentAlignmentLevelingIncisalpositionandspaceclosureCoordinationofdentalarchesandcoorrectionofposteriorcrossbiteAccordingtomovementsanddecompensationofteeth,it’sbenificialtomovebones.orthognathicsurgerySagittalsplintramusosteotomyPost-surgicalorthodontictreatmentAlignmentSpaceclosingLevelingAdjustmentofanteropoetreiorpositionincisorsCoordinationofdentalarchesRetentionMaintainerChincapCAMOUFLAGEoption2Toothextractionincluding2maxillarysecondpremolarandthirdmolar2mandibularfirstpremolarsextractionandthirdmolarcouldpreventupperincisorsfromuprightingandchangetheincisorpositionmaxillarprotractionImplantasskeletalanchorageformaxillaprotractionisaneffectiveandstableclinicaltreatmentforClassIIImalocclusion，whichavoidsthedentalcompensation.StraightwireappliancerelievingdentalcrowdingCompensatorymovetheupperandlowerfrontteeth,toconcealthejawdeformity.Thankyou.