發(fā)布時(shí)間：2024-02-28 08:49

　　目的:成人錯(cuò)牙合畸形矯治不同于青少年及兒童,其特殊性和復(fù)雜性往往導(dǎo)致成人正畸治療難度明顯增加,如伴有Ⅱ類(lèi)、Ⅲ類(lèi)、開(kāi)牙合、深覆牙合、下頜偏斜等骨性各錯(cuò)牙合。本文通過(guò)分析兩例伴有開(kāi)成人錯(cuò)牙合畸形患者應(yīng)用MEAW技術(shù)治療,了解并探究MEAW技術(shù)的治療要點(diǎn),為正畸臨床治療選擇治療方案提供參考。方法:對(duì)兩例成人錯(cuò)牙合畸形病例進(jìn)行報(bào)告,一例為24歲男性,主訴關(guān)節(jié)疼痛,檢查為骨性Ⅲ類(lèi)錯(cuò)牙合,下頜左偏,前牙開(kāi)牙合,左側(cè)尖牙反牙合及左側(cè)顳下頜關(guān)節(jié)疼痛。治療方案為通過(guò)MEAW技術(shù)配合彈性牽引直立牙齒獲得間隙,排齊整平牙列,建立良好的覆牙合覆蓋關(guān)系。經(jīng)過(guò)MEAW治療后,患者側(cè)貌得到了改善。笑線與下唇線一致,頦部稍向左偏,左側(cè)顳下頜關(guān)節(jié)間隙增大,關(guān)節(jié)癥狀消失。前牙開(kāi)牙合解除,覆牙合覆蓋達(dá)到正常,咬合關(guān)系基本改善。另一例是19歲女性,主訴牙齒不齊,檢查為骨性Ⅱ類(lèi)錯(cuò)牙合,下頜右偏,下頜后縮,深覆牙合深覆蓋。治療方案為先用牙合墊來(lái)打開(kāi)咬合,去除牙合干擾,MEAW技術(shù)配合彈性牽引直立牙齒及調(diào)整咬合關(guān)系,并引導(dǎo)下頜向前,實(shí)現(xiàn)正常的覆牙合覆蓋關(guān)系。治療完成后,患者側(cè)貌得到了改善,下頜向前并向左側(cè)移動(dòng),頦部稍向右偏,雙側(cè)顳...

【文章頁(yè)數(shù)】：107 頁(yè)

【學(xué)位級(jí)別】：碩士

【文章目錄】：
摘要
Abstract
Introduction
Materials and Methods
    Case Report 1
        1. History taking and examination
        2. Extraoral photo finding
        3. Intraoral photo finding
        4. Radiographic evaluation
        5. Problem list
        6. Diagnosis
        7. Treatment objectives
        8. Treatment plan
        9. Special consideration
        10. Treatment progress
        11. Treatment results
        12. Case discussions
    Case Report 2
        1. History taking and examination
        2. Extraoral photo finding
        3. Intraoral photo finding
        4. Radiographic evaluations
        5. Problem lists
        6. Diagnosis
        7. Treatment objectives
        8. Treatment plans
        9. Special considerations
        10. Treatment progress
        11. Treatment results
        12. Case discussions
Discussions
Conclusions
References
Literature reviews
    Multiloop Edgewise Arch-Wire (MEAW)
    Kim’s Method of Analysis
    Treatment of Class Ⅲ malocclusion (High Angle)
    Treatment of class Ⅲ malocclusion (low angle)
    Treatment of class Ⅱ deep overbite
    Treatment of class Ⅰ open bite
    Treatment of class Ⅱ open bite
    Treatment of Mandibular lateral deviation
    The diagnosis, treatment planning of patients with asymmetry
    Planning and management
    Presurgical orthodontic treatment of patients with facial asymmetry
    Skeletal characteristics and dental compensation for patients with facial asymmetry
    The effect and problems of occlusal plane correction with maxillary surgery in patients with facial asymmetry.
    The use of microimplants in orthognathic surgery for patients with facial asymmetry
    Skeletal characteristics and dental compensation for patients with facial asymmetry
    The effect and problems of occlusal plane correction with maxillary surgery in patients with facial asymmetry.
    Decompensation treatment of occlusal plane and dental compensation using microimplant
    Correlations between mandibular asymmetries and temporomandibular disorders (TMD)
    References
Acknowledgement



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