国际口腔医学杂志

国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (2): 227-232.doi: 10.7518/gjkq.2022014

• 综述 • 上一篇    下一篇

手术优先模式颌骨稳定性及影响因素研究进展

杨赟琪1,2(),林阳阳1,2,侯敏1,2()   

  1. 1.天津市口腔医院正颌外科 南开大学医学院 天津 300041
    2.天津市口腔功能重建重点实验室 天津 300041
  • 收稿日期:2021-05-26 修回日期:2021-09-11 出版日期:2022-03-01 发布日期:2022-03-15
  • 通讯作者: 侯敏
  • 作者简介:杨赟琪,硕士,Email： waoyangyunqi@163.com
  • 基金资助:
    天津市临床医学重点学科（口腔医学-口腔颌面外科学）专项基金(HWZX007);天津市口腔医院博硕士青年项目(2019BSQN04)

Research advances on jaw stability and influencing factors in surgery-first approach

Yang Yunqi1,2(),Lin Yangyang1,2,Hou Min1,2()   

  1. 1. Dept. of Orthognathic Surgery, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin 300041, China
    2. Tianjin Key Laboratory of Oral Function Reconstruction, Tianjin 300041, China
  • Received:2021-05-26 Revised:2021-09-11 Online:2022-03-01 Published:2022-03-15
  • Contact: Min Hou
  • Supported by:
    Tianjin Key Discipline of Clinical Medicine (Stomatology-Oral and Maxillofacial Surgery) Special Fund(HWZX007);Tianjin Stomatological Hospital Doctoral Master Program(2019BSQN04)

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摘要：

目前主流的正畸-正颌联合治疗模式,包括“术前正畸-正颌手术-术后正畸”3部分,但存在治疗周期长,术前正畸期间患者咀嚼功能及侧貌恶化等问题。近年来,有学者在传统主流模式的基础上进行创新,选择部分合适病例缩短或省略术前正畸,形成了先行正颌手术,再行术后正畸的治疗模式,称为手术优先模式。国内外也报道了许多该模式治疗的病例,相较于传统主流模式,手术优先模式缩短了整体治疗时间,术后即刻改善面容,更符合成年正颌患者的治疗需求。但是,手术优先模式正颌术后患者的颌骨稳定性如何,有哪些影响因素,如何确立适应证,又有哪些不足之处,都是临床应用中需要考虑的问题。本文就手术优先模式下的颌骨稳定性及其与过渡性咬合、手术设计、正畸治疗之间的关系进行综述。

关键词: 手术优先, 颌骨稳定性, 过渡性咬合, 正畸-正颌联合治疗

Abstract:

As the current mainstream mode, the traditional orthognathic surgical treatment model includes three perio-ds: presurgical orthodontic preparation, orthognathic surgery and postsurgical orthodontic procedure. However, this model has the problems of long treatment time, deterioration of the patient’s masticatory function and lateral appearance during the preoperative orthodontic period and so on. In recent years, many case studies have been reported at home and abroad, which shortens or omits presurgical orthodontic time. This new treatment is called surgery-first approach (SFA). Compared with the conventional treatment mode, SFA shortens the overall treatment time and improves facial aesthetics immediately after surgery. Therefore, SFA is more in line with the treatment needs of adult orthognathic patients. Meanwhile, the bone and teeth moved after surgery are more conducive to the movement of teeth. However, the jaw stability of patients after orthognathic surgery and the influencing factors are the main issues that need to be considered in clinical applications of surgery-first approach. This article reviews the jaw stability and its relationship to transitional occlusion, surgical design and orthodontic treatment under surgery-first approach.

Key words: surgery-first approach, jaw stability, combined orthodontic-orthognathic treatment, transitional occlusion

中图分类号: 

  • R783.5
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