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所在平台: Udemy |
课程主页: https://www.udemy.com/course/adult-orthodontic-treatment-minor-tooth-movement/
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Coursera 课程《成人正畸治疗：微牙移动》课程总结 本课程旨在帮助学习者全面掌握成人正畸相关知识，从零基础到精通，涵盖成人正畸、联合正畸与修复治疗以及微牙移动三大核心主题。 **成人正畸**部分深入探讨潜在患者的识别、详细的诊断流程（包括主诉、问题列表、全身健康评估、临床检查——口外、口内、颌间、头颅测量分析），以及错颌的病因和与年龄相关的骨骼（包括颅颌骨）及局部环境变化，进而分析这些变化对牙列的影响。课程还将区分和阐述跨学科与多学科治疗的序列、正畸医生和患者相关因素，并详细讲解成人患者的治疗策略，包括治疗分期、支抗控制、以及各种矫治器的选择与设计（如活动矫治器、固定矫治器、连续弓丝、分段力学、圈簧、动力臂、悬臂梁等）。支抗分类（颅内、软组织、游离、颅间、颅外及骨性支抗——临时骨性支抗装置）得以详尽解析。此外，课程还关注正畸材料相关的过敏反应（镍、铬、乳胶产品）。 重点关注**伴有牙周问题的患者**，详述了治疗指征、翻出或外移门牙的处理、带有水平骨丢失牙齿的压入反应、垂直骨缺损的处理、牙周对牙移动的限制以及在牙周病患者中的治疗序列。特别就牙周受累前牙的系统性正畸治疗给出方案，分析病因、是否需要角化龈、牙龈退缩与下前牙唇倾、前牙进行性间隙，并提供管理策略。最后，强调了正畸与牙周科的**跨学科协作**，包括牙周诊断、易感局部因素、治疗时机、牙周治疗及手术治疗（软组织及美学手术、支持性牙周治疗）。 **联合正畸与修复治疗**部分，首先介绍基本概念，然后深入探讨失牙与间隙管理，包括上下颌侧切牙缺如的诊断和解决方案（如粘接修复、种植等），以及垂直维度的处理，如牙齿轴向的直立、种植位点的牙齿牵引、牙齿牵引所需的力、牵引后的稳定、禁忌症和适应症，以及牙齿牵引技术。此外，还阐述了正畸、牙周病与修复性固定的联合应用。 **微牙移动**部分，清晰定义了微牙移动的概念，着重讲解倾斜的后牙，包括其病因、临床症状（牙冠倾斜、牙根近中迁移、间隙丢失），预防和治疗方案（如活动矫治器、开口弹簧、螺旋弹簧、单环/双环T形簧、箱式弹簧，以及利用微钉支抗的后牙直立）。还介绍了牙齿的**正畸性压入**，包括活动装置单牙压入以及利用临时骨性支抗装置的磨牙压入。 本课程内容全面，理论与实践相结合，为学习者提供了关于成人正畸治疗的完整知识体系。
This course will take you from zero to hero of the following orthodontic topics: Adult Orthodontics, Combined Orthodontic and Prosthetic treatment; Minor Tooth MovementHere are the main headlines that this course covers:Adult Orthodontics1 Potential Adult Orthodontic Patients2 Diagnosis: Chief Complaint and Problem List2.1 Problem list2.2 General health2.3 Clinical examinationExtraoral examinationExtraoral photographs Function of the masticatory systemIntraoral analysisOcclusal analysisCephalometric analysisFinal problem list2.4 Aetiology of malocclusion2.5 Age-related changes in the skeleton2.6 Age-related changes in the craniofacial skeleton2.7 Age-related changes in the local environment2.8 Consequences of deterioration of the dentition3. Interdisciplinary Versus Multidisciplinary Treatments 3.1Treatment sequenceEssential and optional treatment procedures3.2 Orthodontist related factors3.3 Patient-related factors4. Treatment of adult patients4.2 Sequencing the treatment into phases4.3 Anchorage4.4 Appliance selection and designRemovable applianceFixed applianceContinuous archwiresSegmented mechanicsLoopsPower armsCantilevers5. Anchorage5.1 Classification of anchorage5.2 Intramaxillary anchorage5.3 Soft tissue anchorage5.4 Free anchorage5.5 Intermaxillary anchorage5.6 Extraoral anchorage5.7 Skeletal anchorageTemporary anchorage devices6. Material-related Adverse Reactions in Orthodontics6.1 Nickel allergy6.2 Chromium allergy6.3 Elastics and latex products7. Patients with Periodontal Problems7.1 Indications for orthodontic treatment in periodontally involved patients7.2Treatment of patients with flared and extruded upper incisors7.3 Tissue reaction to intrusion of teeth with horizontal bone loss7.4 Treatment of patients with vertical bone defects7.5 Periodontal limits for orthodontic tooth movement7.6 Sequence of treatment in periodontally involved patients8. Systematic Approach to the Orthodontic Treatment of Periodontally Involved Anterior Teeth8.1 Etiology8.2Amount of keratinized gingiva8.3 Gingival recession and proclination of lower incisors8.4 Progressive spacing of incisors8.5 Management9 Interdisciplinary Collaboration Between Orthodontics and Periodontics 29.1 Periodontal diagnosis9.2 Local factors predisposing to periodontal therapy9.3Timing of ortho-perio treatment9.4 Periodontal therapy9.5 Surgical therapyMucogingival and aesthetic surgerySupportive periodontal treatmentCombined Orthodontic and Prosthetic treatment1. Introduction2. Edentulousness and space management2.1 The mesiodistal dimensionUnilateral agenesis of the maxillary lateral incisorsBilateral agenesis of the maxillary lateral incisorsBonded prosthetic solutionImplant solution2.2 The vertical dimensionUprighting the dental axesOrthodontic extrusion in implant siteOrthodontic Forces Necessary for Tooth ExtrusionStabilization After Tooth ExtrusionContraindications and limitations of tooth extrusionOrthodontic Tooth Extrusion Technique3. Orthodontics, periodontal disease and prosthetic splintingMinor Tooth Movement1. Definition2. The tilted posterior tooth2.1 Etiology2.2 Clinical symptomsTilting of molarTilting of premolarSpace loss2.3 Prevention2.4 TreatmentRemovable applianceOpen coil springHelical uprighting springSingle T-Ioop applianceDouble T-Ioop applianceBox spring applianceUprighting molars using miniscrew anchorage2.5 Retention3. Orthodontic intrusion of teeth3.1 Intruding a single maxillary tooth with a removable device3.2 Maxillary molar intrusion with temporary anchorage devices
