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所在平台: Udemy |
课程主页: https://www.udemy.com/course/deep-bite-malocclusion/
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课程名称：深覆合错颌畸形 课程概述： 该课程主要探讨伴有面下部高度减低倾向的II类深覆合错颌畸形，传统正畸矫治往往面临机械操作困难、效率低下，甚至不可能实现理想效果的挑战。无论是成人还是青少年，单独依靠正畸方法，通常难以充分增加面下部高度以达到理想的面部比例，也难以实现长期的咬合稳定性。尽管许多此类畸形患者有进行手术干预的必要，但临床实践中仍有部分患者采用传统正畸治疗，导致美学和/或咬合效果不尽如人意。 为了应对这一畸形带来的高效稳定治疗挑战，课程重点介绍并分析了各种手术技术与正畸联合治疗的方案。这种联合治疗方法能够提高治疗效率、实现长期稳定性，并获得最佳的美学效果。课程强调，正确的治疗顺序和正畸机械治疗方法的选择对于确保预期效果至关重要。 本课程旨在详细阐述采用联合手术-正畸方法治疗II类深覆合、面下部高度减低的患者在诊断和治疗计划方面涉及的基本问题。课程将解释正畸和手术治疗的目标，并通过具有代表性的病例报告进行展示和讨论，以说明这种治疗方法的应用。此外，课程还将介绍拔牙方案、横颌维度的控制、弓丝的选择、辅助弓丝、橡皮筋以及口外弓的应用。
Conventional orthodontic correction of Class II deep-bite deformity with a decreased lower anterior facial height tendency can be mechanically difficult, inefficient, and, in many instances, impossible. Orthodontic treatment alone of either adults or adolescents with such deformities frequently can neither increase lower anterior facial height sufficiently to achieve ideal facial proportions nor achieve long-term occlusal stability. Despite the need for surgical intervention to achieve satisfactory occlusal and esthetic results, many patients with such deformities are still being treated in clinical practice by traditional orthodontic procedures, with less than ideal esthetic and/or occlusal results. The challenge to achieve efficient and stable treatment of this deformity has been met by the use of various surgical techniques in combination with orthodontic treatment. This combined surgical-orthodontic approach can provide increased treatment efficiency, long-term stability, and optimal esthetic results. The proper sequencing and correct selection of orthodontic mechanotherapy are essential to ensure the desired results. The purpose of this course is to detail basic problems involved in diagnosis and treatment planning for the combined surgical-orthodontic approach to patients exhibiting Class II deep bite and decreased lower facial height. Orthodontic and surgical treatment objectives are explained, and representative case reports are presented and discussed to illustrate this method of treatment. Extraction patterns, control of the transverse dimension, arch wire selection, auxiliary wires, elastics, and extraoral appliance use are described.
