Surgery Procedures in Orthodontics. Cleft Lip and Palate.

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课程主页: https://www.udemy.com/course/surgery-procedures-in-orthodontics-cleft-lip-and-palate/

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**课程名称:** 牙齿矫正手术程序:唇腭裂与小手术 **课程概述:** 本课程将带您从零基础到精通以下牙齿矫正领域:唇腭裂以及小型手术。 **主要课程内容:** **一、 唇腭裂** 1. **定义:** 介绍唇腭裂的基本概念。 2. **唇腭裂的产前发育:** * 鼻部发育。 * 次级腭发育。 3. **唇裂伴或不伴腭裂 (CL and CLP):** * **唇裂情况下的解剖与功能:** 详细讲解唇、鼻、上牙槽、下颌骨、硬腭和软腭在唇裂情况下的特点。 * **分类:** 介绍不同的唇腭裂分类系统。 * **病因:** 探讨唇腭裂的成因。 * **唇裂患者的牙齿发育:** 讲解唇裂对牙齿发育的影响。 * **咬合发育:** 分析唇裂患者的咬合异常。 * **产前诊断:** 介绍唇腭裂的产前诊断方法。 4. **治疗:** * **术前颌骨矫治:** 阐述术前进行颌骨矫治的重要性。 * **早期矫正(5-8岁):** 讲解儿童早期牙齿矫正的策略。 * **常规矫正(11-15岁):** 介绍青少年阶段的常规牙齿矫正。 * **成人晚期及再治疗:** 讨论成人患者的矫正和二次矫正。 **二、 小型手术** 1. **小型手术:** * **系带切除术:** 包括诊断和治疗方法。 * **牙齿矫正过程中牙龈增生:** 应对策略。 * **环周纤维切断术。** * **牙齿上方牙槽嵴纤维切断术。** * **自体牙移植。** 2. **正颌手术:** * **适合手术的错颌畸形:** 明确手术适应症。 * **美学与心理社会因素:** 探讨手术对外观和患者心理的影响。 * **手术禁忌症:** 列举正颌手术的 contraindications。 * **牙齿矫正掩饰与手术的对比。** * **诊断与治疗计划:** facial evaluation, smile analysis。 * **常见颌面部畸形的诊断特征。** * **手术方式:** * **下颌手术:** 矢状劈骨切开术、垂直下颌支骨切开术、下颌颏成形术、前部劈开术。 * **上颌手术:** LeFort I 型截骨术、分段截骨术。 * **牙槽骨手术:** 骨牵张成骨术。 * **辅助面部手术:** 颏部增大或缩减术、鼻成形术、面部填充植入物、颏下区手术。 * **手术时机。** * **术前目标:** 牙弓内目标、前后向(矢状向)目标、横向目标、垂直向目标。 * **术中、固定及术即刻固定目标。** * **术后及保持目标。** * **术后稳定性与临床成功。** * **正颌手术的风险。**

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This course will take you from zero to hero of the following orthodontic topics: Cleft Lip and Palate; Minor Surgical Procedures.Here are the main headlines that this course covers:Cleft Lip and Palate1. Definitions2. Prenatal development of lip and palate2.1 Development of the nose2.2 Development of the secondary palate3. Cleft Lip with/without Cleft Palate (CL and CLP)3.1 Anatomy and function in cleft situationsLipNoseUpper alveolusMandibleHard palateSoft palate3.2 Classification3.3 Etiology3.4 Dental development with clefts3.5 Development of the occlusion3.6 Prenatal diagnosis4. Treatment4.1 Presurgical Maxillary Orthopaedics4.2 Early Orthodontics (5-8 Years Old)4.3 Conventional Orthodontics (11-15 Years Old)4.4 Late and Retreatment Adult OrthodonticsMinor Surgical Procedures1. Minor surgical procedures1.1 FrenectomyDiagnosisTreatment1.2 Gingival enlargement during orthodontic tooth movement1.3 Circumferential fiberotomy1.4 Supracrestal Fiberotomy1.5 Autotransplantation2. Orthognathic surgery2.1 Malocclusions indicated for surgery2.2 Esthetic and Psychosocial Considerations2.3 Contraindications to surgery2.4 Orthodontic camouflage versus surgery2.5 Diagnosis and treatment planningEvaluation of FaceSmile analysis2.6 Diagnostic Features of Common Dentofacial Deformity2.7 Surgical procedures2.7.1 Mandibular SurgeryThe sagittal split osteotomyVertical subsigmoid osteotomyGenioplastyAnterior subapical osteotomy2.7.2 Maxillary SurgeryThe LeFort I osteotomySegmental osteotomy2.7.3 Dentoalveolar SurgeryDistraction Osteogenesis2.7.4 Adjunctive Facial ProceduresChin Augmentation or ReductionRhinoplastyImplants for Facial Soft Tissue ContoursSubmental Procedures2.8 Timing of Surgery2.9 Presurgical objectivesIntra-arch objectivesAnteroposterior (sagittel) objectivesTransverse objectivesVertical objectives2.10 Objectives during surgery, fixation, and immediately postfixation2.11 Postsurgical and retention objectives2.12 Postsurgical Stability and Clinical Success2.13 Risks of orthognathic surgery

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