咬合治疗(二)(双语)资料.ppt

正畸和正颌治疗中的牙合学问题Occlusion study in orthodontics and orthognathic treatment 　CASE 患者为年轻女性，开牙合伴有吐舌习惯。 拔除上颌两个第一双尖牙后，术后良好 矫正结束后，外科拔除了下颌第三磨牙，之后出现关节症状，保持期后，症状加重。 A young female with open bite+ tongue thrust. Extracted two upper first premolars to correct her open bite ,and after the treatment, the patient’s occlusal relationship became normal. After the treatment, the patient’s lower third molars were pulled out by a surgeon, then she presented with TMD, and the symptom was aggravated after retainment. 病人起诉外科医生，要求赔偿2500美元。 法官最终认为是正畸医生内收上前牙迫使下颌后退造成关节病，判决赔偿一百万美元。 The patient prosecuted the surgeo