安氏ⅰ类、ⅱ类、ⅲ类错（牙合）畸形的病例分析-口腔临床医学专业论文 word格式.docxVIP

目录病例1 减数上颌双侧侧切牙、右侧下颌第二前磨牙及左侧下颌第一前磨牙矫治成人安氏?类拥挤1致谢57综述58Case1.Class? CrowdingTreatedWithExtractionofUpperBilateralLateralIncisors,LowerRightSecondPremolarandLowerLeftFirstPremolar病例1减数上颌双侧侧切牙、右侧下颌第二前磨牙及左侧下颌第一前磨牙矫治成人安氏?类拥挤CASESUMMARYLF,a26-year-oldfemale,whosechief complaintwascrowdingintheupper andlowerarches.Shewaspresented withamildconvexprofileonadentalClass?,skeletalClass??basewithan average SN-MPplanesangle andnormalfaceheightratio.Theupperbilaterallateralincisorsweremicrodonitism, lowerrightsecondpremolarwasinlow mesioangularimpactionwithcaries,and theBoltonanalysisofanteriorregionis 85.3%.Theoverjetwas4mm,theoverbitewasnormal,whilethelower midlineshiftedtorightby2mm.Therewouldbeboth5mmcrowdingintheupperandlowerarch,thelowercurveof Speewas4mm.Noabnormalities detected inTMJexceptthather mandibleshiftedtotheleftinopening andclosing.Dentalpanoramicradiographshowed:differencesbetween病例概况LF，26岁，女性，主诉上下前牙不齐。侧貌微凸，牙性?类关系，骨性??类关系，下颌平面角正常，面高比正常。上颌双侧侧切牙为过小牙，下颌右侧第二前磨牙近中低位阻生且近中龋坏，上下颌牙量不调，前牙区bolton 指数为85.3%，前牙覆盖4mm，覆牙合正常，上中线正，下中线右偏2mm。上牙弓拥挤量5mm,下牙弓拥挤量5mm,下颌Spee曲线深4mm。颞下颌关节未及弹响、杂音、张口受限，但张闭口时下颌左偏，曲面体层片示：双侧髁突不对称。通过减数上颌双侧侧切牙，右侧下颌第二前磨牙及左侧下颌第一前磨牙，应用直丝弓矫治技术治疗，主动治疗13 个月。theleftandrightjoints.Treatmentinvolvedremovalofupperbilaterallateralincisors,lowerrightsecond premolarandlowerleftfirstpremolarby placementofStraightWireAppliances. Theactivetreatmentlastedfor 13months.SECTION1.PRE-TREATENTASSESSMENTPatientDetailsInitials:LF Sex:FemaleDateofbirth:3rd June1986 Ageatstartoftreatment:26years2monthsChiefComplaintsThe irregular upper anterior teeth and lowerteeth.RelevantMedicalHistoryhadbeenextractedThepatienthadnotoralhabit.Other medical history was clear and irrelevant.ClinicalExamination:Extra-OralFeaturesSymmetricfaceMildconvexprofileAverageSN-mandibularplanesangleNoabnormalitiesdetectedinTMJ exceptthathermandibleshiftedtotheleftinopeningandclosing.Clinical Examination:第一部分治疗前病例基本情况姓名缩写：LF 性别：女出生日期：1986 年06 月03 日初诊时年龄：26 岁2 个月主诉上下前牙不齐相关病史已拔除无口腔不良习惯无其他相关病史临床检查：口外特征面部对称侧貌微凸下颌平面角均角颞下颌