안면 비대칭을 동반한 골격성 III급 부정교합 환자에서 Microimplant를 이용한 편악 수술교정 치료

• 영문명: One-Jaw Surgical Orthodontic Treatment of Class III Malocclusion with Facial Asymmetry Using Microimplant
• 발행기관: 대한치과교정학회
• 저자명: 오병철
• 간행물 정보: 『.대한치과교정학회 임상저널』13권 4호, 253~267쪽, 전체 15쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2023.12.31

국문 초록

For the correction of facial asymmetry in adult patients, clinicians usually consider two-jaw surgery. However, facial asym-metry can be effectively corrected with mandibular surgery alone by using microimplants to improve maxillary canting. A 20-year-old man visited our clinic with complaints of facial asymmetry and mandibular protrusion. He exhibited severe menton deviation, anterior openbite, anterior crossbite, and occlusal canting. Due to skeletal discrepancies, his anterior and posterior teeth were compensated. In preparation for orthognathic surgery, decompensation was carried out using microim-plants. After 15 months of presurgical orthodontic treatment, decompensation was successfully completed. Bilateral sagittal split ramus osteotomy (BSSRO) was performed to correct the skeletal discrepancies. Following the surgery, intermaxillary elastics were utilized on the microimplants to correct any surgical errors. After 25 months, the treatment was concluded, re-sulting in facial symmetry and good occlusion.

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치료계획

치료경과 및 결과

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키워드

Facial asymmetry Skeletal Class III malocclusion Bilateral sagittal split ramus osteotomy