Secondary correction of malocclusion after treatment of maxillofacial trauma

Secondary correction of malocclusion after treatment of maxillofacial trauma
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DOI:
10.1016/j.joms.2004.02.014
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发表时间:
2004-10-01
影响因子:
1.9
通讯作者:
Suuronen, R
Suuronen, R
中科院分区:
医学4区
文献类型:
--
作者:
Laine, P;Kontio, R;Suuronen, R

文献摘要

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颌面部创伤初级治疗后的咬合不良在文献中并不常见。尽管面部骨折的治疗取得了许多进展,但颌面部创伤后最常见的硬组织并发症是颞颌关节功能障碍,其次是感染和错合。(1,2)当坚硬的金属板和螺丝钉出现时,对手术精度的要求增加了,因为即使在骨碎片和接骨材料的排列上有轻微的差异,也会对咬合产生严重的影响。与所有手术一样,手术医生经验越丰富,并发症发生率就越低(3)。
Malocclusion after primary treatment of maxillofacial trauma is not frequently reported in the literature. Despite many developments in the treatment of facial fractures, the most common hard tissue complications after maxillofacial trauma are temporomandibular joint (TMJ) dysfunction, followed by infections and malocclusions. (1,2) When rigid metallic plates and screws became available, the requirements for accuracy in surgery increased, as even a mild discrepancy in alignment of bony fragments and osteosynthesis can have a severe effect in occlusion. As with all surgery, the rate of complications decreases with the greater experience of the operating surgeon(3).