Long-term follow-up of Class II adults treated with orthodontic camouflage: A comparison with orthognathic surgery outcomes
Long-term follow-up of Class II adults treated with orthodontic camouflage: A comparison with orthognathic surgery outcomes
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DOI：
10.1067/mod.2003.43
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发表时间：
2003-03-01
影响因子：
3
通讯作者：
Phillips, C
中科院分区：
文献类型：
--
作者：
Mihalik, CA;Proffit, WR;Phillips, C
31名曾单独接受正畸治疗的11类错牙合成人在治疗后至少5年被召回，以评估头影测量和咬合稳定性以及他们对治疗结果的满意度。将这些数据与具有更严重的11类问题的患者的长期结局的类似数据进行比较，这些患者接受了下颌前移、上颌阻生或这些组合的手术矫正。在伪装患者中，骨骼标志位置的平均变化在长期内发生，但变化通常比手术患者小得多。正畸组和手术组中覆牙合长期增加的患者百分比几乎相同，但手术组患者覆牙合长期增加的可能性几乎是手术组的两倍。正畸组和手术组的患者对结果的看法都是高度积极的。仅接受正畸治疗（伪装）的患者报告的功能性或颞下颌关节问题比手术患者少，并且对治疗的总体满意度报告相似，但下颌骨前移的患者对他们的牙面图像更为积极。
Thirty-one adults who had been treated with orthodontics alone for Class 11 malocclusions were recalled at least 5 years posttreatment to evaluate cephalometric and occlusal stability and also their satisfaction with treatment outcomes. The data were compared with similar data for long-term outcomes in patients with more severe Class 11 problems who had surgical correction with mandibular advancement, maxillary impaction, or a combination of those. In the camouflage patients, small mean changes in skeletal landmark positions occurred in the long term, but the changes were generally much smaller than in the surgery patients. The percentages of patients with a long-term increase in overbite were almost identical in the orthodontic and surgery groups, but the surgery patients were nearly twice as likely to have a long-term increase in overjet. The patients' perceptions of outcomes were highly positive in both the orthodontic and the surgical groups. The orthodontics-only (camouflage) patients reported fewer functional or temporomandibular joint problems than did the surgery patients and had similar reports of overall satisfaction with treatment, but patients who had their mandibles advanced were significantly more positive about their dentofacial images.