Adults seeking orthodontic treatment: expectations, periodontal and TMD issues
Adults seeking orthodontic treatment: expectations, periodontal and TMD issues
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DOI：
10.1038/sj.bdj.2015.46
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发表时间：
2015-02-01
影响因子：
2.6
通讯作者：
Luther, F.
中科院分区：
文献类型：
--
作者：
Christensen, L.;Luther, F.
成人牙科患者的增长对普通牙科医生和牙科医生都提出了新的挑战。虽然正畸治疗的许多主要目标对于成年人，年轻人和儿童是相似的，但成年患者经常在年轻患者群体中不常见的几个领域带来重大挑战。在规划现实的治疗结果等领域，最重要的是确定、尊重和管理患者的期望。成年患者的牙齿健康状况往往决定了与理想治疗计划的偏差，牙周问题就是一个常见的例子。根据目前的证据，本文提出了一些管理这些问题的困难，以及突出的发展方面的疼痛条件和正畸治疗的相关性及其对颞下颌关节紊乱病（TMD）管理的影响的概述。
The growth in adult orthodontics presents new challenges to both the general dental practitioner and the orthodontist. Although many of the main objectives of orthodontic treatment are similar for adults, young adults and children, adult patients frequently bring significant challenges in several areas not often seen in the younger patient group. In areas such as planning realistic treatment outcomes, it is paramount that the patient's expectations are identified, respected and managed where appropriate. The adult patient's dental health often dictates deviation from the ideal treatment plan and periodontal problems are a common example. Based on current evidence, this paper presents an overview of some of the difficulties in the management of these issues, as well as highlighting developments with regard to pain conditions and their relevance to orthodontic treatment and its effects on temporomandibular joint disorders (TMD) management.