We present the orthodontic treatment of a patient with occlusal dysfunction after plastic surgery for multiple maxillofacial bone fractures caused by a traffic accident. The patient had mandibular deviation to the right because of inappropriate repositioning and fixation of the fractured bone and complete avulsion of both mandibular central incisors. The bilateral mandibular incisors, canines, and premolars were also suspected of partial avulsion or alveolar bone fracture. Several tests, including percussion and dental computed tomography, were performed on these teeth to rule out ankylosis and confirm tooth movement. Camouflage orthodontic treatment was carried out with expansion of the maxillary arch, alignment of both arches, and space closure between the mandibular lateral incisors to improve the occlusion. Good occlusion and interdigitation were obtained. Orthodontic treatment is useful for the rehabilitation of occlusal dysfunction caused by multiple maxillofacial bone fractures.

译文

我们介绍了一名因交通事故引起的多发性颌面部骨折整形手术后咬合功能障碍患者的正畸治疗。由于骨折的重新定位和固定不当以及两个下颌中切牙的完全撕脱,患者下颌骨向右偏移。双侧下颌门牙,犬齿和前磨牙也被怀疑为部分撕脱或牙槽骨骨折。对这些牙齿进行了多项测试,包括敲击和牙科计算机断层扫描,以排除强直并确认牙齿运动。伪装正畸治疗通过扩大上颌弓,对齐两个弓以及下颌外侧切牙之间的间隙闭合来改善咬合。获得了良好的咬合和互指。正畸治疗对颌面部多发骨折引起的咬合功能障碍的康复是有益的。

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