MTM正畸技术在成人前牙美容中应用.docVIP

MTM正畸技术在成人前牙美容中应用[摘要]目的：探讨MTM正畸技术在成人前牙美容中的作用。方法：从近年已完成正畸治疗的患者中整理出因前牙美容问题而运用MTM正畸技术治疗的成人患者42名。对其就诊情况和治疗效果进行回顾性分析。结果：42例患者(男性11名，女性31名),活动矫治6人，固定矫治36人,平均疗程10.35个月。有32人仅通过MTM正畸治疗就达到了效果，有10人在完成正畸后进行了修复治疗，所有患者均取得了满意的临床治疗效果。结论：MTM正畸技术是一种能有助于减少牙体组织的损伤，维护牙周组织的健康，帮助提高前牙美容效果的技术，值得在临床推广应用。运用多学科的知识，制订适合于不同个体的、明确的、详细的治疗目标，是治疗成功的关键。 [关键词]TMT；错牙合畸形；前牙美容 [中图分类号]R783.5[文献标识码]A [文章编号]1008-6455（2008）08-1207-03 Application of MTM technique on esthetics of anterior teeth for adults ZHU Ji-gen,DING li-ping (Department of Stumatology,Jingjiang People’s Hospital, Jingjiang 214500，Jiangsu，China) Abstract:ObjectiveTo investigate the effects ofMTM orthodontic technique onesthetics of anterior teeth for adults. MethodsTo collect the adult cases that have been treated with TMT orthodontic technique for anterior teeth problems from all orthodontic patients who have been finished recent years. there are 42 cases totally, then to retrospect and analyze their states of first visit、clinic treatment and effects.ResultsThere were 11 males and 31 females,and 6 cases treatmented with removeale appliances , 36 with fixed appliances,their average treatment periods was 10.35 months. 32 cases reached satisfactoy effects only by MTM technique and 10 cases were also restored by prosthetics after TMT. All cases have attained satisfactory effects.ConclusionMTM is a technique of reducing the damages of tooth body and is helpful to tooth periodontic tissues.it is also helpful to enhancing the esthetics effects of anterior teeth. it is the key to use multi-disciplinary knowledges and make a explicit,detailed target. Key words:TMT;adjunctive orthodontic;anterior tooth;malocclusion 成人作为正畸患者中的特殊人群，其主要求治动机就是追求前牙的美观[1-2]。但成人因择业、恋爱、年龄和现有牙牙合畸形的特殊性等因素，常不愿或不能进行标准的正畸治疗,多于修复科进行烤瓷冠修复[3]。然而烤瓷冠修复也会有一些不良作用，如基牙制备时对牙髓的损伤、金属过敏、冠边缘刺激牙龈、颈缘灰线等[4-5]。如何运用非标准正畸手段，既减少修复等对牙体牙周组织的永久损害，又最大限度地保存自然牙，提高成人前牙的美容效果，是值得临床口腔医师探讨的课题。笔者这几年运用MTM(minor orthodontic tooth movement，MTM)正畸技术进行了探索，取得了满意的效果。现归纳总结如下，希望对临床工作有所帮助。 1临床资