양악 전방분절골절단술과 이부 성형술을 통한 개방교합의 치험례
Treatment of anterior open bite with bimaxillary anterior segmental osteotomy and genioplasty
황용인, 홍순민, 박준우, 이건주, 조형준, 천세환, 박양호,
소속 상세정보
황용인 ( Hwang Yong-In ) - 한림대학교의료원 강동성심병원 치과교정과
홍순민 ( Hong Soon-Min ) - 한림대학교 의과대학 구강악안면외과학교실
박준우 ( Park Jun-Woo ) - 한림대학교 의과대학 구강악안면외과학교실
이건주 ( Rhee Gun-Joo ) - 샘치과의원
조형준 ( Cho Hyung-Jun ) - 한림대학교 의과대학 치과학교실
천세환 ( Cheon Se-Hwan ) - 한림대학교의료원 강동성심병원 치과교정과
박양호 ( Park Yang-Ho ) - 한림대학교 의과대학 치과학교실
KMID : 0355620080340030355
Abstract
Skeletal anterior open bite is a difficult problem to correct in orthodontic treatment. To treat adult patients who have skeletal anterior open bite, we considered two methods. Combination treatment of orthodontics and surgery and camouflage orthodontic treatment. In adults, treatment of severe skeletal anterior open bite consists mainly of surgically repositioning the maxilla or the mandible. However, camouflage therapy is often the treatment of choice for skeletal open bite patients who have mild to moderate skeletal discrepancies when growth modification is no longer possible. But excellent results generally require careful coordination of the orthodontic and surgical phases of treatment. This is a case report of a skeletal anterior open bite patients who were treated with orthodontic treatment and orthognathic surgery. First case was diagnosed as skeletal class I malocclusion and bimaxillary protrusion with anterior open bite, and finally treatment ended for removal of open bite with orthodontic procedure and bimaxillary anterior segmental osteotomy surgery. Second case was diagnosed as skeletal class II malocclusion with open bite and mandibular retrusion, and was treated with only camouflage orthodontics because she feared to have a surgery. In a regular follow up visit after debonding we proposed to the patient advanced genioplasty, and in her agreement her facial esthetics was improved through the surgery.
키워드
Anterior segmental osteotomy; Open bite;Genioplasty
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