CAJ | 학술논문

目的分析造成正畸二次治疗的各种原因,并提出矫治设计.方法选取106例要求二次矫治患者,通过临床检查、拍摄X片及头影测量,分析造成矫治不当和失败的主要原因,并提出再次矫治的设计.结果因诊断、设计不当者占38.66%,治疗过程中存在各种矫治问题者占31.11%,涉及生长发育问题者占12.26%,畸形复发占19.81%,因医患沟通不够者占8.49%.其中部分病例经再次治疗取得了满意结果.结论在正畸治疗中,无论诊断、设计,还是矫治中三维控制等方面的问题均可造成治疗不当或失败.因此提高我国口腔正畸医师整体水平是十分重要的.
목적 분석조성정기이차치료적각충원인,병제출교치설계.방법 선취106례요구이차교치환자,통과림상검사、박섭X편급두영측량,분석조성교치불당화실패적주요원인,병제출재차교치적설계.결과 인진단、설계불당자점38.66%,치료과정중존재각충교치문제자점31.11%,섭급생장발육문제자점12.26%,기형복발점19.81%,인의환구통불구자점8.49%.기중부분병례경재차치료취득료만의결과.결론 재정기치료중,무론진단、설계,환시교치중삼유공제등방면적문제균가조성치료불당혹실패.인차제고아국구강정기의사정체수평시십분중요적.
Objective To analyze the orthodontic retreatment cases which orthodontists may find methods to reduce problems that lead to retreatment later in life. Methods 106 orthodontics retreatment cases by clinical check, cephomitirc film and panoramic radiograph. Results 38. 66% are unreasonable treatment plans, 31. 11% belong to treatment methods unfitted, 12. 26% are growth problems, 19. 81% are simple relapse and 8. 49% are communication related. Some cases gain satisfying results after retreatment. Conclusions Neither correct treatment plan, nor appropriate methods during treatment may cause failure. It is essential to improve all orthodontists in our country.