日本顎変形症学会雑誌
Online ISSN : 1884-5045
Print ISSN : 0916-7048
ISSN-L : 0916-7048
症例
変形性顎関節症を伴う,下顎骨の後方位に起因する骨格性Ⅱ級症例に対して,前後2分割Le Fort Ⅰ型骨切り術およびオトガイ形成術を用いて外科的矯正歯科治療を行った1例
平川 あかね谷川 千尋中津川 昂平原田 計真田中 晋山城 隆
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2024 年 34 巻 1 号 p. 5-16

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The patient was a 17-year-8-month-old female with Skeletal Class Ⅱ, high angle, and large overjet due to the posterior position of the mandible. Her left condyle was deformed. Temporomandibular joint disorder with deformation of the left condyle was observed, so to reduce the risk of postoperative mandibular condyle resorption, we did not perform mandibular osteotomy to move the mandible forward but performed a surgical orthodontic treatment using a combination of anterior-posterior two segment Le Fort I osteotomy and genioplasty. After treatment, a good lateral appearance and appropriate overjet and overbite were obtained, and the patient has a stable occlusion 2 years and 6 months after the start of retention.
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