别名

项目介绍
由于先天或后天的原因造成的颌面骨畸形,导致了上下颌关系不协调,牙中线不一致,具体表现为龅牙、地天牙、兜牙、小下巴等症状。调整上下颌骨位置,重塑牙弓前后与垂直关系,使上下颌骨骨块矫正到合理、恰当的位置,重新建立美观、协调、稳定的上下颌咬合关系。 颌面手术加牙齿正畸的方式改善问题。

项目特色
颌面正畸可以先手术,后矫正,从根本上改善面部轮廓问题。

功效
改善脸型,改善凸嘴,优化脸型,改善地包天

适合人群特征
小颌畸形,单纯上颌畸形,上颌前突,上颌后缩,上颌不对称畸形,下颌前突畸形,牙合畸形

适合人群
牙合畸形,上颔前突,上颔后缩,上颔畸形,下颔畸形,下颔前突

关注度
⭐⭐⭐⭐⭐

安全度
⭐⭐⭐ ✩ ✩

复杂度
⭐⭐⭐⭐⭐

项目优点
上下颚截骨后,回到正常的位置,能解决说话和咀嚼等功能上的问题;调整面部比例和线条,提高颜值;能同时解决突嘴、地包天和面部不对称等问题;手术方案结合牙套正畸可以加速达到矫正的效果。

项目缺点
手术创伤大、风险和术后并发症多;术后恢复较慢,需8-12周的时间,才能完全固定;手术费用较高,对医生和机构要求高。

禁忌人群
心脏病、肝炎、肾炎、肺炎患者; 血液性疾病、糖尿病、甲亢等疾病患者;麻醉药有过敏史者;面部有神经性病变者;瘢痕体质者;精神病患者、心理障碍者;月经期或妊娠期者。

留疤

治疗周期
单次

麻醉方式
全麻

操作方式
手术

效果持续
持久

恢复时间
6个月

操作人员资质
有颌面资质的医生可操作

疼痛感
无痛

术前必读

  1. 头颅X光片、CT、头颅骨3D打印模型;
  2. 全口牙齿模型;
  3. 健康状况良好,无感冒、感染等;
  4. 胸片、心电图、血化验(常规、微生物、出凝血、生化)检查;
  5. 术前2周洁牙;
  6. 女性要避开月经期、哺乳期以及妊娠期;
  7. 男性要提前戒烟2周。

温馨提醒
以上术后护理仅供参考。因个体差异、采用术式不同,恢复周期、拆线时间及护理方法均会有所不同。具体护理方案,建议遵医嘱执行。

热门问
Q1.矫正会改变脸型嘛?
牙齿矫正对脸型有所改变,但改变的程度各有差异。
Q2.请问我是骨性龅牙还是牙性龅牙? 拔掉四果双尖牙做矫正会有很好的效果吗?
根据牙片分析属于骨性龅牙,骨性在临床上分一度二度二度其中一度二度多数情况可以通过矫正方式来治疗,为了保证牙齿的上下协调左右对称最为常见拔牙模式为双尖牙,不会影响牙齿的功能和健康。
Q3.我的牙齿也是地包天,显得下巴突,只整牙可以吗?
上面牙齿在后,下面牙齿在前,属于反颌症状,也就是地包天,从侧面看上嘴唇凹陷,下巴前突,影响面部美观。
矫正地包天分两种情况,一种是牙性地包天,只需戴牙套即可矫正,佩戴时间一般2-3年左右,另一种是骨性地包天,需要采用正牙手术,具体情况到医院进行诊断。
反颌需尽早进行治疗,随着青春期颌骨的发育,下巴前突会越来越明显,早期矫治,可收到良好的矫治效果,并可防止畸形向严重发展。
Q4.侧面看嘴巴有些凸,该怎么改善
嘴突的正畸治疗包括三种方法:拔牙矫正,非拔牙矫正和正畸正颌联合矫正。具体由专业正畸医生根据患者的不同类型的牙齿错合情况决定采用哪一种方案。

FAQ 常见问答题

Orthodontic treatment is mainly to solve dental problems, while maxillofacial orthodontic treatment is mainly to solve bone problems. Based on orthodontic treatment, orthognathic surgery is used to change the patient’s face and bite relationship, so as to achieve normal bite state and facial smile. However, if the simple dental relationship is not normal, only need to wear braces for orthodontic treatment.

牙齿正畸治疗主要是解决牙齿的问题,而颌面正畸主要解决骨性问题,在正畸基础上通过正颌手术改变患者的面容和咬合关系,达到正常的咬合状态和面容微笑。但如果单纯是牙性关系不正常,只需戴牙套进行正畸治疗。

Simple tooth protrusion, only need tooth correction; If the alveolar bone is protruding, it needs surgical correction, which is reflected in the side view, and the severe protrusion of the mouth or gums together.

单纯牙齿突出,只需牙齿矫正;如果是牙槽骨突出,就需要手术矫正,体现在侧面看时,严重突嘴或牙床一起突出者。

For simple malocclusion without obvious jaw malformations, such as dental crowding and dental gap, simple orthodontic treatment can be used to achieve satisfactory correction results through tooth movement. However, for skeletal occlusal surface deformities, only orthodontic treatment of tooth movement is far from enough, and can only be corrected through the combined treatment of orthodontic and orthognathic surgery.
对于简单的错颚畸形,不伴有明显的颚骨畸形,如牙列拥挤、牙列缝隙等,可采用单纯的正畸治疗,通过牙齿移动,取得满意的矫正效果;但对于骨骼型的牙合面畸形,仅仅进行牙齿移动的正畸治疗,是远远不够的,只能通过正畸、正颚手术的联合治疗,才能得到矫正。

For patients in Western countries, orthodontic correction is generally done first, jaw surgery is done after the tooth shape is adjusted, and then the tooth shape is adjusted twice after the surgery is recovered to achieve relatively perfect results. But many patients in China, hope that their facial contors, in a short period of time to improve, do not want to spend a year or two to do orthodontic correction, in this case as long as the teeth do not affect the operation, such as the root does not affect the alveolar bone, osteotomy line, etc., you can directly jaw surgery, and then orthodontic treatment, which saves time, the postoperative orthodontic and simpler, more in line with China’s national conditions.
西方国家的患者,一般是先做正畸矫正,牙齿形态调整好后做下颚手术,手术恢复好后,再对牙齿形态进行二次的调整,以达到相对完美的效果;但我国的许多患者,希望自己的面部轮廓,在短时间内得到改善,不愿意花一两年先做正畸矫正,这种情况下只要牙齿不影响手术,譬如牙根不影响牙槽骨、截骨线等,可以直接下颚手术,然后再进行正畸治疗,这样又省时间,术后的正畸又简单些,比较符合中国的国情。

If orthodontic treatment has been done before the operation, the teeth are arranged neatly, and the dental space left after the operation is normal or close to normal, you can not do orthodontic; In fact, we found that a considerable number of patients, even if there is a certain gap in the teeth after surgery, but because it is hidden in the mouth, it is not easy to find, and they do not have orthodontics; Of course, for those who have not done orthodontics before surgery, the postoperative tooth spacing is too large or uneven, and the patients have high cosmetic requirements, and orthodontic adjustment is still needed.

如果手术前已经做过正畸治疗,牙齿排列很整齐,术后遗留的牙间隙,又正常或接近正常,可以不做正畸;实际上,我们发现有相当部分的患者,即使术后牙齿有一定的间隙,但因为隐藏在口腔内,不容易发现,也没有做正畸;当然对于术前没有做过正畸,术后牙齿齿距过大或排列不齐,患者美容要求高,仍然需要正畸调整。

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