Two-phase orthodontic treatment of a complex malocclusion: Giving up efficiency in favor of effectiveness, quality of life, and functional rehabilitation?

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• 作者：Bernardo Quiroga Souki^a ; ^{souki.bhe@terra.com.br} ; Daniel Santos Fonseca Figueiredo^b ; Izabella Lucas de Abreu Lima^b ; Dauro Douglas Oliveira^c ; José ; Augusto Mendes Miguel^d
• 刊名：American Journal of Orthodontics and Dentofacial Orthopedics
• 出版年：2013
• 出版时间：April, 2013
• 年：2013
• 卷：143
• 期：4
• 页码：547-558
• 全文大小：3060 K

文摘

The interceptive orthodontic treatment of patients with complex dentofacial abnormalities is frequently inefficient and produces less than ideal outcomes. Therefore, postponing therapy to a single-phase surgical-orthodontic approach might be considered a reasonable option. However, other relevant aspects of the patient's quality of life, such as possible psychosocial problems and functional impairments, should also be considered before deciding whether to intercept a severe dentofacial malocclusion while the patient is still growing, or wait and treat later. This case report describes the nonsurgical treatment of a young patient with a severe Class III open-bite malocclusion associated with a cervical cystic lymphangioma. Despite the poor interceptive therapy prognosis, a 2-phase approach was effective. A reflection about giving up efficiency in favor of effectiveness, functional rehabilitation, and the patient's quality of life is included.