| Item type |
松本歯学/学術雑誌論文 / Journal Article(1) |
| 公開日 |
2021-09-02 |
| タイトル |
|
|
タイトル |
てんかんを合併した骨格性上顎前突症に対しての一症例 |
| 言語 |
|
|
言語 |
jpn |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
てんかん |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
骨格性上顎前突症 |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
歯科矯正用アンカースクリュー |
| キーワード |
|
|
主題Scheme |
Other |
|
主題 |
矯正治療 |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| その他（別言語等）のタイトル |
|
|
その他のタイトル |
A case of the epilepsy patient who had skeletal maxillary protrusion |
| 著者 |
福田, 千晶
富永, 憲俊
岡藤, 範正
吉川, 仁育
|
| 著者別名 |
FUKUDA, CHIAKI
TOMINAGA, NORITOSHI
OKAFUJI, NORIMASA
YOSHIKAWA, YOSHIYASU
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Gingival overgrowth, certain characteristic facial features, and a thickening of the calcaneus are known to be side effects of phenytoin, an antiepileptic drug. Furthermore, a thickening of the maxillary alveolar bone, an increase in bone density, suppression of alveolar bone resorption, etc. have also been reported. We performed orthodontic treatment for a patient who had been taking antiepileptic drugs before his first visit. The patient was diagnosed with skeletal maxillary prognathism, in which he had a large overjet of 12.0 mm, and an ANB of +6.0 mm. As a phase I treatment, we attempted mandibular anterior guidance using Activator, and then we attempted to suppress the growth of the maxilla using a lingual arch and headgear. During the treatment, plaque control was thoroughly performed as a measure against gingival overgrowth.The phase II treatment aimed at removing the discrepancy with the arch length and improving the overjet. After performing a gingivectomy, a multi–bracket and a transparatal arch were attached, and use of the headgear continued. Furthermore, in order to improve the overjet, orthodontic anchor screws were applied to the maxillary palate, and then, the maxilla was centrifugally moved to obtain an appropriate occlusion. During this orthodontic treatment period, the patient suffered epileptic seizures intermittently, which required epilepsy surgery. Hence, we had to interrupt treatment. As a result, the period of dynamic orthodontic treatment from the first visit was 10 years and 1 month, which was long; however, the treatment resulted in a proper occlusion. The experience of this treatment reaffirmed that orthodontic treatment is important in that it can contribute to improved QOL for patients and their families, and that orthodontic treatment should be performed in consideration of the patient’s general condition |
| 書誌情報 |
松本歯学
en : Journal of the Matsumoto Dental University Society
巻 47,
号 1,
p. 48-57,
発行日 2021-09-02
|
| 出版者 |
|
|
出版者 |
松本歯科大学学会 |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2188-7233 |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12684554 |
| フォーマット |
|
|
内容記述タイプ |
Other |
|
内容記述 |
application/pdf |
| 著者版フラグ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
本文 (16.2 MB)
