Iatrogenics in Orthodontics and its challenges

ABSTRACT Introduction: Orthodontics has gone through remarkable advances for those who practice it with dignity and clinical quality, such as the unprecedented number of patients treated of some type of iatrogenic problems (post-treatment root resorptions; occlusal plane changes; midline discrepancies, asymmetries, etc). Several questions may raise useful reflections about the constant increase of iatrogenics. What is causing it? Does it occur when dentists are properly trained? In legal terms, how can dentists accept these patients? How should they be orthodontically treated? What are the most common problems? Objective: This study analyzed and discussed relevant aspects to understand patients with iatrogenic problems and describe a simple and efficient approach to treat complex cases associated with orthodontic iatrogenics.

摘要
引言：口腔正畸学在恪守行医尊严与临床诊疗品质的从业者手中取得了显著进展，但与此同时，正畸治疗后并发各类医源性问题的患者数量已达空前规模，例如治疗后牙根吸收、咬合平面改变、中线不齐、面部不对称等。针对正畸医源性问题持续增多的现象，诸多值得深入反思的疑问应运而生：其诱因是什么？接受过正规培训的牙医是否仍会引发此类问题？从法律层面而言，牙医应如何接诊此类患者？正畸治疗应遵循何种规范方案？最常见的正畸医源性问题有哪些？
研究目的：本研究通过分析与讨论相关学术维度，以期深入了解存在正畸医源性问题的患者群体，并阐述一套简便高效的治疗方案，用于处理伴随正畸医源性并发症的复杂临床病例。