@article{oai:shinshu.repo.nii.ac.jp:00046322,
 author = {福田, 千晶 and 富永, 憲俊 and 岡藤, 範正 and 吉川, 仁育 and FUKUDA, CHIAKI and TOMINAGA, NORITOSHI and OKAFUJI, NORIMASA and YOSHIKAWA, YOSHIYASU},
 issue = {1},
 journal = {松本歯学, Journal of the Matsumoto Dental University Society},
 month = {Sep},
 note = {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, application/pdf},
 pages = {48--57},
 title = {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},
 volume = {47},
 year = {2021}
}