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前方牵引器矫治替牙期重度骨性前牙反畸形 被引量:11

Treatment effects of reverse-headgear in correction of severe skeletal anterior cross-bite in mixed dentition
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摘要 目的:探讨替牙期重度骨性前牙反前方牵引治疗前后软硬组织的变化。方法:选择40例替牙期轻中度和重度骨性前牙反患者,单纯使用前方牵引器进行矫治。每例患者在矫治前后分别拍摄头颅定位侧位片,采用传统头影测量方法和Pancherz头颅参照系统对治疗前后的软硬组织变化进行分析比较。结果:前方牵引治疗结束后,两组患者前牙反解除,建立了正常的覆覆盖关系,磨牙关系基本中性,Ⅲ类骨面型明显改善。结论:①同时伴有上颌骨后缩和下颌骨前突的重度骨性前牙反病例,应早期进行前方牵引。②重度骨性前牙反前方牵引后,骨性变化(26%)明显小于轻中度组骨性变化(42%)。③单纯采用前方牵引治疗替牙期重度骨性前牙反病例,其软组织侧貌及骨骼改形均有显著性变化。 Objective:To evaluate the treatment effects of maxillary protraction treatment on severe skeletal anterior cross-bite in mixed dentition.Method:According to inclusion criteria of the study,forty patients with mild-moderate and severe skeletal anterior cross-bite in mixed dentition were selected and treated with maxillary protraction.For each patient,the lateral cephalogram was taken before and after treatment.Hard and soft tissue changes were analyzed by both traditional and Pancherz analysis to evaluate the effects of maxillary protraction.Result:After maxillary protraction,anterior cross-bite of all subjects were removed,and all were established normal overjet and overbite,treated to Class I molar relationships.Class Ⅲ skeletal type were obviously improved.Conclusion:①Accompanied by maxillary retrusion and mandibular protrusion the severe skeletal anterior cross-bite patients,should be performed early maxillary protraction.②After the maxillary protraction treatment on the severe skeletal anterior cross-bite patients,the skeletal changes(26 %) was obviously less than that of mild-to-moderate anterior cross-bite patients(42 %).③After the simple maxillary protraction on the severe skeletal anterior cross-bite patients in mixed dentition,significant dentoskeletal and soft tissue changes and improvements were obtained.
出处 《临床口腔医学杂志》 2011年第6期373-376,共4页 Journal of Clinical Stomatology
基金 山东省科技攻关项目(2010GSF10269)
关键词 重度骨性前牙反 前方牵引 替牙期 Severe skeletal anterior cross-bite Maxillary protraction Mixed dentition
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参考文献13

  • 1Mayor P, El-Badrawy H. Maxillary protraction for early orthopaedic correction of Class Ⅲ malocclusion[J]. Pediatric Dentistry, 1993, 15: 203-207.
  • 2Guyer E C,Ellis Ⅲ E E,'McNamara Jr J A,et al. Components of Class Ⅲ malocclusion in juveniles and adolescents [J]. Angle Or- thodontist, 1986, 56: 7-30.
  • 3Pancherz H. The mechanism of Class Ⅱ correction in Herst appli- ance treatment:A cephalometric investigation [J]. Am J Orthod, 1982, 82 (2) : 104-113.
  • 4李明,王春玲,何谨,时伯红.前方牵引联合快速扩弓矫治不同年龄骨性Ⅲ类错的硬组织变化[J].口腔医学,2006,26(4):244-246. 被引量:13
  • 5Guyer EC, Ellis EE, McNamara JA, et al. Components of Class Ⅲ malocclusion in juveniles and adolescents [J]. Angle Orthod, 1986, 56: 7-30.
  • 6Mandall N, DiBiase A,Littlewood S. Is early Class Ⅲ protraction facemask treatment effective? A multicentre, randomized, controlled trial: 15-month follow-up [J]. Am J Orthod, 2010, 37 (3):149-161.
  • 7Nikia R Bums, David R Musich,Chris Martin,et al. Class Ⅲ cam- ouflage treatment: What are the limits [J] ?. Am J Orthod Dentofacial Orthop, 2010, 137 (9) : 1-13.
  • 8Kerr WJ,Ten Have TR. Changes in soft tissue profile during the treatmentof Class Ⅲ malocclusion [J]. Br J Orthod, 1987,14: 243-249.
  • 9Stellzig-Eisenhauer A,Lux CJ, Schuster G. Treatment decision in adult patients with Class Ⅲ malocclusion: orthodontic therapy or or- thognathic surgery?[J]. Am J Orthod Dentofacial Orthop, 2002, 122: 27-38.
  • 10Troy BA, Shanker S, Fields HW, et al. Comparison of incisor inclina- tion in patients with Class Ⅲ malocclusion treated with orthognathic surgery or orthodontic camouflage [J]. Am J Orthod Dentofacial Or- thop, 2009, 135 (146) : 1-9.

二级参考文献20

  • 1陈淑玲,闫红窈,张杰.采用FR—Ⅲ型矫治器治疗安氏Ⅲ类错[J].中华口腔正畸学杂志,1997,13(2):77-78. 被引量:25
  • 2Tanne K, Hiraga J, Kakiuchi K, et al. Biomechanical effect of anterior directed extroral forces on the craniofacial complex: a study using finite element methed[J]. Am J Orthod Dentifac Orthop, 1989, 95(3):200- 207.
  • 3Ngan P, Yiu C, Hu A, et al. Cephalometric and occlusal changes following maxillary expansion and protraction[J]. Eur J Orthod, 1998,20: 237 - 254.
  • 4Wisth PJ, Tritrapunt A, Rygh P, et al. The effect of maxillary protraction on front occlusion and facial morphology [ J]. Acta Odontol Scand, 1987,45(3) :227 - 237.
  • 5Tindlund RS. Orthopaedic protraction of the midface in the deciduous dentition: result coverlng 3 years out of treatment[J]. J Craniomaxfac Surg, 1989,17( 1 ) : 17 - 19.
  • 6Sakarnoto T. Effective timing for the application of orthopetic forcein the skeletal Class Ⅲ maloeelusion[J]. Am J Orthod, 1981,80(4) :411-416.
  • 7Litton SF, Ackerman LV, Isaaeson R J, et al. A genetic study of class 3 malocclusion[J]. Am J Orthod, 1970,4(5):565-577.
  • 8Saadia M, Torres E. Sagittal changes after maxillary protraction with expansion in Class Ⅲ patient in the primary, mixed, and late mixeddentitions: A longitudinal retrospective study[J]. Am J Orthod Dentifac Orthop, 2000,117(6): 669-680.
  • 9da Silva OG, Boas MCV,Capelozza L. Rapid maxillary expansion in the primary and mixed dentitions:A cephalometric evaluation [J]. Am J Orthed Dentofac Orthop, 1991, 100(2) : 171-181.
  • 10Asanza S, Cisneros GJ, Nieberg LJ. Comparison of Hyrax and bonded expansion appliances [J]. Angle Orthod, 1997,67 ( 1 ): 15 -22.

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