摘要
目的:比较成人安氏Ⅱ类Ⅰ分类错伴有颞下颌关节紊乱病的患者临床矫治前后髁状突位置、面型侧位和面部软组织的变化。方法:治疗组7例成人安氏Ⅱ类Ⅰ分类错伴有颞下颌关节紊乱病的患者,常规采用MBT直丝弓矫治技术,拔牙矫治,打开咬合,矫治内收前牙,精细调整咬合为尖窝交错关系,覆覆盖正常。结果:治疗组矫治后面型侧貌由治疗前的突面型变为直面型,面下1/3高度增加,颞下颌关节紊乱病好转。结论:成人安氏Ⅱ类Ⅰ分类错伴有颞下颌关节紊乱病的患者通过打开咬合、内收直立前牙、调整磨牙咬合关系,治疗后髁突前移、后牙槽骨高度增加、颞下颌关节紊乱病基本好转。
Objective compare the changes in condyle positions, face type lateral position and facial soft tissue before and after clinical correction of adult Class Ⅱ Division Ⅰ malocclusion patients accompanied with the temporomandibular disorder. Method there were 7 adult Class Ⅱ Division Ⅰ malocclusion patients with accompanied with temporomandibular disorder, they accepted orthodontic extraction treatment routinely with MBT straight wire appliance technology, by which the occlusion was opened, the front teeth was received within correction, the occlusion was finely adjusted to canine fossa staggered relationship and the overbite cover was proper. Results The face type facial soft tissue profile was changed from raised face before treatment to straight face type and 1/3 of height under the face was increased and the temporomandibular disorder was made better. Conclusion the molars occlusion relationship of adult Class Ⅱ Division Ⅰ malocclusion patients accompanied with temporomandibular disorder was adjusted by opening the occlusion and adducting the upright front teeth, the condylar process was moved forward, the posterior teeth alveolar bone height was increased and the temporomandibular disorder was substantially improved.
出处
《实用医学杂志》
CAS
北大核心
2016年第11期1836-1839,共4页
The Journal of Practical Medicine
基金
佛山市科技创新平台项目(编号:2013AG10012)
广东省科技厅项目(编号:2013B021800033)
中国博士后基金项目(编号:2013M540787)
关键词
安氏Ⅱ类Ⅰ分类错[牙合]
颞下颌关节紊乱
Class Ⅱ Division Ⅰ malocclusion patients
The temporomandibular disorder
