口腔医学 ›› 2022, Vol. 42 ›› Issue (12): 1144-1148.doi: 10.13591/j.cnki.kqyx.2022.12.018

• 综述 • 上一篇    下一篇

上颌交替快速扩缩结合前牵的研究进展

胡文静1, 余飞2, 弓国梁2, 邹明媛1, 林新平1,2   

  1. 1 浙江中医药大学口腔医学院,浙江杭州(310053);
    2 杭州牙博艺口腔工作室,浙江杭州(310000)
  • 收稿日期:2022-03-14 出版日期:2022-12-28 发布日期:2022-12-28
  • 通讯作者: 林新平 E-mail:xplinzju@163.com

Progress of research on alternate rapid maxillary expansions and constrictions

HU Wenjing, YU Fei, GONG Guoliang, ZOU Mingyuan, LIN Xinping   

  1. School of Stomatology, Zhejiang Chinese Medical University, Hangzhou 310053, China
  • Received:2022-03-14 Online:2022-12-28 Published:2022-12-28

摘要: 上颌交替快速扩缩(alternate rapid maxillary expansions and constrictions, Alt-RAMEC)是Liou在2005年提出的一种新的扩弓方法,可以更大程度地松解上颌周围骨缝,来促进上颌前牵效果。与快速扩弓辅助前牵相比,能更有效地矫正上颌发育不足,获得更多的骨骼效果。本文综述了传统Alt-RAMEC装置特点、临床效果、长期稳定性以及对气道的影响和牙周副作用,为推广临床应用提供参考。

关键词: 上颌交替快速扩缩, 上颌前方牵引, 骨性Ⅲ类错牙合

Abstract: Alternate rapid maxillary expansions and constrictions (Alt-RAMEC) is a new method of expansion proposed by Liou in 2005, which expands sutures around maxilla more effectively and leads to greater amount of maxillary protraction. Compared with rapid maxillary expansion and facemask, it can obtain better skeletal effects and correct maxillary deficiency more efficiently. This paper reviews characteristics of the conventional Alt-RAMEC device, clinical outcomes, long-term stability, airway changes and periodontal complications in order to provide reference for promoting clinical application.

Key words: alternate rapid maxillary expansions and constrictions, maxillary protraction, skeletal Class Ⅲ malocclusion

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