骨性Ⅱ类伴埋伏牙双期矫正病例1例

doi:10.13591/j.cnki.kqyx.2024.05.004

摘要/Abstract

摘要：

骨性Ⅱ类的患者常表现为上颌前牙前突,下颌后缩,开唇露齿,前牙深覆牙合、深覆盖等症状,严重影响颜面美观。本文报道1例一期早期矫治配合二期固定矫治治疗骨性Ⅱ类伴埋伏牙的生长发育期男性患者病例。治疗后骨性Ⅱ类症状明显改善,包括下颌后缩的改善,开唇露齿问题得到解决,面部外观趋向于直面型,同时颞下颌关节未出现明显异常。该病例显示早期矫正对此类患者可以达到良好的治疗效果,可以避免或减少此类患者成年后正颌手术的可能性。

关键词: 骨性Ⅱ类, 双期矫正, 埋伏牙, Twin-Block 矫治器

Abstract:

Patients with skeletal Class Ⅱ often show symptoms such as protrusion of maxillary anterior teeth, mandibular retraction, open lips and teeth, deep overbite, and deep overjet, which seriously affect the facial appearance. This article reports a case of an adolescent male patient with skeletal Class Ⅱ combined with impacted teeth treated by one-stage early correction and two-stage fixation. After treatment, the patient’s skeletal Class Ⅱ symptoms improved significantly, including the improvement of mandibular retraction. The problem of open lips and teeth was solved; the facial appearance tended to be straight, and there was no obvious abnormality of the temporomandibular joint. This case shows that early correction can achieve good therapeutic effects on this kind of patients and can avoid or reduce the possibility of orthognathic surgery for these patients in adulthood.

Key words: skeletal Class Ⅱ, two-stage orthodontic treatment, impacted tooth, Twin-Block appliance

中图分类号:

R783.5

郭凯, 韩欣颖, 马浩杰, 刘丽娟, 杨芳红. 骨性Ⅱ类伴埋伏牙双期矫正病例1例[J]. 口腔医学, 2024, 44(5): 338-343.

GUO Kai, HAN Xinying, MA Haojie, LIU Lijuan, YANG Fanghong. One case of double-stage orthodontic treatment of skeletal Class Ⅱ combined with impacted teeth[J]. Stomatology, 2024, 44(5): 338-343.

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参考文献 22

[1]	吴艳棋, 朱敏. 青少年Ⅱ类骨性错牙合畸形矫形治疗后颞下颌关节变化的研究进展[J]. 口腔医学, 2021, 41(11):1047-1051.
[2]	曹伟清, 林汤毅, 吕冬. 快速生长期骨性安氏Ⅱ类下颌后缩患者使用无托槽隐形矫治器前导下颌的临床效果分析[J]. 口腔医学, 2023, 43(3):242-247.
[3]	Saikoski LZ, Cançado RH, Valarelli FP, et al. Dentoskeletal effects of Class Ⅱ malocclusion treatment with the Twin Block appliance in a Brazilian sample: A prospective study[J]. Dental Press J Orthod, 2014, 19(1):36-45. doi: 10.1590/2176-9451.19.1.036-045.oar pmid: 24713558
[4]	Toth LR, Jr McNamara JA. Treatment effects produced by the twin-block appliance and the FR-2 appliance of Fränkel compared with an untreated Class Ⅱ sample[J]. Am J Orthod Dentofacial Orthop, 1999, 116(6):597-609.
[5]	苑迎娇, 陈亮, 胡通. GALL线评价Twin-Block治疗安氏Ⅱ类1分类的侧貌变化[J]. 实用口腔医学杂志, 2021, 37(6):845-848.
[6]	Teng F, Du FY, Chen HZ, et al. Three-dimensional analysis of the physiologic drift of adjacent teeth following maxillary first premolar extractions[J]. Sci Rep, 2019, 9(1):14549. doi: 10.1038/s41598-019-51057-4 pmid: 31601925
[7]	Li PL, Feng J, Shen G, et al. Severe Class Ⅱ Division 1 malocclusion in an adolescent patient, treated with a novel sagittal-guidance Twin-block appliance[J]. Am J Orthod Dentofacial Orthop, 2016, 150(1):153-166.
[8]	杜建东, 韩保迪, 李芳兰, 等. 两种矫治设计在下颌近中唇侧阻生异位尖牙治疗中对邻近切牙牙根吸收的对比研究[J]. 实用口腔医学杂志, 2022, 38(4):471-478.
[9]	Ishaq RAR, AlHammadi MS, Fayed MMS, et al. Fixed functional appliances with multibracket appliances have no skeletal effect on the mandible: A systematic review and meta-analysis[J]. Am J Orthod Dentofacial Orthop, 2016, 149(5):612-624.
[10]	Koretsi V, Zymperdikas VF, Papageorgiou SN, et al. Treatment effects of removable functional appliances in patients with Class Ⅱ malocclusion: A systematic review and meta-analysis[J]. Eur J Orthod, 2015, 37(4):418-434.
[11]	Campbell C, Millett D, Kelly N, et al. Frankel 2 appliance versus the Modified Twin Block appliance for Phase 1 treatment of Class Ⅱ division 1 malocclusion in children and adolescents: A randomized clinical trial[J]. Angle Orthod, 2020, 90(2):202-208. doi: 10.2319/042419-290.1 pmid: 31613144
[12]	Batista KB, Thiruvenkatachari B, Harrison JE, et al. Orthodontic treatment for prominent upper front teeth(Class Ⅱ malocclusion) in children and adolescents[J]. Cochrane Database Syst Rev, 2018, 3(3):CD003452.
[13]	于倩, 朱妍菲, 孙蕙珺, 等. Ⅱ类功能矫治器对颌骨牙齿改变权重的研究进展[J]. 口腔医学, 2019, 39(7):668-672.
[14]	Elfeky HY, Fayed MS, Alhammadi MS, et al. Three-dimensional skeletal, dentoalveolar and temporomandibular joint changes produced by Twin Block functional appliance[J]. J OrofacOrthop, 2018, 79(4):245-258.
[15]	Zreaqat M, Hassan R, Samsudin AR, et al. Effects of twin-block appliance on upper airway parameters in OSA children with class Ⅱ malocclusion and mandibular retrognathia: A CBCT study[J]. Eur J Pediatr, 2023, 182(12):5501-5510.
[16]	钱文娴, 秦天牧. 不同下颌平面角患者对Twin-block矫治器的反应[J]. 口腔医学, 2007, 27(12):626-628.
[17]	DiBiase AT, Cobourne MT, Lee RT. The use of functional appliances in contemporary orthodontic practice[J]. Br Dent J, 2015, 218(3):123-128.
[18]	Ince-Bingöl S, Kaya B. Pharyngeal airway and hyoid bone position changes of skeletal anchored Forsus Fatigue Resistant Device and activator appliances[J]. Clin Oral Investig, 2021, 25(8):4841-4850.
[19]	Jugé L, Knapman FL, Humburg P, et al. The relationship between mandibular advancement, tongue movement, and treatment outcome in obstructive sleep apnea[J]. Sleep, 2022, 45(6):zsac044.
[20]	Yue Z, Yi ZA, Liu XY, et al. Comparison of invisalign mandibular advancement and twin-block on upper airway and hyoid bone position improvements for skeletal class Ⅱ children: A retrospective study[J]. BMC Oral Health, 2023, 23(1):661.
[21]	李娜君, 赵春洋, 吴可, 等. Twin-block矫治器矫治安氏Ⅱ¹错牙合畸形的机制研究[J]. 口腔医学, 2019, 39(12):1082-1084,1112.
[22]	Nindra J, Sidhu MS, Kochhar AS, et al. Three-dimensional evaluation of condyle-glenoid Fossa complex following treatment with herbst appliance[J]. J Clin Med, 2021, 10(20):4730.