›› 2013, Vol. 33 ›› Issue (4): 229-231.

• 基础与临床研究 • 上一篇    下一篇

组合微螺钉种植支抗压低下颌伸长磨牙的初步研究

毛慧霞1,李峰2,李玮3,元志昌2,武建潮4   

  1. 1. 浙江省江山妇幼保健院
    2. 台州中医院
    3. 武义县人民医院
    4. 浙江大学医学院附属第二医院
  • 收稿日期:2012-04-18 修回日期:2012-05-31 出版日期:2013-04-28 发布日期:2013-04-18
  • 通讯作者: 武建潮 E-mail:wujianchao555@163.com
  • 基金资助:
    盘状支抗种植体表面层层自组装rhBMP-2涂层的构建及骨膜细胞生物学效应; 盘状正畸种植体表面活性涂层的构建及成骨细胞生物学效应

Pilot study of efficiency of connected miniscrews as anchorage to lower molar intrusion

  • Received:2012-04-18 Revised:2012-05-31 Online:2013-04-28 Published:2013-04-18
  • Contact: Jian-Chao WU E-mail:wujianchao555@163.com

摘要: 目的 初步评价利用组合微螺钉种植体支抗压低下颌伸长磨牙的临床效果。方法 选择3例下颌磨牙伸长患者,在伸长磨牙颊侧植入2枚微型种植体,取2段0.48 mm×0.64 mm不锈钢丝方丝,焊接并弯制成带有颊舌侧牵引钩的连接杆,用光固化树脂将其固定于2颗种植体头部,使2颗种植体连接成为一个整体,并且颊舌侧牵引钩正好位于伸长磨牙的颊舌侧根尖水平处。作支抗压低伸长磨牙,治疗前后拍摄头颅侧位定位片,测量比较磨牙在矫治前后的压低量。结果 所有种植体植入过程顺利,在治疗过程中未出现松动脱落。舌侧牵引钩经过5个月左右的治疗,3例患者伸长的下颌磨牙压低明显,达3~4 mm。压低后磨牙未见明显松动,且颊舌向转矩正常,未出现舌尖或颊尖伸长现象,也未发现明显的牙根吸收与牙髓坏死,牙周状况良好。结论 应用组合微螺钉种植支抗能有效地压低下颌伸长磨牙。

关键词: 微型种植体, 支抗, 伸长磨牙, 压低, miniscrews, orthodontic anchorage, overerrupted molar intrusion, intrusion

Abstract: Objective To study the efficiency of connected miniscrews as anchorage to lower molar intrusion . Methods 3 patients with overerrupted lower molars were selected. Two miniscrews, 1.6 mm in diameter, 9 mm in length, were placed buccully in the interradicular areas between second premolar and first premolar. Two buccally placed miniscrews were connected by 2 straight 0.48 mm×0.64 mm orthodontic stainless steel archwires were welded. The distal ends of the wires were bent to form a hook stretching to the buccal lingual side of the molars.. A elastic generating 1N force was connected to the lingual and buccal hooks to intrude the overerrupted molar. Results All the implatation was successful and there was no loosening in the treatment. After 5 months' treatment, the overerupted lower posterior molars were lowered . Conclusion Connected miniscrews can be effective anchorage to lower overerupted molars.

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