›› 2013, Vol. 33 ›› Issue (7): 465-468.

• 基础与临床研究 • 上一篇    下一篇

上颌第二恒磨牙不同萌出状态的安氏Ⅱ1类患者应用口外弓治疗前后的头影测量研究

郐滨,朱静涛,李志媛,刘奕   

  1. 中国医科大学附属口腔医院
  • 收稿日期:2012-09-06 修回日期:2013-01-10 出版日期:2013-07-28 发布日期:2013-08-08
  • 通讯作者: 刘奕 E-mail:liuyi256@126.com
  • 基金资助:
    辽宁省科学技术计划项目;沈阳市科技计划项目

Cephalometric research of patients in different maxillary second molar eruption statuses using face bows

  • Received:2012-09-06 Revised:2013-01-10 Online:2013-07-28 Published:2013-08-08

摘要: 目的 评价应用口外弓非拔牙矫治上颌第二恒磨牙不同萌出状态的安氏Ⅱ1类错牙合畸形的临床效果。方法 选择恒牙牙合期应用口外弓进行非拔牙矫治的安氏Ⅱ1类错牙合畸形患者36例,年龄10~15岁,平均12.5岁。根据上颌第二恒磨牙萌出状态分为4组,测量所有患者治疗前、后头颅侧位片,采用方差分析方法比较治疗效果。结果 矫治前后的显著性改变主要发生在上颌,上颌第二磨牙牙胚位于上颌第一磨牙颈部以下组有统计学意义的指标最多(SNA、ANB、Wits距、U6-Ptv、overjet),且明显优于其他3组。结论 口外弓颈牵引能有效改善恒牙牙合期深覆盖,矫正磨牙关系,在上颌第二恒磨牙未萌,特别是其牙胚尚处于第一恒磨牙颈部以下时采用此方法效果最好。

关键词: 口外弓, 安氏Ⅱ1类错畸形, 非拔牙矫治, face bow, Angle classⅡ1 malocclusion, non-extraction correction

Abstract: Objective To analyze clinical effect of extraoral appliance in nonextraction treatment of cases of Angle classⅡ1 malocclusion in different maxillary second molar eruption statuses.Methods 36 cases of Angle classⅡ1 malocclusion,who were treated with extraoral appliance in permanent dentition without extraction were chosen,aged 1015 years old with an average age of 12.5 years old.They were divided into four groups according to different maxillary second molar eruption statuses.Pretreatment and posttreatment lateral cephalometrics were analyzed by ANOVA to compare treatment effects.Results Maxilla had a very significant change before and after treatment.The group in which maxillary second molar germs were below maxillary first molar necks had the most indexes which were statistically significant (SNA,ANB,Wits distance,U6Ptv,overjet), which were obviously better than those in the other three groups.Conclusions Traction with face bows can improve deep overjet in permanent dentition and correct molar relationship.It′s the best choice when the second permanent teeth haven′t erupted,especially when tooth germ is below first molar neck.

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