›› 2019, Vol. 39 ›› Issue (5): 436-438.

• 临床研究 • 上一篇    下一篇

微种植钉支抗压低成年人上颌伸长磨牙的CBCT分析

邹双双1,温兴涛2,徐卓2,廖舒藤2   

  1. 1. 广州市荔湾区口腔医院正畸科
    2. 广州市荔湾区口腔医院
  • 收稿日期:2018-06-15 修回日期:2018-07-14 出版日期:2019-05-28 发布日期:2019-05-21
  • 通讯作者: 邹双双 E-mail:1253783974@qq.com
  • 基金资助:
    激光治疗在口腔内科专科建设的应用于研究;应用CBCT研究微种植钉压低伸长磨牙对根尖及根周组织的影响

The CBCT analysis of intruding maxillary molars of the adult by implanting miniscrew as anchorage

  • Received:2018-06-15 Revised:2018-07-14 Online:2019-05-28 Published:2019-05-21

摘要: 的 探讨通过微种植钉体支抗植入,结合正畸压力,压低成年人上颌伸长磨牙,为对颌缺失牙种植修复提供足够的颌间距离。方法 选择11名成年患者15颗上颌伸长磨牙,对颌缺失牙颌间距离明显缩短,影响缺失牙种植修复。在上颌伸长磨牙颊、腭侧各植入一枚自攻型钛合金微种植钉作为支抗,即刻负载,用橡皮链进行牵引加力,压低磨牙,每4周加力。当伸长磨牙压低并已创造足够的颌间距离后停止加力,进行下颌缺失牙修复。治疗前后拍摄CBCT,测量比较上颌伸长磨牙在治疗前后压低量。结果 15颗上颌伸长磨牙均获得有效压低,平均压低2.49mm,平均压低时间5.8月。上颌伸长磨牙未出现明显松动。结论 应用微种植支抗可有效压低成年人上颌伸长磨牙。

关键词: 微种植钉, 上颌伸长磨牙, CBCT

Abstract: Objective To provide enough interarch distance for implant restoration of jaw missing teeth by implanting miniscrew as anchorage, combined with orthodontic pressure, and intruding excessive growth maxillary molars.Methods Eleven adult cases with fifteen excessive growth maxillary molars were admitted in this study, and the reduced interarch distance was not adequate for implanting mandible molars. Two self-tapping miniscrews were implanted as anchorage in the buccal and palatal bone of the excessive growth maxillary molars. The force was applied immediately and was replaced every four weeks until the interarch distance was adequate. The changes of length were observed before and after the treatment by CBCT images. Results All fifteen excessive growth maxillary molars were intruded effectively with the average distance of 2.49 mm and the average duration of 5.8 months. There were no remarkable changes in tooth mobility before and after the treatment. Conclusion The miniscrew as orthodontic anchorage is available for intruding excessive growth maxillary molars.

Key words: miniscrew, excessive growth maxillary molars, CBCT

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