微种植体前方牵引在矫治上颌发育不足引起的骨性Ⅲ类错牙合中的研究进展

摘要/Abstract

摘要： 上颌前方牵引常被用于矫治生长发育期上颌骨发育不足引起的骨性Ⅲ类错牙合畸形，其能够有效地引导上颌向前生长，改善患者上颌骨发育不足的情况。近年来，随着技术的发展，运用微种植体联合上颌前方牵引矫治骨性Ⅲ类错牙合的治疗方法越来越得到认可。该文将对微种植体联合上颌前方牵引治疗中的植入位点、牵引力值及方向、治疗时机、治疗效果的稳定性等方面进行简要综述。

关键词: 微种植体, 上颌前方牵引, 骨性Ⅲ类错牙合

Abstract: Maxillary protraction is often applied into the treatment of skeletal Class Ⅲ malocclusion caused by maxillary deficiency, which can effectively guide maxillary to grow forward and improve maxillary dysplasia of patients. Recently, with the development of technology, maxillary protraction with miniscrew implant applied in the treatment of skeletal Class Ⅲ malocclusions has been more widely accepted. This article made a brief review on the research progress of clinical procedures of maxillary protraction with miniscrew implant, including the placement of implant, protraction force and angle, the time of treatment, and the stability of treatment effect.

Key words: miniscrew implant, maxillary protraction, skeletal Class Ⅲ malocclusions

中图分类号:

R783.5

朱零阮文华. 微种植体前方牵引在矫治上颌发育不足引起的骨性Ⅲ类错牙合中的研究进展[J]. , 2019, 39(9): 844-848.

Ling ZHU. Research progress of maxillary protraction with miniscrew implant in treatment of skeletal Class Ⅲ malocclusion caused by maxillary deficiency[J]. , 2019, 39(9): 844-848.

参考文献 37

[1]	Arman A, Toygar T U, Abuhijleh E. Profile changes associated with different orthopedic treatment approaches in Class III malocclusions[J]. Angle Orthod, 2004, 74(6):733-40.
[2]	Azamian Z, Shirban F. Treatment Options for Class III Malocclusion in Growing Patients with Emphasis on Maxillary Protraction[J]. Scientifica, 2016, 2016(6):1-9.
[3]	Celikoglu M, Oktay H. Effects of maxillary protraction for early correction of class III malocclusion[J]. Eur J Oral Sci, 2014, 36(1):86-92.
[4]	Clerck H D, Cevidanes L, Baccetti T. Dentofacial effects of bone-anchored maxillary protraction: A controlled study of consecutively treated Class III patients[J]. Am J Orthod Dentofacial Orthop, 2010, 138(5):577-81.
[5]	Cevidanes L, Baccetti T, Franchi L, et al. Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion[J]. Angle Orthod, 2010,80(5):799-806.
[6]	Ge Y S, Liu J, Chen L, et al. Dentofacial effects of two facemask therapies for maxillary protraction[J]. Angle Orthod, 2012, 82(6):1083-91.
[7]	Degala S, Bhanumathi M, Shivalinga B M. Orthopaedic Protraction of the Maxilla with Miniplates: Treatment of Midface Deficiency[J]. J Maxillofac Oral Surg, 2015, 14(1):111-8.
[8]	Esenlik E, A?larc? C, Albayrak G E, et al. Maxillary protraction using skeletal anchorage and intermaxillary elastics in Skeletal Class III patients[J]. Korean J Orthod, 2015, 45(2):95-101.
[9]	Tripathi T, Rai P, Singh N. et al. A comparative evaluation of skeletal, dental, and soft tissue changes with skeletal anchored and conventional facemask protraction therapy[J]. J Orthod Sci, 2016, 5(3):92-9.
[10]	Sar C, Arman-?z??rp?c? A, U?kan S, et al. Comparative evaluation of maxillary protraction with or without skeletal anchorage[J]. Am J Orthod Dentofacial Orthop, 2011, 139(5):636-49.
[11]	A?larc? C, Esenlik E, F?nd?k Y. Comparison of short-term effects between face mask and skeletal anchorage therapy with intermaxillary elastics in patients with maxillary retrognathia[J]. Eur J Oral Sci, 2016, 38(3):313.
[12]	Stven SL,Henry PJ,Rosenberg I.Osseointegrated implants as an adjunet to facemask therapy：a case report[J]．Angle Orthod,2000,70(3):253-262
[13]	Lee N K, Yang I H, Baek S H. The short-term treatment effects of face mask therapy in Class III patients based on the anchorage device: miniplates vs rapid maxillary expansion[J]. Angle Orthod, 2012, 82(5):846-52.
[14]	周彦恒,丁鹏,林野，等．钛板种植体上颌前方牵引治疗的初步应用研究[J]．中华口腔正畸学杂志,2007,14(3):102-105
[15]	Yan X， He W， Lin T， et al． Three-dimensional finite element analysis of the craniomaxillary complex during maxillary protraction with bone anchorage vs conventional dental anchorage． Am J Orthod Dentofacial Orthop， 2013,143( 2) : 197-205．
[16]	Ngan P, Wilmes B, Drescher D, et al. Comparison of two maxillary protraction protocols:tooth-borne versus bone-anchored protraction facemask treatment[J]. Prog Orthod, 2015,16(1):1-11.
[17]	Ngan P, Moon W. Evolution of Class III treatment in orthodontics[J]. Am J Orthod Dentofacial Orthop, 2015; 148: 22-36.
[18]	Elnagar M H, Elshourbagy E, Ghobashy S, et al. Dentoalveolar and arch dimension changes in patients treated with miniplate-anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2017;151:1092-106.
[19]	Hino C T, Cevidanes L H S, Nguyen T T, et al. Three-dimensional analysis of maxillary changes associated with facemask and rapid maxillary expansion compared with bone anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2013, 144(5):705-14.
[20]	De Clerck EE, Swennen GR. Success rate of miniplate anchorage for bone anchored maxillary protraction. Angle Orthod 2011; 81,1010–3
[21]	De Clerck H J, Proffit W R. Growth modification of the face: A current perspective with emphasis on Class III treatment[J]. Am J Orthod Dentofacial Orthop, 2015, 148(1):37-46.
[22]	Misch CE. Bone character: second vital implant criterion[J]. Dent Today. 1988;7:39–40.
[24]	Kircelli B， Pektas Z． Midfacial protraction with skeletally anchored face mask therapy: a novel approach and preliminary results． Am J Orthod Dentofacial Orthop， 2008， 133( 3) : 440-449．
[25]	罗晨,秦晓中,曾照斌,等.不同部位植入微种植钉进行前方牵引时上颌骨旋转趋势[J]医用生物力学, 2015, 30(1):38-42.
[26]	Moon W， Wu KW， Macginnis M， et al． The efficacy of maxillary protraction protocols with the micro-implant-assisted rapid palatal expander ( MARPE) and the novel N2 mini-implant-a finite element study．Prog Orthod， 2015， 16( 1) : 16
[27]	Yepes E, Quintero P, Rueda Z V, et al. Optimal force for maxillary protraction facemask therapy in the early treatment of class III malocclusion[J]. Eur J Oral Sci, 2014, 36(5):586-94.
[28]	Lee DY, Kim ES, Lim YK， et al. Skeletal changes of maxillary protraction without rapid maxillary expansion. Angle Orthod, 2010,80（4）：504-510
[29]	曾祥龙.现代口腔正畸学诊疗手册［M］.北京医科大学出版社,第一版，2000:208
[30]	Canturk B H, Celikoglu M. Comparison of the effects of face mask treatment started simultaneously and after the completion of the alternate rapid maxillary expansion and constriction procedure[J]. Angle Orthod, 2015, 85(2):284-91.
[31]	刘伟涛,宋扬,王雪东,等上颌反复快速扩缩前方牵引效果的锥形束CT观察[J].中华口腔医学杂志, 2015, 50(2):78-83.
[32]	Halicioglu K, Yavuz I, Ceylan I, et al. Effects of face mask treatment with and without rapid maxillary expansion in young adult subjects[J]. Angle Orthod, 2014, 84(5):853-61.
[33]	Foersch M, Jacobs C, Wriedt S, et al. Effectiveness of maxillary protraction using facemask with or without maxillary expansion: a systematic review and meta-analysis[J]. Clin Oral Investig, 2015, 19(6):1181-92.
[34]	Kim JH， Viana MA， Graber TM， et al. The effectiveness of protraction face mask therapy： a meta-analysis. Am J Orthod Dentofacial Orthop， 1999，115（6）：675-685.
[35]	Yavuz I ， Haliciogˇ lu K， Ceylan I， et al. The effects of face mask therapy with and without rapid maxillary expansion in adolescent patients. Aust Orthod J， 2012，28（1）：63-71.
[36]	?ar C, Sahino?lu Z, O¨ zc?irpici AA, Uc?kan S. Dentofacial effects of skeletal anchored treatment modalities for the correction of maxillary retrognathia. Am J Orthod Dentofacial Orthop 2014; 145,41–54.
[37]	Nienkemper M, Wilmes B, Franchi L, Drescher D. Effectiveness of maxillary protraction using a hybrid hyrax-facemask combination: a controlled clinical study. Angle Orthod 2015; 85,764–70.