骨性III类错患者正畸正颌联合治疗前后面部软组织变化的研究

Abstract

Abstract: 　Objective　To investigate the changes of facial soft tissue before and after orthodontic and orthognathic treatment in patients with skeletal Class Ⅲ malocclusion。Methods　14 patients with skeletal Class Ⅲ malocclusion are chosen from the Orthodontic Department of Jiangsu provincial stomatological hospital. The patients are required to take 3dMD photos before and after treatments. We use 3dMD vultus to rebuild the patients ’soft tissues. In order to compare the soft tissue changes, 17 points are selected and are used for length and angle measurements. Results：A significant difference was found in the angle of N‘-Sn-Pog‘，the nasolabial angle ，the mentolabial angle、the length of upper lip and the width of alar and alar base。Conclusions　1.3dMD provides a method for three-dimensional measurement of soft tissue. 2. The profile of patients with skeletal class III malocclusion were improved before and after orthodontic and orthognathic treatment。

Key words: skeletal Class Ⅲ malocclusion, orthodonticandorthognathictreatment, three-dimensional photogrammetry, facial soft tissue change

CLC Number:

R783.5

References 20

[1]	LUCHI G H M, CONCI R A, TOMAZI F H S, et al. Assessment of the Postoperative Stability of Mandibular Orthognathic Surgery for Correction of Class III Skeletal Malocclusion[J]. Journal of Craniofacial Surgery, 2017,28(1):151-156.
[2]	SILVA A M B R, MAGRI L V, OSBORNE P R, et al. Three-Dimensional Nasal Alterations in Le Fort I Advancement[J]. Journal of Craniofacial Surgery, 2019,30(4):1125-1130.
[3]	HELLAK A F, KIRSTEN B, SCHAUSEIL M, et al. Influence of maxillary advancement surgery on skeletal and soft-tissue changes in the nose — a retrospective cone-beam computed tomography study[J]. Head & Face Medicine, 2015,11(1).
[4]	CHOI J W, LEE J Y, OH T, et al. Frontal soft tissue analysis using a 3 dimensional camera following two-jaw rotational orthognathic surgery in skeletal class III patients[J]. Journal of Cranio-Maxillofacial Surgery, 2014,42(3):220-226.
[5]	OHBA S, KOHARA H, KOGA T, et al. Soft tissue changes after a mandibular osteotomy for symmetric skeletal class III malocclusion[J]. Odontology, 2017,105(3):375-381.
[6]	BAIK H, KIM S. Facial soft-tissue changes in skeletal Class III orthognathic surgery patients analyzed with 3-dimensional laser scanning[J]. American Journal of Orthodontics and Dentofacial Orthopedics, 2010,138(2):167-178.
[7]	JUNG J, LEE C, LEE J, et al. Three dimensional evaluation of soft tissue after orthognathic surgery[J]. Head & Face Medicine, 2018,14(1).
[8]	彭菊香, 江久汇, 赵一姣, 等. 结构光扫描对骨性Ⅲ类错牙合正畸正颌联合治疗前后软组织三维变化的初步评价[J]. 北京大学学报（医学版）, 2015(1):98-103.
[9]	LEE S. Three-Dimensional Photography and Its Application to Facial Plastic Surgery[J]. Archives of Facial Plastic Surgery, 2004,6(6):410-414.
[10]	BAYSAL A, SAHAN A O, OZTURK M A, et al. Reproducibility and reliability of three-dimensional soft tissue landmark identification using three-dimensional stereophotogrammetry[J]. The Angle Orthodontist, 2016,86(6):1004-1009.
[11]	HONG C, CHOI K, KACHROO Y, et al. Evaluation of the 3dMDface system as a tool for soft tissue analysis[J]. Orthodontics & Craniofacial Research, 2017,20:119-124.
[12]	NAINI F B, AKRAM S, KEPINSKA J, et al. Validation of a new three-dimensional imaging system using comparative craniofacial anthropometry[J]. Maxillofacial Plastic and Reconstructive Surgery, 2017,39(1).
[13]	杨一帆. 成人骨性Ⅲ类错(牙合)患者术前术后唇颏部软组织形态变化的研究[D]. 第四军医大学, 2015.
[14]	尹晓娟, 张苗苗. 骨性安氏Ⅲ类错双颌手术后软组织的三维头影测量分析[J]. 中国美容医学, 2012,21(02):277-280.
[15]	CHEN C Y H, LIN C C H, KO E W C. Effects of two alar base suture techniques suture techniques on nasolabial changes after bimaxillary orthognathic surgery in Taiwanese patients with class III malocclusions[J]. International Journal of Oral and Maxillofacial Surgery, 2015,44(7):816-822.
[16]	van LOON B, van HEERBEEK N, BIERENBROODSPOT F, et al. Three-dimensional changes in nose and upper lip volume after orthognathic surgery[J]. International Journal of Oral & Maxillofacial Surgery, 2014,44(1):83-89.
[17]	史雨林, 商洪涛, 田磊, 等. 骨性Ⅲ类错畸形患者双颌手术前后面部软组织变化的三维研究[J]. 中国修复重建外科杂志, 2018,32(05):612-616.
[18]	WORASAKWUTIPHONG S, CHUANG Y, CHANG H, et al. Nasal changes after orthognathic surgery for patients with prognathism and Class III malocclusion: Analysis using three-dimensional photogrammetry[J]. Journal of the Formosan Medical Association, 2015,114(2):112-123.
[19]	JUNG Y, KIM M, BAEK S. Hard and soft tissue changes after correction of mandibular prognathism and facial asymmetry by mandibular setback surgery: Three-dimensional analysis using computerized tomography[J]. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 2009,107(6):763-771.
[20]	ALDRIDGE K, BOYADJIEV S A, CAPONE G T, et al. Precision and error of three-dimensional phenotypic measures acquired from 3dMD photogrammetric images[J]. American Journal of Medical Genetics Part A, 2005,138A(3):247-253.

The study of facial soft tissue changes in patients with skeletal Class Ⅲ malocclusion before and after orthodontic and orthognathic treatment

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 20

Related Articles 4

Recommended Articles

Metrics

Comments

[1]	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.
[2]	. Orthodontic treatment of an adult patient with mandibular deviation and temporomandibular joint disorder — a case report [J]. , 2018, 38(5): 453-456.
[3]	Juan DU. Clinical effect analysis of early treatment to skeletal class Ill high angle with the tongue thrust habit cases by maxillary protraction and tongue crib [J]. , 2016, 36(9): 809-812.
[4]	. Orthodontic treatment for adult patients with palatally and horizontally impacted maxillary canine in skeletal class Ⅲ malocclusion [J]. , 2013, 33(8): 551-554.