两种方法矫治不同年龄组安氏Ⅱ2错牙合畸形的临床研究

Abstract

Abstract: Objective To study the clinical efficacy of maxillary incisors in adolescents and adults with Class Ⅱ division 2 using two different methods. Methods 41 patients with Class Ⅱ division 2 were selected and divided into adolescent group(A) and adult group(B) according to age. Each group was randomly divided into two groups respectively using the miniscrew and reverse-curve archwire to protrude and intrude the maxillary incisors. Cone-beam Computed Tomograph (CBCT) was taken before and after treatment, and changes of the position of the maxillary anterior teeth and the alveolar bone were measured and analyzed. Results All 41 patients achieved normal overbite and overjet. The maxillary incisors have different degrees of inclination and intrusion(P <0.05;A1>A2,P >0.05;B1>B2,P <0.05); as was the intrusion of superior prosthion(P <0.05;A1>A2,P <0.01;B1>B2,P <0.05）. The measurements of the b3 showed an increase in bone thickness(P <0.05). The measurements of the p2 and the p3 showed a decrease in bone thickness(P <0.05). There were no significant differences between different ages. Conclusion The implant anchorage can effectively correct the retroclined maxillary incisors of Class Ⅱ division 2 and achieve the genuine intrusion. There was no significant difference in the change of maxillary incisors between adolescents and adults.

Key words: Class Ⅱ division 2 , Micro-implant , protrusion , intrusion

CLC Number:

R783.5

References 27

[1]	Bock N C, Ruf S.Class II division 2 treatment does skeletal maturity influence success and stability[J].Journal of Orofacial Orthopedics, 2013, 74(3):187-204
[2]	冯贻苗，万澎波，娄新田，等.种植体支抗辅助非拔牙矫正成人Ⅱ类分类错牙合的临床研究[J].口腔医学, 2014, 34(02):95-101
[3]	Bratu D C, Balan R A, Szuhanek C A, et al.Craniofacial morphology in patients with Angle Class II division 2 malocclusion[J].Romanian Journal of Morphology and Embryology, 2014, 55(3):909-913
[4]	Perovic T.The Influence of Class II Division 2 Malocclusions on the Harmony of the Human Face Profile[J].Med Sci Monit, 2017, 23:5589-5598
[5]	王大为，张晟，谢永建.安氏Ⅱ类分类错牙合的临床矫治[J].口腔正畸学, 2007, 14(2):92-96
[6]	麦志辉，艾虹，卢红飞，等.微种植体支抗压低上前牙的实验研究[J].中华口腔正畸学杂志, 2009, 16(4):215-218
[7]	Kumar P, Datana S, Londhe S M, et al.Rate of intrusion of maxillary incisors in Class II Div 1 malocclusion using skeletal anchorage device and Connecticut intrusion arch[J].Med J Armed Forces India, 2017, 73(1):65-73
[8]	Polat-Ozsoy O, Arman-Ozcirpici A, Veziroglu F, et al.Comparison of the intrusive effects of miniscrews and utility arches[J].Am J Orthod Dentofacial Orthop, 2011, 139(4):526-532
[9]	王燕.安氏Ⅱ类2分类错牙合患者非拔牙矫治前后软硬组织变化的研究 [D]. 郑州:郑州大学, 2016.
[10]	吴可，谷妍，周明智，等.配合前牙种植支抗矫治安氏Ⅱ错牙合畸形的疗效研究[J].口腔医学, 2019, 39(06):514-518
[11]	陈香，张向凤，黄倩倩，等.微种植体支抗辅助内收上切牙后牙槽骨改建的锥形束研究[J].上海口腔医学, 2018, 27(2):150-155
[12]	Sia S, Koga Y, Yoshida N.Determining the center of resistance of maxillary anterior teeth subjected to retraction forces in sliding mechanicsAn in vivo study[J].Angle Orthod, 2007, 77(6):999-1003
[13]	Senisik N E, Turkkahraman H.Treatment effects of intrusion arches and mini-implant systems in deepbite patients[J].Am J Orthod Dentofacial Orthop, 2012, 141(6):723-733
[14]	邓建清，卢新华，彭彩霞，等.安氏Ⅱ类分类错牙合正畸治疗前后前牙区牙槽骨高度改变的研究[J].中华口腔正畸学杂志, 2018, 25(3):135-139
[15]	Sarikaya S, Haydar B, Ciger S, et al.Changes in alveolar bone thickness due to retraction of anterior teeth[J].Am J Orthod Dentofacial Orthop, 2002, 122(1):15-26
[16]	Ng J, Major P W, Heo G, et al.True incisor intrusion attained during orthodontic treatment: a systematic review and meta-analysis[J].Am J Orthod Dentofacial Orthop, 2005, 128(2):212-219
[17]	Lapatki B G, Mager A S, Schulte-Moenting J, et al.The importance of the level of the lip line and resting lip pressure in Class II,Division 2 malocclusion[J].J Dent Res, 2002, 81(5):323-328
[18]	Al-Falahi B A, Hammad S M, El-Kenawy M H, et al.Intrusion of maxillary incisors by mini-screw anchorage of Angle Class II division 2 malocclusion cases[J].Int J Orthod Milwaukee, 2012, 23(4):29-35
[19]	Partal I, Aksu M.Changes in lips,cheeks and tongue pressures after upper incisor protrusion in Class II division 2 malocclusion: a prospective study[J].Prog Orthod, 2017, 18(1):29-
[20]	Salehi P, Gerami A, Najafi A, et al.Evaluating Stress Distribution Pattern in Periodontal Ligament of Maxillary Incisors during Intrusion Assessed by the Finite Element Method[J].Journal of dentistry (Shiraz, Iran), 2015, 16(4):314-322
[21]	Choi J H, Yu H S, Lee K J, et al.Three-dimensional evaluation of maxillary anterior alveolar bone for optimal placement of miniscrew implants[J].Korean J Orthod, 2014, 44(2):54-61
[22]	Polat-Ozsoy O, Arman-Ozcirpici A, Veziroglu F.Miniscrews for upper incisor intrusion[J].Eur J Orthod, 2009, 31(4):412-416
[23]	Sarikaya S, Haydar B, Ciger S, et al.Changes in alveolar bone thickness due to retraction of anterior teeth[J].Am J Orthod Dentofacial Orthop, 2002, 122(1):15-26
[24]	王建新，刘敏，赵蕾，等.成人安氏Ⅱ类患者上切牙唇侧牙槽骨厚度的研究[J].口腔医学研究, 2018, 34(10):1112-1116
[25]	Cho S, Choi S, Sung S, et al.The effects of alveolar bone loss and miniscrew position on initial tooth displacement during intrusion of the maxillary anterior teeth: Finite element analysis[J].The Korean Journal of Orthodontics, 2016, 46(5):310-322
[26]	马善伟，徐宇红.不同牙列期安氏Ⅱ类分类错牙合畸形矫治的研究进展[J].医学综述, 2019, 25(7):1380-1384
[27]	范丰燕，王旭霞，张君.安氏Ⅱ类分类错牙合畸形非拔牙矫治前后颏部形态的变化[J].上海口腔医学, 2011, 20(6):653-657

Clinical study of two methods for the treatment of Class Ⅱ division 2 of different ages

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[4]	. CBCT study of the placement of micro implants in the posterior teeth of the maxillary protrusion [J]. , 2018, 38(12): 1110-1113.
[5]	. Review on retraction and intrusion of anterior teeth with micro-implant anchorage [J]. , 2017, 37(5): 470-473.
[6]	. [J]. , 2015, 35(2): 108-111.
[7]	. The clinical effects of implant anchorages with rocking-chair archwire in the treatment of bimaxillary protrusion [J]. , 2015, 35(10): 846-849.
[8]	. Orthodontic Treatment for Gum- smile with Mini—implant Anchorage by Maxillary Anterior Teeth Intrusion [J]. , 2014, 34(8): 580-583.
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[10]	Mi Ni. Study of facial changes in the patients of bimaxillary protrusion after orthodontic treatment with micro ?mplant anchorage [J]. , 2014, 34(4): 241-241.
[11]	. Curative effect analysis of upper anterior teeth retraction and intrusion by high positioned mini screws [J]. , 2014, 34(12): 918-920.
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