后牙双斜面导板矫治器和面弓治疗孪生兄弟Ⅲ类骨性错[牙合]的疗效对比.pdfVIP

旦壁垂堕堂 壶 生 锺 鲞第4期 ChinJOrthod，December2012，V01．19，No．4 ·215 · · 论 著 · 后牙双斜面导板矫治器和面弓治疗孪生兄弟 Ⅲ类骨性错殆 的疗效对比 华先明 夏大宏 韩光丽 程祥荣 【摘要】 目的 比较后牙双斜面导板矫治器 (twininclinedplanedevice，TIPD)和面 弓 (Facemask，FM)治疗生长期骨性Ⅲ类错殆 的疗效。方法 选择 11岁 3个月的孪生兄弟作为研究对 象。1例应用TIPD治疗，斜面的高度以能打开前牙咬合锁结为准，矫治器全天戴用。另 1例用 FM 治疗，牵引力为 600g／~0，告之每天戴 12h以上。两人在治疗前中后均拍摄头颅侧位片。结果经 TIPD和FM治疗后病例均表现出SNA角增加和 SNB角减小，但 TIPD病例以SNB角减小为主，而 FM则以SNA角的增加为主。结论 TIPD和FM均能有效治疗生长期骨性Ⅲ类错殆。但 TIPD适 用于下颌发育过度型，而FM则适用于上颌发育不足型。 【关键词】 Ⅲ类骨性错殆 双斜面导板； 面弓前牵引 Comparisonofthetreatmenteffectsoftwininclinedplanedeviceandfacemaskintwinbrothers withskeletalClassⅢ malocclusions． HUA Xian-ming，XIA Da-hong，HAN Guang-li ， CHENGXiang-rong．DepartmentofOrthodontics，SchoolandHospitalof Stomatology，Key Laboratory forrOalBiomedicalEngineering ofMinistry of Education，WuhanUniversity． han．430079．C ina Correspondingauthor：HAN Guang-li，E-mail：hanguangli888@yahoo．com．cn，nZ：0086—27— 876860I5 [Abstract] 0bjcetive TocomparetheeffectsoftheTwinInclinedPlaneDevice(TIPD)and theFacemask(FM)intreatingskeletalClassIlImalocclusions．Methods 11一year-3montholdTwin brotherswereselected．TIPDwereusedinonepatient，theheightoftheinclinedplanewasdetermined byrelievingreversecross-bite．Theappliancewasfittedinoraldayandnight．FM wasused inthe otherpatientwithatota1foroeof600geachside．Thepatientwasinstructedtoweartheappliance12 hoursaday．Cephalogramsweretakenatthebeginning．inthemiddleandattheendofthetreatment． Results TheincreaseinSNAangleandthedecreaseinSNBanglewereobservedinthetWOcases． OnstageItreatment．theincreasedvalueofSNA wasmoreobviousinFM than thatinTIPD However．thedecreasedvalueofSNBwasmoreobviousinTIPD．Co nclusions BothTIPDandFM wereeffectiveintreatmentofthesubjectswithskeletalClassIIImalocclusions．TIPD wasmore efficientinthetreatmentofskeletalClassⅢ malocelusionswithoverdevelopedmandible，andFM was moresuitableinthetreat