Tip-Edge Plus技术和直丝弓技术治疗安氏Ⅱ1错(牙合)的疗效比较.pdfVIP

Tip-Edge Plus技术和直丝弓技术治疗安氏Ⅱ1错(牙合)的疗效比较 贾海潮 李梦华 张楠 [摘要]目的 探讨Tip-Edge Plus差动直丝弓技术和直丝弓技术治疗伴有重度深覆(牙合)和深覆盖的安氏Ⅱ1分类错(牙合)畸形疗效的异同。方法样本包括恒牙初期伴有重度深覆(牙合)和深覆盖的安氏Ⅱ1错(牙合)畸形患者46例,Tip-Edge Plus组23例，使用Tip-Edge差动直丝弓技术治疗；MBT直丝弓组23例使用直丝弓技术结合口外弓强支抗治疗。治疗前后拍摄头颅侧位片并测量，进行成组设计和配对设计t检验。结果两组患者治疗中上下颌骨、前牙突度、覆(牙合)、覆盖、软组织变化量差异无统计学意义(P＞0. 05)；Tip-Edge Plus组L1-MP减小2.97 mm,L1/MP增加1.87°,L1/NB增加2.02°；MBT直丝弓组L1-MP减小0.50 mm，L1/MP减小3.88°，L1/NB减小6.88°，两组差异有统计学意义(P＜0.05)。结论未使用额外支抗的Tip-Edge Plus差动直丝弓技术和使用强支抗的直丝弓技术治疗恒牙初期严重安氏Ⅱ1病例能取得相似的软硬组织效果；Tip-Edge Plus技术比直丝弓技术能更多的压低下前牙，治疗后Tip-Edge Plus组下切牙唇倾度比直丝弓技术组稍大。安氏Ⅱ1错(牙合)；Tip-Edge Plus技术；直丝弓技术 Comparison between Tip-Edge Plus and straight wire techniques in the treatment of Class Ⅱ division 1 patients JIA Hai-chao LI Meng-hua ZHANG Nan Department of Orthodontics, School of Stomatology, Capital Medical University, Beijing 100006, China [Abstract] Objective To compare the outcomes of Class Ⅱ patients with severe deep overbite and overjet corrected with Tip-Edge Plus and straight wire techniques. Methods The sample comprised 46 Class Ⅱ patients with severe overbite and overjet in the early permanent dentition. Twenty-three patients were treated with Tip-Edge Plus technique and the other 23 patients were treated with straight wire technique. Lateral cephalometric radiographs were taken before and after treatment. Computerized cephalometric analysis was carried out. Paired t tests and Students t-tests were performed. Results Both techniques produced significant changes in overbite, overjet and profile. No significant differences between both techniques were found except the position of the lower incisors, the lower incisors were intruded 2. 97mm and protruded 1.87°with reference to mandibular plane in Tip-Edge Plus group, while in straight wire group lower incisors were intruded 0. 50mm and retroclined 3. 88°. Conclusions Class Ⅱ patients with severe deep overbite and overjet could be treated successfully with straight wire and Til-Edge Plus techniques. Lo