AngleⅡ类错牙合畸形正畸治疗后的稳定性研究_1.docVIP

AngleⅡ类错牙合畸形正畸治疗后的稳定性研究 作者：张红，马永平，冉屹东，马林 【关键词】 Angle类错牙合；正畸 治疗 ；稳定性 ［摘要］ 目的 本 研究 旨在探讨Angle类错牙合畸形患者正畸治疗后牙牙合变化的趋势，并探讨和预测 影响 牙牙合变化的相关因素，以期为临床实践提供 参考 。 方法 选取10～26岁的Angle类错牙合畸形患者60例,以16岁为界,分为A、B两组，分别研究在治疗前、治疗后及摘除保持器后的平均第29.56个月三个不同时期的牙牙合模型,选择10项模型测量指标对牙牙合变化进行评估,对所得数据采用配对t检验,多因素方差 分析 ，多元相关分析。结果 保持后牙牙合关系有向治疗前回复的趋势，但仍旧保持了大部分的治疗效果，各项指标的变化在A、B两组中有显著性差别。结论 早期矫治有利于类患者的稳定。上尖牙间宽度较下尖牙间宽度更稳定，下尖牙间宽度保持后缩小明显且伴随下前牙拥挤增大。 　　［关键词］ Angle类错牙合；正畸治疗；稳定性 　　Long-term stability of Angle class malocclusion after orthodontic treatment 　　［Abstract］ Objective To evaluate the trend of change in Angle’s malocclusion after orthodontic treatment,and to analyze some possible factors which may predict or affect these changes,providing some reference for the clinical practice.Methods The sample consisted of 60 patients with Angle class Ⅱmalocclusion between 10～26 years,the patients before 16 years were divided into Group A,those after 16 years were divided into Group B.To evaluate the study models of pre-treatment,post-treatment and out of retention,ten variables were chosen to evaluate the change of occlusion paired T test,analysis of variance,correlation analysis were applied to the data. Results The dental relationship tend to return toward thEir pretreatment values after treatment,while still remaining a major part of the correction.The values have significant differences between the group A and B. Conclusion The early treatment is stable;the maxillary intercuspid width tended to be more stable than the mandibular one. The mandibular intercuspid width decreased significantly accompanied by the relapse of mandibular crowding. 　　［Key words］ Angle’sⅡmalocclusion;orthodontic treatment;stability 　　随着 现代 矫治技术的不断改进，矫治后的效果也越来越让患者满意，然而患者所得到的矫治效果能终生维持吗？这不仅是患者所关心的 问题 ，同样也是正畸医师关注的焦点。 　　Angle类错牙合在错牙合畸形中占的比例要略多于Angle类错牙合，而且Angle类错牙合更易出现覆盖、覆牙合的复发。本课题将选择10项模型测量指标对60例Angle类错牙合患者的牙牙合模型进行研究，探讨其复发 规律 及寻求解决的办法。 　　1 资料与方法 　　1.1 样本选择 本研究选择1998～2004年我院口腔正畸科门诊治疗完成的Angle类错牙合患者60例，且治疗前后模型完整，病例均由正畸科医师提供，为尽