生长发育期反(牙合)伴上颌严重拥挤不拔牙矫治16例报告.pdfVIP

.44. 临床口腔医学杂志 2008 年 1 月第 24 卷第 1 期] Clin Sωmatol， ]an，2008，VoI. 24No.l 生长发育期反牙合伴上领严重拥挤不拔牙矫治16 例报告 梁海户，郭鑫2 ，裴慕慕 I (1.深圳市南山区蛇口人民医院口腔科 广东 深圳 518067; 2.深圳市儿童医院口腔正畸科) [摘要] 目的:探讨生长发育期反牙含伴上领严重拥挤病例不拔牙矫治的临床疗效。方法:16 例反黯伴严重拥挤病 例男 6 例，女 10 例，平均 10.5 岁。均采用直丝弓矫治器矫治，应用螺旋推簧扩展问隙及上颁前方牵引。平均疗程 25 个 月。选择 18 项头影测量值，比较矫治前后软硬组织改变情况。结果z 矫治后 SNA、 ANB、领凸角均有显著增大.Ul-SN 减 小.Ul-Ll显著增大.AB 平面角显著减小.ANS-Me 显著增大.FMA、GoGn-SN、 Y 轴角轻度增大，额唇角显著减小，上唇 突度显著增大，患者软组织侧貌得到明显改善。结论z 对于生长发育期的反牙含伴上顿严重拥挤病例，矫治设计时应考虑 患者的生长潜力，试行不拔牙矫治，使牙齿发育对领骨发育的刺激作用得以充分表达，可以得到明显的临床效果。 [关键词] 口腔正畸:直丝弓:反殆:拥挤:不拔牙矫治 [中图分类号] R783.5 [文献标识码] A [文章编号] 1003-1634(2∞8)01-∞44-03 TreatJnent of anterior crossbite of severe crowd in ma到lla wi伽 non-extraction during growtb spurt of puberty LlANG Hai. GUO Xin.PEl Zhen-zhe凡 Department of Sωmatology. Shenzhen Nan,shan District Shekou People 主 Hospita1. Shenzhen 518067. China. [Abstract] Objective: To discuss the effects of treatment method for anterior crossbite of severity crowd in maxilla with non -extraction during growth spu此 of puberty. Method: 16 cases with anterior crossbite and severe crowd in maxilla were selected.They were all treated with straight wire appliance and .helical spring to expand clearance. 5 cases were treated with face mask because of frontal maxilla deficiency.18 indexes were selected to compare the bony tissue and soft tissue changes.Result: Base bone of maxilla developed. upper incisor百 lingual inclined. mandible rotated clockwise after treatment. Lower lip-chin angle decreased and upper lip-H line distance increased. Conclusion: Non-extraction treatment should be used to anterior CI回sbite of severe crowd