远中移动上颌磨牙技术.pdfVIP

远中移动上颌磨牙技术 【摘要】由于乳磨牙的过早缺失，患者家长没有足够的重视，未及时制作间隙保 持器，尤其是患者第二乳磨牙早失导致第一恒磨牙向前移动，牙弓长度缩短所致。 当上颌第一磨牙向前移动而导致上颌前部牙弓缩短，上颌牙弓前部牙列产生拥挤， 同时伴有磨牙远中关系。另外，患者在混合牙列期由于治疗上颌骨发育不足而采 用上颌前方牵引所导致的上颌磨牙向前移动，也可以表现为上颌牙列拥挤、磨牙 呈远中关系。安氏Ⅱ错牙合是口腔正畸临床上常见的错牙合畸形之一，通常表现 为磨牙远中关系，上颌前部牙齿前倾或内倾，重度深 OB，前部牙列拥挤等。由 于各种原因引起的上颌磨牙向前移位，而下颌牙列和下颌骨发育基本正常的上颌 牙列轻中度拥挤，患者处于生长发育高峰期，远中移动上颌磨牙则是最有效的矫 治方法之一。各种推上颌磨牙向远中移动的矫正技术发展也很迅速，尤其近年来 种植体支抗的发明及其在正畸临床中的广泛应用。 【关键词】非拔牙矫治；推磨牙向远中；安氏Ⅱ类错牙合 Distal movement of the maxillary molars Technology Abstract ：Because of the premature loss of deciduous molars, parents of patients without enough attention, not to make space maintainer, especially in patients with early loss of deciduous molars in second first molars moved forward, arch length shortening induced. When the maxillary first molar to move forward and lead to anterior maxillary dental arch is shortened, maxillary arch anterior dentition cause congestion, accompanied by the molar relationship. In addition, patients in the mixed dentition period due to treatment of maxillary deficiency and the use of maxillary protraction in maxillary molars moved forward, also can be represented as a maxillary crowding, molar distal relationship. Class II malocclusion is common in orthodontic clinic of malocclusion, usually shows the relation between molar maxillary anterior teeth, forward or introverted, severe deep OB, anterior crowding. Due to various causes of maxillary molars moved forward, and the mandibular dentition and mandible development basically normal maxillary dentition in patients with mild to moderate congestion, in growth peak, distal movement of the maxillary molars is one of the most effective method of treatment. Development of correction technology push and maxillary molar distal movement is also very rapidly, especially in