改良式前牵矫正器快速矫治骨性乳前牙反合应用探究.docVIP

改良式前牵矫正器快速矫治骨性乳前牙反合应用探究【摘要】目的:研究改良式前牵矫正器作为一种新型矫治器在临床上治疗乳牙期骨性III类反合的舒适性和高效性.方法:选择50例4~6岁乳牙期骨性前牙反合的患者,随机分为两组,每组25例,第一组为治疗组使用改良式前牵矫正器治疗,第二组为对照组使用传统合垫式活动矫正器治疗.治疗前及治疗后均取研究模型,并拍摄头颅侧位X线片,进行头影测量分析.对于每个测量项目计算均值和标准差,采用配对t检验统计治疗组治疗的变化. 结果:疗程平均6个月,治疗组治疗前后研究模型分析及头影测量分析表明,其骨性III类错颌畸形得到有效矫正,上颌骨的向前生长明显,下颌骨向顺时针旋转,第二乳磨牙及尖牙咬合关系改善,侧貌改善明显,ANB角为正值..对照组治疗前后研究模型分析及头影测量分析表明,上颌骨没有向前生长,仅有上前牙代偿性唇倾,乳磨牙及尖牙关系近中或中性. 结论: 改良式前牵矫正器在治疗乳牙期骨性III类反合疗效显著,优于传统式垫式活动矫正器,可以在临床治疗中广泛开展. 【关键词】错颌畸形；改良式前牵矫正器；乳牙列 前牙反合 The applied research of improved maxillary protraction orthosis to correct milk teeth period osseous Angle III cross bite 【Abstract】Objective: to research the comfort and high performance of . The first group to treat milk teeth period osseous Angle III cross bite .Method : to select 50 child patient (aged 4-6) for this research,divided randomly to two groups. The first group is treating group .the second group is control group .get the prior and post treatment reseach model.get the X -ray of lateral projectior of cranium. Then calculate the mean and standard deviation to test statistics the variance.Result: . The first group get the evident effect, the Deciduous molar tooth and canine tooth ‘s relation is neutral.the maxillary bone grow forward obviously. Conclusion: . improved maxillary protraction orthosis in treatingmilk teeth period osseous Angle III cross bite could get the evident effect. It could be used generally in clinical treatment. 【Key words】 malocclusion of jaw . improved maxillary protraction orthosis . primary dentition.crossbite of anterior teeth 【中图分类号】R857【文献标识码】B【文章编号】1005-0515(2011)03-0288-01 安式III 类错合为口腔临床多发病,通常表现为上颌骨后缩,下颌前突,前牙或全牙列反合,上颌前牙代偿性唇倾,下颌前牙代偿性舌倾,在侧貌检查表现为面中发育不足,凹面型,严重影响患者的容貌,咀嚼功能及心理健康.尤其是处于生长发育早期的学龄前儿童,错颌畸形带来的心理阴影将影响儿童未来的心理健康. 近年来国外Andrew等研究发现下颌前突,而上颌正常仅占所调查的调查的安式III 类错合的19%,而42~63%的安式III 类错合往往伴有不同程度的上颌发育不足.戴用传统合垫式活动矫正器仅可以解除下前牙对上前牙的锁结,改变下颌在咀嚼时的运动轨迹,缺少促进上颌向前发育的作用.本文将介绍改良式前牵矫正器在临床上治疗乳牙期骨性III类反合的高效性,并分析牙性和骨性因素在矫治前牙反合所起的作用. 1 材料与方法 1.1 病例选择:选择乳牙期50例