前方牵引联合快速扩弓矫治骨性III类错牙合面部软组织变化.doc

前方牵引联合快速扩弓矫治骨性III类错牙合面部软组织变化[摘要]目的:研究上颌前方牵引联合快速扩弓矫治恒牙早期骨性III类错牙合的软组织变化。方法:选取14例恒牙早期骨性III类错牙合患者为治疗组,应用联合法治疗6个月,在治疗前(T1)、治疗后(T2)拍摄头颅侧位X线片;选取12例未治疗骨性反牙合患者为对照组,也在相应时间拍摄X线片,对两组进行头影测量分析。结果:治疗组发生显著的软组织改变,H角和软组织面凸角显著增大,软组织面角显著减小,软组织侧貌得以改善。结论:前方牵引联合快速扩弓能够对恒牙早期骨性III类错牙合患者的软组织侧貌产生显著的矫形效果。 [关键词]前方牵引;骨性III类错牙合;上颌快速扩弓 [中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)06-0888-03 Soft tissue changes in skeletal Class III patients treated with maxillary protraction DING Bo,SUN Ping (Department of Stomatology,Qingdao Central Hospital,Qingdao 266042,Shandong,China) Abstract:ObjectiveTo evaluate the hard tissue changes in skeletal Class III patients following the application of combined rapid maxillary expansion(RME)and maxillary protraction in early permanent dentition.MethodsThe 14 patients treated consecutively with RME for one week and maxillary protraction for six months were compared with 12 untreated,age and sex and skeletal type matched controls with skeletal Class III malocclusion. Lateral cephalometric radiographs were used to quantify the hard tissue changes before treatment (T1) and after treatment (T2).ResultsThe subjects in the treatment group had significant soft tissue changes.H angle and soft tissue facial convexity increased and soft tissue facial angle decreased significantly.The Class III concave profile became more balanced and straight.ConclusionThe application of combined rapid maxillary expansion (RME) and maxillary protraction was an effective method to skeletal Class III patients in early permanent dentition. Key words:maxillary protraction;skeletal Class III malocclusion;rapid maxillary expansion(RME) 骨性III类错牙合在临床上比较常见,上颌前方牵引联合快速扩弓对其进行早期矫治已经引起很多正畸医师的重视,但对恒牙早期患者的研究较少。本研究的目的是对恒牙早期骨性III 类错牙合患者应用联合法进行矫治,通过比较其治疗前、后的头颅侧位X线片,分析软组织的变化情况,评价前方牵引对软组织侧貌的治疗效果。 1材料和方法 1.1 研究对象:选取14例(男6例,女8例)恒牙早期骨性III类错牙合患者作为治疗组,治疗前年龄10～14岁,平均12.3岁。选取12例初诊后未按时接受治疗的恒牙早期骨性III类错牙合患者作为对照组,其中男6例,女6例,治疗前年龄10～14岁,平均11.6岁。研究对象均为:Hellman III B期,上颌发育不足,下颌正常或稍前突,前牙反牙合或全牙列反牙合,下颌