应用OPA-K直丝弓矫治器双颌减数治疗安氏II1类错牙合临床探究.docVIP

应用OPA-K直丝弓矫治器双颌减数治疗安氏II1类错牙合临床探究[摘要]目的：评价OPA-K直丝弓矫治器双颌减数治疗安氏II1类错牙合的临床疗效，并探讨其机制和使用方法。方法：临床选择15～23岁安氏II1类错牙合患者22例，应用OPA-K直丝弓矫治器进行双颌减数治疗，并对治疗前后X线头影测量值的变化进行分析。结果：矢状方向上，U1-NA和U1-SN分别减小14.26°和10.32°，U1-NA(mm)减小4.16mm，U1-L1增加17.06°，以上差异均具有统计学意义（P＜0.05），而SNA、SNB、ANB、L1-NB、L1-MP的变化均无显著性（P＞0.05）。垂直方向上，SN-MP和Y轴的变化均无显著性（P＞0.05）。结论：应用OPA-K直丝弓矫治器治疗安氏II1类错牙合可取得令人满意的临床效果。 [关键词]OPA-K直丝弓矫治器；安氏II1类错牙合；X线头影测量 [中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455（2011）02-0277-02 Clinical study of the Oriental Preadjusted Appliance-KOSAKA applied in Angle class II division 1 malocclusion with bimaxiliary extraction treatment AN Jing-tao1,WANG Rui2,GAO Rui1,YAN Wei-jun1,TANG Lin1 (1.Department of Orthodontics,School of Stomatology,Harbin Medical University,Harbin 150001,Heilongjiang,China;2.Department of Pediatrics,School of Stomatology,Harbin Medical University) Abstract:ObjectiveTo evaluate the effects of the Oriental Preadjusted Appliance-KOSAKA applied in Angle class II division 1 malocclusion with bimaxiliary extraction treatment and discuss the mechanism and application.Methods 22 cases aged 15～23 years old with Angle class II division 1 malocclusion were chosen and treated with the Oriental Preadjusted Appliance-KOSAKA.Cephalometric analysis was performed before and after the treatment.ResultsIn the sagittal direction, U1-NA and U1-SN were reduced 14.26° and 10.32°,U1-NA(mm) were reduced 4.16mm,U1-L1 were increased 17.06°,there were significant differences in these changes（P＜0.05）.but the changes of SNA、SNB、ANB、L1-NB and L1-MP were no significant（P＞0.05）.In the vertical direction,the changes of SN-MP and Y axis were no significant（P＞0.05）.ConclusionThe Oriental Preadjusted Appliance-KOSAKA is effective for Angle class II division 1 malocclusion. Key words:Oriental Preadjusted Appliance-KOSAKA;angle class II division 1 malocclusion;cephalometric analysis 安氏II1类错牙合是临床常见的错牙合畸形，严重影响患者的容貌外观和口腔功能。其正畸治疗的目的是最大限度内收上颌前牙，获得良好的前牙覆盖、覆牙合关系，从而减少面中1/3突度，改善面部侧貌。当前，直丝弓矫治技术以其方便、高效和精确等优点已经得到