高下颌平面角及低下颌平面角女性患者牙齿移动观察研究.docVIP

高下颌平面角及低下颌平面角女性患者牙齿移动观察研究[摘要]目的:观察用相同方法,在关闭拔牙间隙时,高角、低角患者牙齿移动的情况。方法:选择高角、低角女性患者各30名,组成两组:A组和B组(即高角组和低角组),采用相同方法关闭拔牙间隙,观察间隙关闭的速度,后牙前移的距离。结果:高角患者对力的反应要快于低角患者,牙齿开始稳定移动后,无论高角、低角患者,牙齿移动情况是相似的,在一定距离内,两组患者支抗丢失都很小,当需关闭间隙过大时,就会出现支抗丢失情况。结论:牙齿移动速度可能与患者骨质情况有较大关系,选择支抗时要考虑患者面角、性别、年龄、种族和牙齿所需移动的距离。关闭拔牙间隙时,选择支抗除了要考虑面角的不同以外,牙齿所需移动距离也要考虑,当移动距离较大时,应选择较强支抗。 [关键词]高角;低角;女性患者;牙齿移动 [中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)08-1204-02 Observation of tooth movement In femal patients with high mandibular plane angle and low mandibular plane angle LUO Wei-min1,YANG Yu-ru2 (1.Department of Stomatology,XiangFan Center Hospital,Xiangfan441021,Hubei,China;2.the health bureau of xiangfan) Abstract:ObjectiveTo observe the tooth movement in femal patients with high mandibular plane angle (high angle)and low mandibular plane angle(low angle),when closing extraction space by the same way.MethodsPut 30 femal patients with high mandibular plane angle into group A (high angle),and Put 30 femal patients with low mandibular plane angle into group B(low angle) .Closing their extraction space by the same way and record the speed of tooth movement and the forward-going distance of maxillar first molar.ResultsThe tooth of patients in group Awas moved ealerer than that of group Bin a certain times, but after that, there was not difference in two groups. ConclusionThe speed of tooth movement correlate with alveolar bone, so when selecting anchorage to close extraction space,we shoud pay attention to the patient’s mandibular plane angle,sex,age,race and the distance of tooth movement. Key words:high mandibular plane angle;low mandibular plane angle;femal patient;tooth movement 笔者自2007～2009年,选择高下颌平面角(高角)和低下颌平面角(低角)女性患者各30例,全部采用滑动法中的一步法来关闭间隙。在关闭拔牙间隙过程中,定期测量间隙关闭量,统计关闭拔牙间隙所耗时间、后牙前移距离,计算牙齿移动的速度。观察分析在相同条件下,高角、低角患者牙齿移动速度的差别,以及后牙前移的情况,探讨临床上选择支抗大小的依据。 1材料和方法 1.1临床资料:选择采用拔牙矫治牙列畸形的患者60例,其中高下颌平面角患者30例,低下颌平面角患者30例,为方便比较,本研究只选择女性患者为研究对象,并且只研究上颌的情况,患者年龄12～24岁,12岁患者2例,12～15岁患者57例,24岁患者1例,所有患者均无颞下颌关节疾