andrews elementⅲ方法在错牙合畸形患者牙弓及基骨宽度分析诊断中的应用 word格式.docxVIP

Application of Andrews Element III Method in the Analysis anddiagnosis of the Dental Arch and Base Bone Width in Patientswith MalocclusionMaster Candidate：Chen Zhongzuo Supervisor：Professor Liang RuiAbstractObjective：The aim of this study was to use Andrews Element Ⅲmethod to analysis the arch and base bone width in patients with malocclusion, and to provide necessary reference for the orthodontic clinical treatment. Methods: 80 patients who seek orthodontic treatment in Shenzhen Second Peoples Hospital from 2007 to 2011 were included into this study. They were divided into four groups, Angle I, II1, II2, III.Each group had 20 cases. Andrews Element Ⅲ method was applied tomeasured each model of arch width and basal bone width by two individual orthodontists. Used the formula to calculate the optimal width of the base bone of each case. Result: 1.The maxillary basal bone widthin Angel Ⅰ patients was almost normal (P 0.05);2.The maxillary basalbone width in Angle Ⅱ1 andⅡ2 was significantly less than normal(P0.05). 3. No statistically significance could be found in The maxillary basal bone width in Angle Ⅲ patients. But a larger standard deviation ofthe co-distribution of the interval. Conclusion: 1.The error of Andrews Element Ⅲ method was small, and the data measured by different orthodontists was acceptable and reliable; 2.Near-normal Angle Ⅰ and Ⅲ patients base bone width, generally do not require special maxillary expansion treatment;3.Angle Ⅱ1 and Ⅱ2 groups show a significantly lessbasal bone width. To harmonize occlusion and maxillofacial relationship, palatal expansion is probably often used in treatment. 4. Angle Ⅲ patientsmay suffer from significant dental arch narrow and requires careful diagnosis before making the treatment plan.Key Word：Andrews Element ⅢDental arch widthBase bone width正文牙弓狭窄、上颌基骨横向宽度不足可见于各类错合畸形。上下颌骨的宽度不 足问题，会导致后牙反合，功能性偏合，后牙闭锁合等错合畸形，对牙弓、颌骨、 颞下颌关节的发育以及健康构成深远影响。Cozza[1]发现，吮指习惯常与高面角、 牙弓后部狭窄、后牙反合相关联。牙弓及颌骨的基骨宽度测量是口腔正畸学中一个非常重要的临床诊断与分 析