片断弓丝与连续弓丝在拔牙病例排齐阶段联合应用研究.docVIP

片断弓丝与连续弓丝在拔牙病例排齐阶段联合应用研究 　　【摘要】目的：探讨片断弓丝与连续弓丝在拔牙病例排齐阶段联合应用。方法：选择上颌尖牙位于唇向并且设计拔除上颌第一前磨牙的病例20例，随机分为2组，一组将片断弓丝与连续弓丝联合应用，另一组单独使用连续弓丝，均使用同种国产直丝弓矫治器, 对比两组的排齐时间，排齐前后利用X线头影测量进行统计学分析，对比两组的上前牙和上颌第一磨牙数据改变差异。结果：两组排齐阶段治疗时间无差异，两组在上前牙角度改变上有差异。结论：片断弓丝与连续弓丝的联合使用可以减少排齐阶段治疗时间，减少上前牙唇倾，提高了临床医师的工作效率。 　　【关键词】片断弓丝;连续弓丝;排齐牙列 　　【中图分类号】R783.5【文献标识码】B【文章编号】1008-6455（2011）04-0081-02 　　Application of segmented archwire and continuous archwire with extraction of teeth in the aligning stage 　　Chen Ya 　　【Abstract】Objective:to investigate the effect of segmented archwire and continuous archwire with extraction of teeth. Methods:20 cases with upper cannine lipping were divided into two groups after first premolar extraction .Patients in treament group were treated by the application of segmented archwire and continuous archwire, patients in contrast group were treated by continuous archwire. Both groups were treated by the same kind of preajusted appliance. Treament time was recorded and contrasted.Measurements of cephalograms were conducted before and after treament.Results:There was no difference at treament time .The difference of the lingually tipped incisors of two groups were siginificant.Conclusions: Application of segmented archwire and continuous archwire decrease the treament time , decrease the inclination of upper incisors ,increase the effiency of orthodontic treament . 　　【Key words】segmented archwire;continuous archwire; aligning 　　正畸对于设计拔除上颌第一前磨牙矫治病例，常伴随上颌尖牙部分或完全位于唇向，矫治步骤常规为拔牙后用细的镍钛丝排齐，尖牙被动结扎，在尖牙排齐过程中常使上前牙唇倾，排齐整平后内收切牙，造成上前牙的往复移动。而片段弓技术[1]，矫治初始即对上颌尖牙采用片段弓牵引向远中，上切牙暂不粘接矫治器，通过牙齿漂移，进行牙??排齐。本文探讨将片断弓丝与连续弓丝在拔牙病例排齐阶段进行联合应用，从排齐时间、上前牙和上颌第一磨牙头影测量值改变进行了统计，与传统方法进行比较。 　　1 资料与方法 　　1.1 研究对象:选择就诊于乌鲁木齐市口腔医院正畸科上颌尖牙部分或完全位于唇向，且矫治计划均设计拔除2个上颌第一前磨牙患者20例, 年龄14～22 岁,随机分为2组, 其中10例为安氏Ⅰ类，10例为安氏Ⅱ类1分类,所有患者牙周组织无明显炎症,无正畸治疗史。所有患者均应用杭州新亚公司生产的同种直丝弓矫治器进行矫治。 　　1.2 临床设计 　　1.2.1 拔除双侧上颌第一前磨牙，上颌第一恒磨牙粘接带环，随机分为试验组和对照组。 　　1.2.2 试验组只粘接上颌第二前磨牙和尖牙，对照组常规粘接上颌第二前磨牙和上颌前牙所有牙面，均使用杭州新亚公司生产的同种直丝弓矫治器进行矫治,槽沟宽度为0.56 mm （0.022 英寸）。