SPEED矫治技术矫治牙列拥挤中临床研究.docVIP

SPEED矫治技术矫治牙列拥挤中临床研究 　　【摘要】目的 总结和评估应用SPEED矫治技术在临床治疗的病例，探讨SPEED矫治器的矫治机理和有效地矫治方法。方法 采用SPEED矫治技术治疗23例牙列拥挤的错颌畸形患者。选用加拿大Strite有限公司生产的0.022的SPEED托槽，并采用PAR指数对患者模型测量评估。结果 PAR指数结果显示，矫治前后PAR总分数差值21.50±9.57，，减少百分率为85.43%，矫治前后加权PAR总分差值23.50±3.39，加权减少百分率为87.57%。治疗后明显改善占77.78%，改善占22.22%，变坏或无改善为0。结论 SPEED矫治器是一种高效的直丝弓矫正器，借助高弹性的弹簧夹锁住弓丝，不需结扎，具有如下优点：自锁，减少倚旁时间；能量储存；力量释放持续、轻柔；低摩擦力和有效的三维控制；美观、舒适和卫生。 　　【关键词】SPEED矫治技术 正畸治疗 牙列拥挤 　　中图分类号：R781.05文献标识码：A文章编号：1005-0515（2010）11-031-02 　　Clinical Research of Correcting Dental Crowding with SPEED Technology 　　CHENG li 　　(Laiggang Hospital Shandong Laiwu ,Shandong Laiggang 271104) 　　【Abstract】 Objective To investigate the mechanism of the SPEED appliance,to establish the effective treatment method,and to assess the outcome of case treated with the SPEED appliance. Methods Twenty-three cases with different dental crowdings and malocclusions were treated with SPEED Appliance.The SPEED bracket with0.022×0.028 inch slot was manufactured by Canada Strite Industries Ltd.Pre-,post-trestment study models were assessed by PAR(Peer Assessment Rating)index. Results The mean reduction of PAR total score was 23.50±9.57with the mean percentage reduction of 85.43%.The mean reduction of the weighted PAR score was 23.50±3.39 with the mean percentage reduction of 87.57%.77.78%of the patients were classified as greatly improved.22.22%of patients were improved and no cases became worse. ConclusionsThe clinical study showed that the SPEED appliance is a cost-effective straight wire appliance.The advantages of the SPEED appliance include self-ligation,time-saving,energy-storing,constant and minimal force,low friction,superior 3-dimensional control ,patient comfort and the improvement of oral hygiene and esthetics. 　　【Keyword】 SPEED technology Orthodontic treatment Dental crowding 　　 　　自1980年以来，Hanson首次介绍了SPEED矫治技术后，经过二十多年不断地研究、改进和完善，该矫治器以其自结扎、能量储存、力量释放持续、轻柔、低摩擦力和有效的三维控制，因而正日益受到正畸医生的关注和追崇。我科自2001年使用SPEED矫治技术以来，完成了部分牙列拥挤病例，收到了良好的治疗效果，现报道如下： 　　1 材料与方法 　　1.1 临床