正颌外科联合正畸技术矫正骨性上颌前突临床研究.docVIP

正颌外科联合正畸技术矫正骨性上颌前突临床研究 　　[摘要]目的：探讨正颌手术联合正畸技术治疗上颌骨水平向发育过度畸形的临床效果。方法：对我科1999年1月～2005年1月收治的有完整资料的82例上颌前突正颌外科治疗的患者进行研究。这些患者采用上颌前份节段性截骨术，必要时配合下颌前部根尖下截骨术进行治疗，部分患者配合术前术后正畸治疗。结果：在本组病例中，82例患者均恢复了正常的面型和咬合关系，深覆盖术前为9～16mm ，术后变为2～3mm；深覆牙合术前11～15mm，术后为1～2mm；角SNA 术前为84.2°～85.3°，术后为83.2°～84.0°；角ANB术前6°～9°，术后2°～3°；唇齿关系术前6～12mm，术后1～2mm。所有患者无严重手术并发症，经术后8～36月临床随访，复发3例。结论：正颌外科联合正畸技术是治疗骨性上颌前突的有效方法，可取得良好的治疗效果；术前术后正畸可使治疗效果进一步完善，且能减小术后复发的几率。 　　[关键词］上颌前突；正颌外科；正畸；上颌前份节段性截骨术 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455（2008）05-03 　　 　　Treatment of osteal maxillary protrusion by combing orthognathic surgery with orthodontic technique 　　ZHANG Qing-bin1,DONG Yao-jun2,LI Zu-bing2,LIU Ya-rui1,DONG Fu-sheng1 　　（1.Department of Oral and Maxillofacial Surgery, Stomatological Hospital,Hebei Medical University,Shijiazhuang 050017,Hebei,China; 2.Department of Maxillofacial Surgery,Stomatological Hospital,Wuhan University） 　　 　　Abstract:Objective To study the curative effect of method that combines surgical treatment with orthodontics ofthe deformation of overly developed maxilla in horizontal direction.Methods82 patients with complete clinical records were retrospectively investigated.The patients were operated with ASMO or ASMO combing AMSO according to preoperative analysis.Some patients had preoperative or postoperative orthodontics treatment. ResultsAll the patients were restored normal facial appearance and occlusion. There is great changement on large overjet and deep overbite. Preoperative data: large overjet 9～16mm, overbite 11～15mm,∠SNA84.2°～85.3°,∠ANB 6°～9°,L-B relation 6～12mm;Postoperative data: large overjet 2～3mm,overbite 1～2mm,∠SNA83.2°～84.0°,∠ANB 2°～3°，L-B relation 1～2mm;After a follow-up of 8～36 months,except 3 cases,the rest retained good effect.ConclusionOrthognathic surgery combined with orthodontic techniques can achieve the best curative effect on treating the deformation of maxillary protrusion,which has been proved a simple and less traumatic method. Preoperative and postoper