减数上颌第一前磨牙矫治安氏Ⅱ类错临床研究.docVIP

减数上颌第一前磨牙矫治安氏Ⅱ类错临床研究 　　【摘要】 目的：探讨减数上颌第一前磨牙矫治安氏Ⅱ类错畸形的效果，观察矫治前后软硬组织变化。方法：选取2008-2013年就诊于本院处于青春发育期的22例正畸患者，通过减数上颌第一前磨牙，结合种植体支抗技术矫治安氏Ⅱ类错畸形，应用X线头影测量技术分析矫治前后软硬组织变化。结果：所有病例矫治结束后的SNA角、ANB角、U1-NA角、U1-NA距离（mm）、前牙覆合、前牙覆盖、上唇突度、下唇突度、角U1-L1、角L1-MP、A-Npog等结果较矫治前比较差异均有统计学意义。牙列整齐，覆合覆盖正常，侧貌良好，上下唇突度减小，上唇突度减小更加明显。结论：在临床中选择合适的适应证，单纯减数上颌第一前磨牙，可以取得较为理想的面型及咬关系。 　　【关键词】 安氏Ⅱ类错畸形； X线头影测量； 软组织侧貌 　　The Clinical Study on Reduction of Maxillary First Premolars in Treatment of Class Ⅱ Malocclusion/WU Hai-yan，SONG Jian-hong，ZHOU Jing，et al.//Medical Innovation of China，2014，11（28）：013-015 　　【Abstract】 Objective：To investigate the effect on reduction of maxillary first premolars class Ⅱ malocclusion，observe hard and soft tissue changes before and after treatment.Method：22 orthodontic patients in puberty in our hospital from 2008 to 2013 were selected，maxillary first premolar extraction and implant anchorage were applied in 22 patients to treat Angle Ⅱ malocclusion，and X-ray cephalometric technology was utilized to analyze the change in hard and soft tissue before and after the treatment.Result：After the treatment，∠SNA，∠ANB，∠U1-NA，U1-NA（mm），anterior teeth overbite，overjet，upper lip protrusion，lower lip protrusion，∠U1-L1，∠L1-MP，A-Npog after the treatment had significant difference compared with before treatment，the dentition fitted tightly，overbite was adequate，facial profile was good，the convexity of the lips had obvious reduction.Conclusion：The conclusion is that proper selection of indications and maxillary first premolar extraction in clinical treatment can achieve relatively ideal surface shape and occlusal relationship. 　　【Key words】 Class Ⅱ malocclusion； X-ray cephalometric； Soft tissue profile 　　First-author’s address：Dalian Friendship Hospital，Dalian 116001，China 　　doi：10.3969/j.issn.1674-4985.2014.28.005 　　安氏Ⅱ类错畸形是临床上常见的错畸形，在亚洲人群里有较高的发病率，不但影响颜面发育及咀嚼效率，严重者可导致上气道结构性狭窄，发生上气道狭窄[1]。安氏Ⅱ类错畸形的治疗常采用减数拔牙，常选择拔除四个第一前磨牙，拔牙数目多，疗程相对长。本研究中，22例安氏Ⅱ类错畸形病例均采用拔除上颌两个第一前磨牙，结合上颌种植体支抗，矫治结束后，患者咬合关系良好，侧貌理想，达到了预期矫治目标。