上颌反复扩缩对恒牙早期骨性Ⅲ类错前方牵引影响.docVIP

上颌反复扩缩对恒牙早期骨性Ⅲ类错前方牵引的影响 　　[摘要] 目的 探讨对于恒牙早期不伴有上颌牙弓狭窄的骨性Ⅲ类上颌后缩患者，实施前方牵引前先行采用上颌反复扩缩的疗效。方法 方便选取2013年6月―2016年6月于江苏省宿迁市妇幼保健院口腔正畸科就诊的20例上颌后缩的骨性Ⅲ类错不伴有上颌牙弓狭窄的恒牙早期患者，随机分成两组：扩缩组10例，采用上颌反复扩缩5周后，对患者实施上颌前方牵引；传统组10例，直接??患者行上颌前方牵引。对两组矫治前后头影测量值进行统计学分析。结果 治疗结束后，扩缩组较传统组上颌显著前移，组间比较治疗后扩缩组SNA增加（2.83±1.31）°、ANB增加（3.64±1.38）°、A-Ptm增加（3.52±1.62）mm、Wits值增加（4.48±1.79）mm、UL-EP增加（1.99±0.86）mm，均较传统组显著增大，差异有统计学意义（P0.05）。结论 对于恒牙早期上颌发育不足的骨性Ⅲ类错不伴有上颌牙弓狭窄的患者，可以采用先行上颌反复扩缩松解上颌骨，再前方牵引，可以获得比单纯前方牵引更好的疗效。 　　[关键词] 上颌反复扩缩；恒牙早期；骨性Ⅲ类；前方牵引 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0042-03 　　[Abstract] Objective To study the curative effect of maxillary recurrent expansion in the anterior traction of malocclusion in the early permanent dentition skeletal class Ⅲ. Methods 20 cases of patients with skeletal class III malocclusion after maxillary retraction without maxillary arch stenosis diagnosed in Suqian Maternal and Child Healthcare Hospital from June 2013 to June 2016 were conveniently divided into two groups with 10 cases in each， including the scale group and the traditional group， respectively adopted the maxillary protraction after 5-week maxillary recurrent expansion and direct maxillary recurrent expansion， the head shadow measurement values before and after correction of the two groups were statistically analyzed. Results At the end of treatment， the maxillary was obviously forwarded compared with that in the scale group， and the SNA increased by （2.83±1.31）°， ANB increased by （3.64±1.38）°， A-Ptm increased by （3.52±1.62）mm， Wits value increased by（4.48±1.79）mm， UL-EP increased by （1.99±0.86）mm， which obviously increased compared with those in the traditional group， and the differences were statistically significant（P0.05）. Conclusion We can use maxillary recurrent expansion for maxilla release and then conduct the maxillary protraction for patients with skeletal class III malocclusion after maxillary retraction without maxillary arch stenosis thus， a better curative effect can be achieved.