前方牵引与前方牵引联合III类颌间牵引治疗早期骨性错牙合比较研究.docVIP

前方牵引与前方牵引联合III类颌间牵引治疗早期骨性错牙合比较研究 　　[摘要]目的:对比单纯前方牵引与前方牵引联合III类颌间牵引治疗早期骨性III类错牙合的临床效果。方法:选择替牙早期骨性III类错牙合患者26例,分别应用单纯前方牵引(13例)和前方牵引联合III类颌间牵引(13例)矫治,对两组病例矫治前后头影测量结果的差值进行统计学分析。结果:单纯组疗程平均8.2个月,联合组疗程平均6.3个月(P0.5)。联合组较单纯组下切牙发生了明显的舌倾和后移,覆盖明显增加,两组相比具有统计学差异(P0.05)。结论:单纯前方牵引与前方牵引联合III类颌间牵引都可以有效治疗早期骨性III类错牙合,前方牵引联合III类颌间牵引可以缩短疗程,疗效更好。 　　[关键词]单纯前方牵引;前方牵引联合III类颌间牵引;早期骨性III类错牙合 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)10-1537-03 　　 　　Comparative study of simple protraction and protraction combined with Class III intermaxillary traction treatment of early skeletal Class III malocclusion 　　CHEN You-xin,LEI Lei,WANG Qiang-pin,JU Zhen 　　(Affiliated Taixing Peopies Hospital,Medical College,Yangzhou University Taixing 225400,Jiangsu,China) 　　 　　Abstract:ObjectiveTo observe the clinical effect of simple protraction compared with protraction combined with Class III intermaxillary traction treatment of early skeletal Class III malocclusion.Methods We Selected 26 patients with early skeletal Class III malocclusion.13 patients wre treated with Simple protraction and the others were treated with protraction combined with Class III intermaxillary traction . The therapeutic changes by cephalometric analysis of 2 groups before and after treatment were compared.Statistical analysis was done.ResultsThe therapeutic period of the Simple protraction was 8.2 months, the combined group was 6.3 months,and the difference was significant (P0.5).Compared with the simple protraction group, lower incisors of the combined group wre lingual inclination and backward significantly,overjet increased significantly,and the difference was significant (P0.05).Conclusion The two methods both can treat early skeletal Class III malocclusion effectively,but the combind methed can shorten the course,and effect was better. 　　Key words: simple protraction;protraction combined with Class III intermaxillary traction;early skeletal Class III malocclusion 　　 　　骨性III类错牙合畸形是临床上较为严重的牙颌畸形,若不及时早期矫治,畸形可随个体的生长发育逐渐加重。