微种植体支抗联合自制式滑动杆单侧推磨牙向后临床应用.docVIP

微种植体支抗联合自制式滑动杆单侧推磨牙向后临床应用 　　[摘要]目的：探讨运用微种植体支抗联合自制式滑动杆单侧推磨牙向后的应用要点。方法：选择安氏Ⅱ类亚类错牙合7例（男2例，女5例），年龄15～30岁，平均18.7岁。轻中度拥挤，拥挤度平均4～5mm，或伴上中线偏移，或侧貌较突者。采用单侧植入微种植体支抗钉联合自制式滑动杆推磨牙向后，恢复上下磨牙的中性关系，保持上颌磨牙两侧对称，推力250g。疗程3～5个月，平均4个月。通过临床评价和矫治前后的照片和模型分析其治疗的有效性。结果：7例患者有效地应用微种植体支抗联合自制式滑动杆单侧推磨牙向后，矫正了单侧磨牙Ⅱ类远中关系、轻中度拥挤、中线偏移或恢复上颌磨牙两侧对称，取得较好的临床疗效。远移侧上颌第一磨牙远中平均移动4.2mm，平均移动速度1.05mm/月。结论：微种植体支抗联合自制式滑动杆单侧推磨牙向后，发挥了绝对强支抗作用，有效地远中移动上颌磨牙，容易取得患者配合，取材容易制作简便，有临床推广价值。 　　[关键词]微种植体支抗；滑动杆；磨牙远中移动；安氏Ⅱ类错牙合 　　[中图分类号]R783.5 [文献标志码]A [文章编号]1008-6455（2015）14-0057-04 　　Abstract： Objective To evaluate the clinical application of unilateral distalization of maxillary molars in class II malocclusion with micro- implant anchorage joint sliding jig. Methods 7 Class II，subdivision malocclusion patients withⅠ-Ⅱ°Crowding or midline shifting or profile protrusion（5 females and 2 males）were selected as the subjects，aged from 15 to 30 years old （18.7 on average），All the patients were treated by distalizing the unilateral upper molar with micro- implant anchorage joint sliding jig.The micro-implant was embedded in buccal alveolar bone between maxillary second premolar and first molar.The duration for distalization of upper molars was from 3 to 5 months（about 4 months on average）.This study had measured pre-and-post treatment changes in velocity，distance and position of the maxillary first molar through casts and photos. Results All the 7 cases were corrected the midline and Class II malocclusion，aligned the teeth.The maxillary molars were bodily distalized by 4.2 mm，1.05/M. Conclusion The results of this study have shown that the micro?Cimplant placed in the alveolar bone joint sliding jig provided a absolute anchorage for distalization of maxillary molars.It is an effective and reliable method for distalizing maxillary molars without the loss of anchorage.This method requires minimal patient compliance and also shortens the whole treatment period and is easy to insert and remove. 　　Key words：micro-implant；sliding jig；molar