替牙期上颌中切牙重度扭转矫治体会.docVIP

替牙期上颌中切牙重度扭转矫治体会 　　[摘要] 目的 根据替牙期上颌中切牙重度扭转的矫治特点，寻求一种应用于此类畸形早期矫治的最佳方法，使其矫治的速度和效果更理想。 方法 在矫治初期，利用“改良Nance弓附牵引钩”的力偶原理将扭转牙的重度畸形转化为中度畸形，再用2×4矫治技术对扭转牙进行三维方向的排齐整平。 结果 18例患者经治疗后均获得良好的效果。 结论 “改良Nance弓附牵引钩+2×4矫治技术”能快速有效地整平替牙期上颌中切牙的重度扭转，阻断其错 畸形的发展，为患儿牙 面的正常发育提供有利的环境。 　　[关键词] 替牙期；上颌中切牙重度扭转；改良Nance弓附牵引钩；2×4矫治技术；早期矫治 　　[中图分类号] R783.5 [文献标识码] A [文章编号] 1674-4721（2015）02（b）-0058-04 　　OKrthodontic treatment experience of maxillary central incisor severe torsion in dental transitional period 　　XU Shao-dan MENG Chun-ying WANG Jing 　　Department of Stomatology，People′s Hospital of Dehong State in Yunnan Province，Dehong 678400，China 　　[Abstract] Objective To seek the best method of orthodonticly treating maxillary central incisor severe torsion in dental transitional period according to orthodontic characteristic of this kind of demormity which make the speed and effect of the treatment more ideal. Methods At the early stage of orthodontic treatment，severe demormity of rotated tooth transformed to moderate demormity using couple principle of modified Nance arch attaching towing hook，then rotated tooth was given the three-dimensional direction of alignment and levelling using 2×4 orthodontic technology. Results 18 patients obtained good effect after treatment. Conclusion Modified Nance arch attaching towing hook combined with 2×4 orthodontic technology can effectively level the severe demormity of maxillary central incisor severe torsion in dental transitional period，and block the development of its malocclusion deformity，provide a favorable environment for thenormal development of maxilloface in children. 　　[Key words] Dental transitional period；Maxillary central incisor severe torsion；Modified Nance arch attaching towing hook；2×4 orthodontic treatment technology；OKrthodontic treatment in early stage 　　替牙期上颌中切牙的扭转是口腔科常见的错 畸形，严重的扭转对患儿的咀嚼功能、美观、牙 面的发育、发音及心理健康都有影响。扭转的角度越大危害就越明显，治疗的难度也随之增加，因此，为防止错 畸形的进一步发展，应选择适宜的矫治技术进行早期矫治。本研究旨在根据替牙期上颌中切牙严重扭转的矫治特点，寻求一种临床思路，为患儿制订最佳的矫治方法，从而实现最大限度的美观、功能、