非手术的方法治疗成人反牙合患者疗效分析的研究.docVIP

非手术的方法治疗成人反牙合患者疗效分析的研究 　　[摘要]目的：对比非手术方法治疗成人反牙合患者矫治前后的头影测量分析结果,从而确定此种方法的疗效。方法：选用常规拔除前磨牙方法，利用标准方丝弓矫治技术辅以多曲方丝弓技术治疗恒牙期骨性Ⅲ类错牙合畸形患者15例。通过头影测量分析方法，比较治疗前后患者颅颌变化。结果：①上下颌骨变化较少,上下前牙变化显著。②L1-NB平均减少6.17°；L1-NB(mm)平均减少4.34mm；U1-NA平均增大5.69°；U1-NA(mm)平均增大3.33mm。③下前牙显著舌倾和远中移动,上前牙唇倾和唇向移动。④前牙反牙合解除。结论：非手术方法治疗成人反牙合患者，通过牙齿的移动和角度变化，可取得相对满意疗效。 　　[关键词]成人反牙合；多曲方丝弓技术；X线头影测量分析 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455（2008）06-0870-02 　　 　　To research the effect by means of nonoperation to treat the patients of adult crossbite 　　ZHU Wei1,ZHOU Shan2,LU Xiao-li2,WANG Chuan-jun2 　　(1.Department of Dral,The 4th Affiliated Hospital of Harbin Medical University, Harbin 150086,Heilongjiang,China;2.Department of Dral,The 2nd Affiliated Hospital of Harbin Medical University) 　　 　　Abstract:ObjectiveTo compare the results of cephalometrics analysis before with after orthodontic treatment to ensure the effect when adult crossbite was treatedby means of nonoperative treatment.MethodsTo extract four premolars. Edgewise appliance with MEAWwas adopted to treat 15 patients of true skeletal ClassIII malocclusion. X-ray Cephalometrics was adopted to compare patients changes of skull and jaw before with after the orthodontic treatment.Results ①The maxilla and mandible didnt change distinctly. But there was significant change in the anterior teeth.②L1-NB decreased by 6.17°. L1-NB decreased by 4.34mm. UI-NA increased by 5.69°. UI-NA increased by 3.33mm. ③The lower anterior teeth moved lingually and distally. The upper anterior teeth moved and inclined labially.④Anterior crossbite was corrected.Conclusion To treat adult crossbite by means of nonoperative treatment i.e. the movement and angular changes of teeth can obtain satisfying effect. 　　Key words:adult crossbite;MEAW;X-ray cephalometrics 　　 　　孔子曰：“仓廪实而知礼节，衣食足而知荣辱”。随着人们生活水平的提高，许多在生长发育期未能及时进行矫正治疗的反牙合患者，成年后有了强烈的牙齿美容要求，但这时大多已发育成骨性Ⅲ类错牙合畸形，传统上多以正颌外科手术治疗为主，但由于损伤较大，不愿接受这种疗法的人不在少数[1]。临床上许多成人患者只希望通过相对简单的方法改善咬合关系即可，其它方面要求不高。本研究即是以此为出发点，通过正畸固定矫治系统辅以某些附件来矫正成人Ⅲ类错牙