ynama和Twinblk矫治器治疗安氏Ⅱ类Ⅰ分类错牙合疗效比较.docVIP

Dynamax和Twin block矫治器治疗安氏II类I分类错牙合疗 效比较 许志强1 史建陆1张端强2 任继业1 (1福建医科大学教学医院厦门市口腔医院福建厦门361003) (2福建医科大学附属口腔医院福建福州350002) 屮图分类号】R783 】A 】 1672-5085(2009)36-0073-04 】 R的评价Dynamax和Twin block两种功能矫治器治疗安氏II类1 分类卜颂后缩患者前后软硬组织的改变。方法选择Hagg手腕骨片为FG-G期 的安氏II类1分类下颂后缩患者30例，随机分为两组分别接受Dynamax和Twin block治疗，应用X线尖影测量技术进行治疗前后的22项软硬组织分析。结果 GoGnSN(deg;)、Cm-Sn-Ls(deg;｝、S-Ns-Si (deg;｝的变化的差异有统计学意义 (Plt;0.05)，余无统计学意义。结论Dynamax或Twin block功能矫治器早期 治疗安氏II类1分类下颌后缩患者,其软硬组织疗效基本一致。但同twin-block 组比较，Dynamax组K颌平面角增大，且Dynamax更适合于同时进行固定矫治 治疗。 关键词】安氏II类1分类错牙合功能矫治器Dynamax Twin block X线 头影测景 [Abstract] To evaluate the soft and hard tissue changes in curing Anglersquo;s class II division 1 mandibular retrusion cases with Dynamax or Twin block.Methods: 30 Anglersquo;s Class II division 1 malocclusion subjects whose hand-wrist radiographs were in FG-G stage were randomly divided into two groups, one group received Dynamax appliance treatment, the other received Twin block treatment. the Cephalometries analysis was preformed before and after treatment for oberserving 22 soft and hard tissue variables.Result:There were significant differences of the changes of GoGnSN(deg;)、Cm-Sn-Ls(deg;)、S-Ns-Si (deg;)between the two experimental groups (Plt;0.05).Conclusion: It was almost the same effect For Class II Division 1 mandibular retrusion patients using Twin block or Dynamax in the early treatment. But the mandibular plane angle is larger by the Dynamax appliance,and the Dynamax appliance is more suitable for curing the case which is treated by fix appliance at the same time. Key words】 Anglersquo;s Class II Division 1 malocclusion functional appliances Dynamax Twin block Cephalometries 安氏II类1分类错牙合是口腔正畸临床中最常见的错牙合畸形，以下颌 后缩为主的占49%［1］。应用功能矫治器施以矫形力促进下颂发育，改善上下颂间 关系及侧貌，是早期矫治下颌后缩的重要手段。Dynamax是一种新型的功能矫治 器，是由Bass NM和Bass A最先在2003年发明创造的，经过部分改进后，在2006 年重新发表，其使下颂持续性处于前伸位置，且允许一定范围的前伸及侧方运动 ［2,3］。本文章旨在对Dynamax功能矫治器和0前临床上最常用Twin block功能矫 治器进行比较，为临床下颂后缩的治疗提供指导。 1材料与方法 1.1病例来源从2008年2月到2008年5月来我院正畸科就诊的错牙 合患者中选取临床诊断为安氏II类1分类错牙合患者30例。纳