拔除上颌第二磨牙后推第一磨牙远移矫治上牙列中度拥挤的研究.PDF

586 武警医学 (Medical Journal of the Chinese People ’s Armed Police Forces) Vol. 14 No. 10 2003 - 10 出版 论　　著 拔除上颌第二磨牙后推第一磨牙远移 矫治上牙列中度拥挤的研究 1 1 2 3 3 ( 1 2 陈莉莉 　李俊梅 　秦向阳 　毕惠贤 　段银钟 　 武警湖北总队医院口腔科 ,武汉 430061 ; 武警山西总 队医院五官科 ,太原 030032 ;3 第四军医大学口腔医学院正畸科 ,西安 710032) 　　摘 　要 　目的 　探讨拔除上颌第二磨牙促进第一磨牙远移 ,矫治上牙列中度拥挤的临床疗效。方法 　临床选择面型较 好的安氏 Ⅱ类错　 ,上牙列中度拥挤的患者 16 例。拔除上颌第二磨牙后 ,推第一磨牙远移 , 同时促使第三磨牙自行向近中迁 移代替第二磨牙 ,采用方丝弓固定矫治技术进行治疗。结果 　牙列拥挤全部解除 ,推第一磨牙向远中顺利。治疗结束时 7 例 年龄较大的患者第三磨牙已萌出 ,9 例第三磨牙未萌出 ,但位置已明显向近中迁移。治疗结束 3 年后观察 ,16 例患者上颌第三 磨牙均从第二磨牙的位置萌出并建　。结论 　选择合适的适应证 ,拔除上颌第二磨牙后 ,能顺利地通过推磨牙远移矫治牙列 拥挤 ,也能促进第三磨牙的近移和萌出 ,并担当起第二磨牙的作用。 关键词 　拔牙矫治 　中度牙列拥挤 　磨牙远移 　方丝弓矫治技术 Clinical treatment of moderately crowded upper dentition by distalization of first upper molars following extraction of second molars CHEN Lili ,LI Junmei , QIN Xiangyang , BI Huixian ,and DUAN Yinzhong. Department of Stomatology. Hubei Provincial Corps Hospital , Chinese People’s Armed Police Forces , Wuhan 430061 , China Abstract 　Objective 　To evaluate the clinical effects of first upper molar distalization following second molar extraction for treatment of moderately crowded upper teeth. Methods 　Sixteen patients with class Ⅱmalocclusion of upper dentition with harmony profile and moderately ( ) ( crowded teeth were selected 7 males ,and 9 females ,with a mean age of 16 years and 5 months ranging from 15 years and 6 months to 17 years and 8 months) . The patients were treated by edgewise technique including distalization of first upper molars and mesial drift of third mo lars following extraction of second upper molars. Results 　Crowded teeth were completely corrected. The di