可摘式螺旋扩弓装置配合方丝弓矫正器的临床研究.docVIP

???? 可摘式螺旋扩弓装置配合方丝弓矫正器的临床研究 ???? ????【摘要】　目的　探讨一种简单、可靠、稳定的扩弓方法。方法　选择16例生长发育各期需扩弓矫治的患者，在常规戴入 方丝弓矫治器的同时使用可摘式螺旋扩弓装置扩大牙弓。扩弓装置平均戴入时间为6个月， 方丝弓矫治器平均戴入1～2年。结果　16例上颌牙弓均得到了不同程 度的扩大，同时除2例以外，14例下颌牙弓也随之扩大。结论　该方 法可提高扩弓效率，减少复诊次数，是一种行之有效的扩弓方法，适用于生长发育各期的患 者。　　【关键词】　牙列拥挤　　螺旋扩大器　　方丝弓　　模型测量 Clinical study on the removable screw arch expansion mechanics accompanied with the use of the edgewise appliances Yang Li　Wang Aihong　Zh ang Jicheng（Department of Orthodontics,Beijing Stomatological Hospital,Capital University of Medical Sciences,Bejing 100050） 　　【Abstract】　Objective　The purpose of the study was to discuss and analyze a simple,reliable and stable method for arch expansion.Methods　16 subjects of variors growth periods who were in n eed of arch expansion orthodontic treatment were selected.Edgewise appliances an d removable screw expansion mechanics were used at the same time for the treatme nt.The duration with removable screw expansion mechanics was about 6 months on a verage while the duration with Edgewise appliances was about 1 to 2 years.Results　The results showed that the width of the upper arches of all the 16 subjects became larger to different extent and width of the lower arches of 14 subjects were also found larger simultaneously.Conclusio n　The study suggests that this arch expansion method is a simple,con venient and stable method which can greatly increase the efficiency of arch expa nsion and shorten the treatment time.It has been proved a practical method for a rch expansion suitable for patients of various growth periods.　　【Key words】　Dental crowding　　Expansion screw　　Edgewise appliance　　Model measurement 　　临床上常用的上颌扩弓法有两种，一种是快速扩弓法，即用螺旋扩弓器在数周内快速打开腭中缝的方法［1～4］；另一种是慢速扩弓法，主要是扩大牙弓［5，6］。其装置又可分为二类，即固定矫治器的扩弓装置和活动矫治器的扩弓装置。在本研究中试将可摘式螺旋扩弓装置与方丝弓矫治器联合使用，以便探讨一种简单、方 便、稳定的扩弓方法。 材料和方法 　　1.研究对象：根据临床检查及模型测量分析，对上颌基骨发育基本正常，前牙拥挤5mm～6mm以内，上牙弓轻度狭窄，腭盖高拱，上颌磨牙舌向倾斜，单侧或双侧磨牙反 牙　合，安Ⅰ类5例，安Ⅱ类8例，安Ⅲ类3例，共计1 6例患者使用了可摘式螺旋扩弓装置及方丝弓矫治器进行矫治。16例患者中男性8例，女性8 例，年龄在12～17岁，平均14.13岁。　　2.矫治过程及方法：矫治初期均同时戴入方丝弓矫