高角和低病例诊断临床特征及正畸治疗特点.pptVIP

高角和低角病例的诊断、临床特征及 正畸治疗特点 High angle and low angle cases, diagnosis, clinical features and orthodontic treatment 由于以往的诊断是以安氏ew 分类为主,正畸医生常常 orthodontists often 只注意到矢状向错牙合而mph 忽略了垂直向不调。 the vertical dimension 近年来,学者们逐渐认识 In recent years, scholars have 到垂直面型在错畸形诊断 p 和治疗中的重要性:它不 diagnosis and treatment of 仅为颅面复合体的生长方 provides clues to the direction 向提供了线索,而且直接ese 影响治疗的成功与否。 affects the success of treatment 垂直向异常有高角和低角两种类型,在Ⅲ类 一安氏错牙合中约有50%左右的患者存在不同程度 的垂直向异常 and low angle, about 50%of ypes of high-angle patients with angle class lll malocclusion varying degrees normal vertical dimension high-angle and low angle cases, diagnosis, clinical features, and orthodontic treatment 从《L《 8 图2错畸形的骨面型分类(垂直向) A.正常型:B高角型:C.低角型 高角病例和低角病例的诊断和形成机制 High angle and low angle cases diagnosis and form ·文献中用来描述垂直向异常的说法很多,常用的有开张面 型( hyperdivergent)、向后旋转型( backward rotation 垂直生长型 vertical type)、长面型 dolichocephalic)、 .高角型( high-angle t向ace),均指垂直向异常以发育过度、 ( vertica| excessive)为主,而聚合面型( hypodivergent)、 向前旋转型( forward rotation)、水平生长型( horizontal type)、短面型( brachypechalic)、低角型(low- angle face)则是指垂直发育不足( vertical deficiency) 由于诊断标准和侧重点不同,从严格意文上诽,这些概念之/ 间是有差异的,但在临床中描述垂直面型时经常通用。 Diagnostic criteria and a different focus in the strict sense, these concepts there is a difference but ofte description of vertical ty 高角病例和低角病例的诊断和形成机制 High angle and low angle cases diagnosis and form 本文中统称为高角和低角,但不能误解为下 颌平面角大者即为高角型、小者即为低角型,这 是因为下颌角利下颌下缘在生长改建过程中变 花较大,所以单纯以下颌平面角作为诊断标准可 能掩盖了下颌真实的旋转方向,对垂直面型的正 确诊断还应结合其他指标。 Referred to article as high -angle and low angle, should not be confuse with the r mandibular plane angle, if it is high, called hi angle as the diagnostic criteria may mask the true mandibular ane and direction of the vertical growth. The correct diagno be combined with other indicators