高角和低角病例的诊断、临床特征及正畸治疗特点幻灯片.pptVIP

* 低角病例则可适当进行序列拔牙, 利用牙齿自然生长的力量关闭间隙、解除拥挤, 矫治高角病例的功能矫治器应是抑制后牙伸长的后牙牙合垫、口外唇弓或FR—IV 型矫治器; 而多数能促进后牙伸长的功能矫治器, 如Activator , 适用于低角病例。Low-angle cases can be appropriate for the serial extraction, teeth has the natural growth power to close the gap, and relieve congestion. For the correction of high-angle cases, functional appliance which inhibit tooth eruption is used like extraoral lip bow or FR-IV the type of appliance; functional appliance which promote tooth eruption,such as the Activator, apply to low-angle cases. FR—IV 型矫治器 * 扩弓矫治器使A 点向前向下移动、上颌位置改变, 肯定会导致下颌向后向下旋转, 减小了下颌的有效长度, 增加下面部的垂直高度, 故不适用于高角病例。Expansion arch appliance allows maxilla to move forward and downward that will certainly lead to the lower jaw backward and downward rotation, reducing the effective length of the lower jaw, increasing the vertical dimension. it does not apply to high-angle cases. . * 口外弓的使用可阻止A 点前移, 使腭平面向下倾斜, 口外力的方向可影响下颌的旋转方向, 如口外力向下向后( 颈牵引) ,可使牙齿伸长, 下颌顺时针旋转; 方向向上向后, 即高位牵引, 牙齿压低, 减小顺时针旋转, 甚至增加逆时针旋转, 由于磨牙区生长减小使髁突生长得以表达, 适用于高角病例。 The use of the face bow to prevent the point A to move forward, palatal plane to inclined downward, the direction of extra oral force can affect the direction of rotation of the mandible, such as backward and downward extraoral force (cervical traction),may prevent tooth elongation, mandibular clockwise rotation;i.e.High traction prevent teeth eruption, reduce the clockwise rotation, or even to increase counter-clockwise rotation due to the growth of the molar area to reduce the condoyle growth to be expressed, for high-angle cases. * 低角病例使用颈牵引以刺激齿槽突的垂直向生长, 有利于面型的改善。垂直牵引颏兜的使用可以通过保持颏的位置或使颏向上影响面下部的垂直高度, 还可使力传导作用于牙周膜、延缓后牙的萌出, 所以适合不希望下颌顺时针旋转的高角病例。 Low-angle cases cervical traction to stimulate alveolar sudden vertical growth is conducive to the improvement