应用微钛钉矫治上颌前突或双牙弓前突.docVIP

应用微钛钉矫治上颌前突或双牙弓前突 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：应用微钛钉矫治上颌前突或双牙弓前突 1 1 资料与方法 2 2 结果 3 3 讨论 4 文2：探讨采用双借法或双货法反映冲销业务的作用 5 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 9 正文 应用微钛钉矫治上颌前突或双牙弓前突 文1：应用微钛钉矫治上颌前突或双牙弓前突 【Abstract】 Objective To evaluate the treatment results of maxillary protrusion or bimaxillary protrusion cases by the application of microcrew anchorage. Methods The study comprised 15 patients，whose ages ranged from to yea，average (±)yea. All the patients presented maxillary protrusion，a mean of mm in maxillary anterior microscrews were implanted in the bilateral buccal alveolar bone between maxillary the fit and the second mola or between the fit molar and second premolar before bonding straight wire the main arch was stable enough，the canine and lateral incisor were retracted respectively with the microscrew force each side was applied to miniscrew and retraced cephalometric films before and after the relieving of upper anerior teeth croweing were measured and compared. Result Maxillary protrusion in 15 patients were corrected effectively. Inciso were retracted siginificantly .Mola were moved slightly incisor and fit molar had no significant changes in anteroposterior and vertical directio. Conclusion Maxillary protrusion could be relieved effectively by microsrew anchorage，with no loss of molar anchorage. 【Key word】 orthodontic anchorage miniscrew anchorage maxillary protrusion or bimaxillary protrusion 由于牙量骨量不调导致的前牙前突或双牙弓前突，矫治这类问题的错颌畸形时，需要设计拔除第一前磨牙，并且拔牙间隙需要全部或大部分来内收前牙，因此磨牙支抗要求强支抗控制［１］。对于前突严重患者，在治疗的初期即要求很好的控制磨牙支抗，尽量避免前牙的往复移动和支抗丧失，尽早设计微钛钉支抗，分批移动前牙至拔牙间隙内收前牙。 1 资料与方法 一般资料 2006年1月至2007年11月本院门诊15例正畸患者，男7例，女8例；年龄～岁，平均(±)岁。15例患者的上牙列前牙区牙齿覆盖在Ⅱ°以上，平均覆盖为。 方法 (1)矫治设计和治疗过程:15例患者上前牙前突严重，设计拔除上颌第一前磨牙，粘结直丝弓矫治器之前，8例患者上颌双侧第一磨牙和第二前磨牙之间的颊侧，7例患者上颌双侧第一磨牙和第二磨牙的颊侧，分别植入自攻型支抗微钛钉,直径，长度 mm(国产微螺钉种植体MAS)。稳定1个月，应用微钛钉支抗牵引尖牙远中移动，牵引力值100g力。为了使牵引方向接近尖牙的抗力中心，宜延长尖牙的牵引钩。患者在植入微钛钉和前牙内收时分别X线摄头颅定位侧位片，进行测量研究。经过1～年，平均19个月；治疗结束时，尖牙及磨牙达到一类关系，019×025方丝固定3个月后，改用改良Hawley保持器保持(图1)