安氏Ⅱ~1错硬组织变化的分析研究
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摘要
目的:探讨安氏Ⅱ~1错畸形病人在矫治不同阶段的硬组织变化规侓。方法:选择2013-07~2015-11就诊于内蒙古医科大学附属医院口腔正畸科的40例符合标准的病例,不拔牙矫治,采用MBT直丝弓矫治技术配合斜面导板,分别在矫治前、矫治中(上颌排齐阶段)、矫治后(摘斜导及矫治结束阶段)测量出硬组织各测量项目值,对颌面部硬组织的变化进行投影测量分析。数据采用SPSS 13.0软件进行统计学处理,分析矫治前、中、后测量指标的变化及各指标间的相关性。结果:安氏Ⅱ~1病例矫治前、中、后硬组织测量项目的变化:牙齿主要表现为上颌前牙的舌倾、覆、覆盖减小,其覆盖减小主要为上切牙舌倾和下颌骨前移共同作用的结果;前面高、后面高增加及后面高与前面高比值的减少,下颌体长度的增加。结论:MBT直丝弓矫治器对颌骨的作用较小,主要对牙齿进行了有效的转矩和支抗控制,表现为U1-SN和IMPA减小;功能性斜面导板矫治器有效的促进了下颌骨的生长,主要表现为下颌体长度的增加和前、后面高的增加。
Objective: To investigate the overall appearance and regulation and relevance. of hard tissue changes of Angle Ⅱ~1 malocclusion patients treated at different stages. Methods: To choose 40 cases of patients meet the criteria with non-extraction treatment.Using MBT straight wire appliance with inclined plane treated them.According to the different stages of treatment,it was divided into three stages: pre-treatment,midi-treatment( maxillary aligned phase),post-treatment( end of treatment phase and remove the inclined plane).Measuring the value of each hard tissue measurements to analysis the changes of Maxillofacial hard issue.Data were statistically analyzed by using SPSS 13.0software in each stage to analyze changes of hard and soft tissue and the correlation between the index. Results: The overall appearance changes of the Angle Ⅱ~1 patients mainly represent for correcting mandibular retrusion and achieving coordinated and beautiful side appearance effects after treatment.The measurement changes of hard tissue of Angle Ⅱ~1 malocclusion in each stage included the teeth main changes was teeth tongue backward in the maxillary anterior over-jet decreases.Its coverage reduced mainly contributed to upper incisors poured tongue and mandible forward. The high front,high back and the length of themandibular body increased.Conclusion: MBT straight wire appliance play a smaller role in the jaw and mainly effectively control the torque and anchorage of teeth. The performance of Cm-Sn-Ls angle increases,U1-SN and IMPA reduced.Functional inclined plane appliance effectively promoted mandible growth,mainly in the mandibular body length,front and black high increased.
Objective: To investigate the overall appearance and regulation and relevance. of hard tissue changes of Angle Ⅱ~1 malocclusion patients treated at different stages. Methods: To choose 40 cases of patients meet the criteria with non-extraction treatment.Using MBT straight wire appliance with inclined plane treated them.According to the different stages of treatment,it was divided into three stages: pre-treatment,midi-treatment( maxillary aligned phase),post-treatment( end of treatment phase and remove the inclined plane).Measuring the value of each hard tissue measurements to analysis the changes of Maxillofacial hard issue.Data were statistically analyzed by using SPSS 13.0software in each stage to analyze changes of hard and soft tissue and the correlation between the index. Results: The overall appearance changes of the Angle Ⅱ~1 patients mainly represent for correcting mandibular retrusion and achieving coordinated and beautiful side appearance effects after treatment.The measurement changes of hard tissue of Angle Ⅱ~1 malocclusion in each stage included the teeth main changes was teeth tongue backward in the maxillary anterior over-jet decreases.Its coverage reduced mainly contributed to upper incisors poured tongue and mandible forward. The high front,high back and the length of themandibular body increased.Conclusion: MBT straight wire appliance play a smaller role in the jaw and mainly effectively control the torque and anchorage of teeth. The performance of Cm-Sn-Ls angle increases,U1-SN and IMPA reduced.Functional inclined plane appliance effectively promoted mandible growth,mainly in the mandibular body length,front and black high increased.
引文
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[15]张淋坤,颜彦,余秋丽.前牙深覆盖病人覆牙合覆盖的减小对唇部软组织形态的影响[J].泸州医学院学报,2015;38(6):581-583
[16]王佳宁,张晓静,吕浩波.微型种植体在安氏Ⅱ类1分类矫治中的临床研究[J].内蒙古医科大学学报,2011;33(3):241-243
[17]艾婷婷,胡炜.安氏Ⅱ类Ⅰ分类错牙合畸形双期治疗的临床研究进展[J].中华口腔正畸学杂志,2010;17(4):228-230
[18]陈睿,陈克,徐晓明,等.Mbt技术联合固定式斜导矫治安氏Ⅱ类1分类错牙合[J].湖北医药学院学报,2012;31(1):64-66
[19]彭明慧,亢静,周建明,等.垂直生长型安氏Ⅱ类1分类拔牙矫治后鼻唇角改变的相关性分析[J].华西口腔医学杂志,2015;36(4):397-400
[20]王婧,徐培成,金蕾.青少年安氏Ⅱ类2分类错牙合病人正畸治疗前后颅颌面结构的变化[J].中国临床医学,2015;5(2):234-236
[21]颜彦,王建国,张淋坤.安氏Ⅱ1类错牙合畸形病人拔牙矫治前后软硬组织变化的研究[J].天津医药,2016;22(2):1-3
[22]周丽娟,王建国,张锡忠,等.骨性Ⅱ类错牙合畸形成人病人拔牙矫治后软硬组织变化的研究[J].中国美容医学,2015;24(23):58-61
[2]Ulas Oz,Meliha rubenduz.Craniofacial differences between skeletal class II and skeletal class I malocclusions according to vertical classification[J].Stomat.Occ.Med,2011;4(8):105-111
[3]Baccetti T,Franchi L,Stanhl F.Comparison of 2 comprehensive class II treatment protocols including the bonded herbst and headgear appliances:a double-blind study of consecutively treated patients at puberty[J].Am J Orthod Dento-facial Orthop,2009;135(6):691-699
[4]傅民魁.口腔正畸学[M].第6版.北京:人民卫生出版社,2012:14
[5]乌兰其其格,刘汝平.Mbt直丝弓矫治器的临床应用[J].内蒙古医学杂志,2009;41(3):367-368
[6]赵俊杰,王世兴.安氏II1类错牙合畸形矫治前后颅颌面部软硬组织变化的研究[J].徐州医学院学报,2010;30(11):762-764
[7]萨日娜,陈岩.Twin-block矫治器在安氏Ⅱ类错牙合中应用研究进展[J].内蒙古医科大学学报,2015;37(S1):188-191
[8]刘丽,段银钟,刘岚,等.固定斜面导板治疗骨性下颌后缩髁突形态及位置变化的核磁共振研究[J].口腔医学,2015;28(5):259-261
[9]李俊,廖明华,邓如平,等.斜面导板固定矫治下颌后缩型安氏Ⅱ类错牙合的效果观察[J],2013;35(6):762-763
[10]Baysal A,Uysal T.Soft tissue effects of twin block and herbst appliances in patients with class II division 1 mandibular retrognathy[J].Eur J Orthod,2013;35(1):71-81
[11]Tanic T,Blazej Z,Mitic V.Analysis of soft tissue thickness in persons with malocclusions of class II division 1 and class II division2[J].Srp Arh Celok Lek,2012;140(7-8):412-418
[12]彭明慧,亢静,周建明,等.垂直生长型安氏Ⅱ类1分类拔牙矫治后鼻唇角改变的相关性分析[J].华西口腔医学杂志,2015;33(4):397-400
[13]魏艳华,张端强.安氏Ⅱ类1分类错胎病人拔牙与否的形态学差异[J].中国实用医药,2014;9(9):71-72
[14]陈保成.直丝弓技术结合平面导板矫治前牙深覆牙合的效果分析[J].中国美容医学,2015;24(12):70-72
[15]张淋坤,颜彦,余秋丽.前牙深覆盖病人覆牙合覆盖的减小对唇部软组织形态的影响[J].泸州医学院学报,2015;38(6):581-583
[16]王佳宁,张晓静,吕浩波.微型种植体在安氏Ⅱ类1分类矫治中的临床研究[J].内蒙古医科大学学报,2011;33(3):241-243
[17]艾婷婷,胡炜.安氏Ⅱ类Ⅰ分类错牙合畸形双期治疗的临床研究进展[J].中华口腔正畸学杂志,2010;17(4):228-230
[18]陈睿,陈克,徐晓明,等.Mbt技术联合固定式斜导矫治安氏Ⅱ类1分类错牙合[J].湖北医药学院学报,2012;31(1):64-66
[19]彭明慧,亢静,周建明,等.垂直生长型安氏Ⅱ类1分类拔牙矫治后鼻唇角改变的相关性分析[J].华西口腔医学杂志,2015;36(4):397-400
[20]王婧,徐培成,金蕾.青少年安氏Ⅱ类2分类错牙合病人正畸治疗前后颅颌面结构的变化[J].中国临床医学,2015;5(2):234-236
[21]颜彦,王建国,张淋坤.安氏Ⅱ1类错牙合畸形病人拔牙矫治前后软硬组织变化的研究[J].天津医药,2016;22(2):1-3
[22]周丽娟,王建国,张锡忠,等.骨性Ⅱ类错牙合畸形成人病人拔牙矫治后软硬组织变化的研究[J].中国美容医学,2015;24(23):58-61
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