前方牵引器矫治替牙期安氏Ⅲ类错牙合的临床疗效

Clinical effect of face-mask therapy of class Ⅲ malocclusion in mixed dentition

  • 摘要: 目的: 探讨上颌前方牵引器矫治儿童替牙期安氏Ⅲ类错牙合组织变化特征。方法: 以21名替牙期安氏Ⅲ类错牙合的中国儿童(男10名,女11名)为研究对象。矫治前平均年龄9.7岁(年龄范围8.11~11.3岁)。常规进行正畸治疗前后(T1,T2)头影测量分析。结果: 经过6~10个月的治疗,所有患者均达到正常覆盖。矫治完成时上颌骨平均前移1.92mm,SNA平均增大2.53°。上切牙唇倾3.82°,下切牙直立。下颌骨向下向后旋转,下颌平面角增加。结论: 上颌前方牵引器治疗替牙期安氏Ⅲ类错牙合十分有效,有利于Ⅲ类面型的改善。

     

    Abstract: Objective: To evaluate the beforetreatment and posttreatment changes in hard tissue of children in mixed dentition with class Ⅲ malocclusion treated with protraction face mask.Methods: 21 Chinese children(10 boys,11 girls) with class Ⅲ malocclusion were included.The mean age before treatment was 9 years 7 months(range 8 years 11 months to 11 years 3 months).For each patient,a lateral cephalogram was taken before treatment(T1),immediately posttreatment(T2).(Results: A positive) overjet was obtained in all cases after 6 to 10 months of treatment.Immediately posttreatmeant,the maxilla moved anteriorly a mean of 1.92mm and SNA increased 2.53 degree.The maxillary insisors proclined 3.82 degree,whereas the mandibular incisors were uprighted,the mandible rotated in a downward and backword direction,the mandibular plane angle increased,improving facial profile.Conclusion: Face-mask can be used effectively in class Ⅲ malocclusions in mixed dentition,improving class Ⅲ facial profile.

     

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