中华口腔正畸学杂志
中華口腔正畸學雜誌
중화구강정기학잡지
CHINESE JOURNAL OF ORTHODONTICS
2012年
4期
189-194
,共6页
安氏Ⅲ类错(牙合)%上颌快速扩弓%反复扩缩%口内前方牵引器%前方牵引面具
安氏Ⅲ類錯(牙閤)%上頜快速擴弓%反複擴縮%口內前方牽引器%前方牽引麵具
안씨Ⅲ류착(아합)%상합쾌속확궁%반복확축%구내전방견인기%전방견인면구
Class Ⅲ malocclusion%Rapid palatal expansion%Repetitive rapid palatal expansion and constriction%Intra-oral protractor%Maxillary protraction face mask
目的 应用口内上颌前方牵引器辅助治疗安氏Ⅲ类错(牙合)畸形,并与传统的面具式上颌前方牵引进行对比,以探讨口内前方牵引器在安氏Ⅲ类患者早期矫形治疗中的作用.方法 选择20名安氏Ⅲ类患者,首先戴用上颌扩弓器以周期性扩缩方式行快速扩弓7周,然后将患者分为2组.组1(10人)戴用牙支持式口内前方牵引器直至前牙反(牙合)解除,继以夜间戴用面具式前方牵引；组2(10人)直接戴用上颌前方牵引面具,要求每天至少戴用14小时.平均观察10个月.结果 两组患者治疗后ANB和覆盖均有明显改善,且口内前方牵引器治疗组较单纯面具式前方牵引组改善程度为著(P＜0.05).反(牙合)解除时间组1(平均2.3个月)较组2(平均7.8个月)显著为快(P＜0.001).结论 辅助应用口内前方牵引器能有效地矫形治疗骨性安氏Ⅲ类错(牙合).
目的 應用口內上頜前方牽引器輔助治療安氏Ⅲ類錯(牙閤)畸形,併與傳統的麵具式上頜前方牽引進行對比,以探討口內前方牽引器在安氏Ⅲ類患者早期矯形治療中的作用.方法 選擇20名安氏Ⅲ類患者,首先戴用上頜擴弓器以週期性擴縮方式行快速擴弓7週,然後將患者分為2組.組1(10人)戴用牙支持式口內前方牽引器直至前牙反(牙閤)解除,繼以夜間戴用麵具式前方牽引；組2(10人)直接戴用上頜前方牽引麵具,要求每天至少戴用14小時.平均觀察10箇月.結果 兩組患者治療後ANB和覆蓋均有明顯改善,且口內前方牽引器治療組較單純麵具式前方牽引組改善程度為著(P＜0.05).反(牙閤)解除時間組1(平均2.3箇月)較組2(平均7.8箇月)顯著為快(P＜0.001).結論 輔助應用口內前方牽引器能有效地矯形治療骨性安氏Ⅲ類錯(牙閤).
목적 응용구내상합전방견인기보조치료안씨Ⅲ류착(아합)기형,병여전통적면구식상합전방견인진행대비,이탐토구내전방견인기재안씨Ⅲ류환자조기교형치료중적작용.방법 선택20명안씨Ⅲ류환자,수선대용상합확궁기이주기성확축방식행쾌속확궁7주,연후장환자분위2조.조1(10인)대용아지지식구내전방견인기직지전아반(아합)해제,계이야간대용면구식전방견인；조2(10인)직접대용상합전방견인면구,요구매천지소대용14소시.평균관찰10개월.결과 량조환자치료후ANB화복개균유명현개선,차구내전방견인기치료조교단순면구식전방견인조개선정도위저(P＜0.05).반(아합)해제시간조1(평균2.3개월)교조2(평균7.8개월)현저위쾌(P＜0.001).결론 보조응용구내전방견인기능유효지교형치료골성안씨Ⅲ류착(아합).
Objective The aim of this study was to evaluate the skeletal and dentoalveolar changes achieved by a tooth-borne maxillary protractor in growing skeletal and dental Class Ⅲ patients and to compare these changes with maxillary protraction face mask group.Methods Twenty patients were selected and treated with repetitive rapid palatal expansion and constriction for 7 weeks.The patients were divided into two groups according to the treatment type:the intra-oral protractor group (mean age 10.12± 1.81 years,n=10) and the Delaire type maxillary protraction group (mean age 11.02±1.08 years,n=10).In group one a tooth-borne maxillary protractor was used until anterior crossbite was corrected and then followed by wearing face mask protraction at night time.In group two,maxillary protraction face mask was required to wear at least 14 hours/day.Results Significant changes in ANB and overjet were noted in the both groups and demonstrated the effects of the appliances in the treatment of Class Ⅲ malocclusions.In comparing the two groups,the improvements were greater in the intra-oral protractor group (P＜0.05).The duration for the correction of crossbite was reduced significantly in group one (2.3 months on average) than that in group two (8.6 months on average,P＜0.001).Conclusions The combination use of an intra-oral protractor is effective for correction of skeletal Class Ⅲ malocclusion.
