CAJ | 학술논문

目的观察肌功能训练器对乳牙期、替牙期错(牙合)畸形的治疗效果.方法 27例错(牙合)畸形患者,乳牙列患者3例,均为Ⅱ类关系,其中Ⅲ度深覆(牙合)2例,1例伴Ⅲ度深覆盖.替牙列患者24例,其中Ⅰ类关系11例,Ⅱ类关系8例,Ⅲ类关系5例,均表现为前牙区拥挤,其中个别切牙反(牙合)4例,Ⅲ度深覆(牙合)伴Ⅲ度深覆盖2例.均采用肌功能训练器治疗,根据年龄和错(牙合)畸形类型,选用相应INFANT、T4K、I2N训练器,要求患者日间戴用1h以上,晚间睡觉时间戴用,并按要求进行呼吸和吞咽等训练,每1.0～1.5个月复诊1次.结果 6～10个月后,24例配合良好的患者,牙齿拥挤改善,深覆(牙合)、深覆盖获得完全纠正,面型改善.结论肌功能训练器治疗乳牙期、替牙期因不良习惯及口周肌功能异常导致的错(牙合)畸形是有效的,患者的良好配合是矫治成功的关键.
목적 관찰기공능훈련기대유아기、체아기착(아합)기형적치료효과.방법 27례착(아합)기형환자,유아렬환자3례,균위Ⅱ류관계,기중Ⅲ도심복(아합)2례,1례반Ⅲ도심복개.체아렬환자24례,기중Ⅰ류관계11례,Ⅱ류관계8례,Ⅲ류관계5례,균표현위전아구옹제,기중개별절아반(아합)4례,Ⅲ도심복(아합)반Ⅲ도심복개2례.균채용기공능훈련기치료,근거년령화착(아합)기형류형,선용상응INFANT、T4K、I2N훈련기,요구환자일간대용1h이상,만간수각시간대용,병안요구진행호흡화탄인등훈련,매1.0～1.5개월복진1차.결과 6～10개월후,24례배합량호적환자,아치옹제개선,심복(아합)、심복개획득완전규정,면형개선.결론 기공능훈련기치료유아기、체아기인불량습관급구주기공능이상도치적착(아합)기형시유효적,환자적량호배합시교치성공적관건.
Objective To clarify the effect of myofunctional treatment on primary and mixed dentition malocclusion.Methods Twenty-seven children were selected,3 were in primary dentition among which 2 showed deep overbite.24 were in mixed dentition and presented crowding in anterior area among which 4 children combined with anterior crossbite,2 showed deep overbite and deep overjet.All the patients were treated with myofunctional trainer such as INFANT,T4K or I2N appliances according to their age and malocclusion type.The patients were instructed to wear the trainers for at least one hour a day keeping their lips together or overnight while sleeping.Muscle exercises were done when wearing the trainer during daytime.Results After 6-10 months,24 patients who were in good compliance had their teeth aligned,deep overjet and deep overbite corrected,and facial profile improved.Conclusions Myofunctional treatment is effective on primary and mixed dentition malocclusion.It is important to have patients' good compliance.