中华医学美学美容杂志
中華醫學美學美容雜誌
중화의학미학미용잡지
CHINESE JOURNAL OF MEDICAL AESTHETICS AND COSMETOLOGY
2015年
4期
219-222
,共4页
郭奕%李天成%彭诚%陈晶晶
郭奕%李天成%彭誠%陳晶晶
곽혁%리천성%팽성%진정정
双颌前突%直丝弓矫正器%拔牙%软组织侧貌
雙頜前突%直絲弓矯正器%拔牙%軟組織側貌
쌍합전돌%직사궁교정기%발아%연조직측모
Protruding%Straight wire appliance%Extraction%Soft tissue profile
目的 探讨传动直丝弓技术和MBT滑动直丝弓技术矫治成人双颌前突患者的临床效果.方法 选择双颌或双牙弓前突患者40例,将其完全随机分为两组,传动组20例,应用传动直丝弓矫治;MBT组20例,应用MBT滑动直丝弓结合口外弓或种植钉辅助支抗治疗.比较两组头颅侧位X线治疗前后及治疗差值的组间差异.结果 平均疗程传动组为(19±4)个月,MBT组为(23±4)个月,差异有统计学意义(P＜0.05);与治疗前比较,两组患者U1/SN、U1/NA、U1-NA、L1/NB、L1-NB、U1-AP、L1-AP、UL-EP、LL-EP均显著减小(P＜0.01);U1/L1、鼻唇角和Z角均增大(P＜0.05);MP/SN传动组增加1.93°(P＜0.05),MBT组增加0.81°(P＞0.05).除MP/SN差异有统计学意义外(P＜0.05),其余差异均无统计学意义(P＞0.05),但上中切牙内收量U1/NA传动组(-20.95±8.79)°明显大于MBT组(-16.00±6.52)°.结论 未使用额外支抗的传动技术和使用强支抗的MBT技术治疗双颌前突患者均能得到满意的软、硬组织结果.传动直丝弓技术能较早改善患者软组织侧貌,但上前牙有过于直立趋势,临床应注意上前牙的转矩控制.
目的 探討傳動直絲弓技術和MBT滑動直絲弓技術矯治成人雙頜前突患者的臨床效果.方法 選擇雙頜或雙牙弓前突患者40例,將其完全隨機分為兩組,傳動組20例,應用傳動直絲弓矯治;MBT組20例,應用MBT滑動直絲弓結閤口外弓或種植釘輔助支抗治療.比較兩組頭顱側位X線治療前後及治療差值的組間差異.結果 平均療程傳動組為(19±4)箇月,MBT組為(23±4)箇月,差異有統計學意義(P＜0.05);與治療前比較,兩組患者U1/SN、U1/NA、U1-NA、L1/NB、L1-NB、U1-AP、L1-AP、UL-EP、LL-EP均顯著減小(P＜0.01);U1/L1、鼻脣角和Z角均增大(P＜0.05);MP/SN傳動組增加1.93°(P＜0.05),MBT組增加0.81°(P＞0.05).除MP/SN差異有統計學意義外(P＜0.05),其餘差異均無統計學意義(P＞0.05),但上中切牙內收量U1/NA傳動組(-20.95±8.79)°明顯大于MBT組(-16.00±6.52)°.結論 未使用額外支抗的傳動技術和使用彊支抗的MBT技術治療雙頜前突患者均能得到滿意的軟、硬組織結果.傳動直絲弓技術能較早改善患者軟組織側貌,但上前牙有過于直立趨勢,臨床應註意上前牙的轉矩控製.
목적 탐토전동직사궁기술화MBT활동직사궁기술교치성인쌍합전돌환자적림상효과.방법 선택쌍합혹쌍아궁전돌환자40례,장기완전수궤분위량조,전동조20례,응용전동직사궁교치;MBT조20례,응용MBT활동직사궁결합구외궁혹충식정보조지항치료.비교량조두로측위X선치료전후급치료차치적조간차이.결과 평균료정전동조위(19±4)개월,MBT조위(23±4)개월,차이유통계학의의(P＜0.05);여치료전비교,량조환자U1/SN、U1/NA、U1-NA、L1/NB、L1-NB、U1-AP、L1-AP、UL-EP、LL-EP균현저감소(P＜0.01);U1/L1、비진각화Z각균증대(P＜0.05);MP/SN전동조증가1.93°(P＜0.05),MBT조증가0.81°(P＞0.05).제MP/SN차이유통계학의의외(P＜0.05),기여차이균무통계학의의(P＞0.05),단상중절아내수량U1/NA전동조(-20.95±8.79)°명현대우MBT조(-16.00±6.52)°.결론 미사용액외지항적전동기술화사용강지항적MBT기술치료쌍합전돌환자균능득도만의적연、경조직결과.전동직사궁기술능교조개선환자연조직측모,단상전아유과우직립추세,림상응주의상전아적전구공제.
Objective To evaluate the curative effect by using transmission straight wire appliance in treatment of adult patients with protruding,to compare with MBT straight wire technique,and to discuss their similarities and differences.Methods Totally 40 protruding patients were assigned into two groups randomly:the transmission straight wire technique group were treated with transmission straight wire appliance,and the MBT straight wire technique group were treated with MBT appliance together with extraoral arch or screw implant anchorage.Cephalometric measurements were compared before and after treatment.Results Average period of treatment was (19 ±4) months for transmission group and (23 ± 4) months for MBT group.The difference was statistically significant (P＜0.05).After treatment,U1/SN,U1/NA,U1-NA,L1/NB,L1-NB,U1-AP,L1-AP,UL-EP,LL-EP were significantly reduced for both patients groups (P＜0.01).U1/L1,nasolabial angle and z angle were increased for both groups (P＜0.05).MP/SN increased by 1.93°(P＜0.05)for transmission group vs.0.81° (P＞0.05) for MBT group.There was no statistically significant difference between the two groups (P＞0.05) except MP/SN (P＜0.05).However,the retraction of anterior teeth in transmission group was greater than that of MBT group,and U1/NA changed (-20.95±8.79)° in transmission group vs.(-16.00 ± 6.52)° in MBT group.Conclusions Both techniques can achieve satisfactory results for protruding cases.The transmission technology can improve soft tissue profile quicker,but anterior teeth have excessive vertical trend,where attention should be paid to control torque on anterior teeth.
