Tip—EdgePlus直丝弓技术矫治Ⅱ类错[牙合]的临床应用初探  

Preliminary clinical application of Tip-Edge Plus appliance in the treatment of Class Ⅱ patients

作　　者：陈莉莉[1,2] 许天民[1] 林久祥[1] 

机构地区：[1]北京大学口腔医学院·口腔医院正畸科,100081 [2]华中科技大学同济医学院附属协和医院口腔科,武汉,430022

出　　处：《中华口腔医学杂志》2008年第12期719-722,共4页Chinese Journal of Stomatology

基　　金：“十五”国家科技攻关计划（2004BA720A25）

摘　　要：目的通过观察Tip—EdgePlus直丝弓技术矫治的Ⅱ类错[牙合]患者颅面、牙胎的特征性改变，探讨该技术的矫治要点。方法应用Tip—EdgePlus直丝弓技术矫治12例（女性7例，男性5例，平均14．3岁）11类错骀双颌或上颌前突患者。所有患者均拔除4颗第一前磨牙，按照Tip—EdgePlus直丝弓技术矫治程序进行矫治，矫治前后行x线头影测量分析。结果与矫治前相比，矫治后患者软组织侧貌改善明显，鼻唇角增大17．22。（P〈0．01）；上、下唇突距分别减少4．57mm、3．72mm（P〈0．01）；上、下切牙显著内收，突度分别减小4．75mm、1．89mm（P〈0．05）。依靠口内支抗，矫治前后上颌支抗磨牙的移动仅为0．89mm（P〉0．05）。结论Tip—EdgePlus直丝弓技术利用口内支抗、细丝轻力，快速倾斜移动牙齿后简捷、准确转距并正轴的方法，可有效矫治Ⅱ类错[牙合]双颌或上颌前突患者。Objective To evaluate the craniofacial and occlusional changes of Class Ⅱ patients treated with Tip-Edge Plus technique. Methods Twelve Class Ⅱ patients （7 girls and 5 boys, mean age 14. 3 years） with bimaxillary or maxillary protrusion were selected. All the patients were four first premolar extraction cases and treated with Tip-Edge Plus technique. Cephalometric analysis was performed to evaluate the changes before and after treatment. Results After treatment, the profile was greatly improved. UL-E, LL-E were decreased significantly （P 〈 0. 01 ） and incisors were retracted （P 〈 0. 05）. Upper molars moved forward slightly （P 〉 0. 05）. Conclusions The anchorage control in Tip-Edge Plus technique was effective without extraoral force, palatal arch and implants. Under very light force, the crown of anterior teeth tipped distally and lingually quickly. In the final stage, it was possible to achieve both desired root uprighting and crown torque.

关 键 词：正畸矫正器 错骀 安氏Ⅱ类 直丝弓矫治技术 

分 类 号：R686[医药卫生—骨科学]