传统式Twin-block矫治器与逐步式前移下颌的Twin-block矫治器治疗下颌后缩畸形的临床疗效评价  

Comparative Study of Curative Effectiveness of Mandibular Retrognathia Cases with Traditional Twin-block or Stepwise Twin-block Appliance

作　　者：古力巴哈.买买提力 陈冲[1] 陈文君[1] 杨川[1] 

机构地区：[1]新疆医科大学第五附属医院口腔科,新疆乌鲁木齐830011

出　　处：《口腔医学研究》2015年第1期45-47,51,共4页Journal of Oral Science Research

基　　金：新疆维吾尔自治区自然科学基金项目(编号:2012211A030)

摘　　要：目的:比较传统的一次最大前伸法Twin-block矫治器与改良逐步式前移下颌的Twin-block矫治器治疗下颌后缩畸形的临床疗效。方法:选择处于替牙晚期或恒牙早期ANB角>5°,覆盖>6mm的骨性下颌后缩患者13例,接受逐步式前移下颌的TB矫治器治疗,根据病例对照的原则收集使用传统一步法TB矫治器治疗的病例13例作为对照组,应用X线头影测量技术进行治疗前后的18项硬组织测量分析。结果:逐步式TB矫治器治疗后SNB角增大,Y轴角变小,下颌颏部相对颅底位置关系变化明显,MP-SN、FH-MP增大改善深覆。两组矫治后磨牙调整为中性关系或轻度近中关系,前牙覆覆盖基本正常;上下颌关系协调。结论:传统式Twin-block矫治器和逐步式Twin-block功能矫治器早期治疗安氏II类1分类下颌后缩患者,疗效基本相同,但改良式Twinblock矫治器患者戴用舒适度好,可优先考虑之。Objective：To compare clinical curative effect on ClassⅡ with mandibular retrognathia by the two Twin-block appliance.Methods：13 mandibular retrusion case with mixed dentition or early permanent dentition were selected,they received modified Twin-block treatment.According to the case control principle 13 case with Twin-block treatment were selected as the control group.The Cephalometrics analysis was performed before and after treatment for oberserving 18 hard tissue variables.Results：In the experiment group,the SNB increased,the Y axis decreased,MP-SN,FH-MP increased,the jaw and chin position relative to the skull base of change was obvious.Early treatment with two Twin-block appliance were effective in overjet and correction.Conclusion：It was almost the same effect for Class II Division 1mandibular retrusion patients using Twin block or modified Twin-block in the early treatment.But the modified Twin-block appliance was more suitable for curing Angle’s class II division 1mandibular retrusion cases.

关 键 词：逐步法前导下颌 TWIN-BLOCK矫治器 下颌后缩畸形 X 线头影测量 

分 类 号：R783.5[医药卫生—口腔医学]