骨性Ⅱ类成年患者不同治疗方式下的侧貌审美评价  

Evaluation of profile aesthetics of skeletal Class Ⅱ patients with different treatment methods

作　　者：杨静云[1] 何昌平 张翼 黄倩倩[1] 夏熹[1] 王华桥[1] 

机构地区：[1]重庆医科大学附属口腔医院正畸科口腔疾病与生物医学重庆市重点实验室重庆市高校市级口腔生物医学工程重点实验室,重庆401147 [2]重庆市协尔口腔,重庆400042

出　　处：《上海口腔医学》2017年第4期414-418,共5页Shanghai Journal of Stomatology

基　　金：国家自然科学基金(81570979);重庆市卫计生委科研项目(2013-2-069;2015MSXM051;2012-2-131)

摘　　要：目的:评价骨性Ⅱ类上颌前突下颌后缩成年患者不同治疗方式下的侧貌美观。方法:选取1例骨性Ⅱ类上颌前突下颌后缩正畸代偿治疗后的成年女性作为研究对象,拍摄头颅侧位片和侧貌像,运用Photoshop软件模拟得到正畸代偿治疗结合不同前移程度的颏成形手术及正畸-正颌联合治疗的侧貌图共6张,由专业和非专业人员对其评分,采用SPSS22.0软件包对数据进行单因素方差分析及SNK检验。结果:正畸-正颌联合治疗最为美观,正畸代偿治疗结合颏成形手术治疗颏部前移4 mm时次之,前移8 mm时美观程度较正畸代偿治疗差。结论:正畸-正颌联合治疗仍为骨性Ⅱ类上颌前突下颌后缩患者改善侧貌美观的最佳治疗方式。颏成形手术作为一种正畸代偿治疗后的辅助治疗手段,可在一定程度上提高面部的协调及美观,但美学效果不能与正畸-正颌联合治疗相媲美。PURPOSE： To study the aesthetic appearance of skeletal Class II patients with maxillary protrusion and mandibular retrusion treated with different methods. METHODS： The facial profile photographs and lateral cephalometrie radiographs of a Chinese woman suffering from skeletal Class II with maxillary protrusion and mandibular retrusion was digitized.The digital images were modified to obtain orthodontic compensatory treatment, genioplasty with different advancement ranges and orthognathie treatment comprising 6 profiles by Photoshop software,orthodontic professionals and non-professionals were chosen to score the pictures. Post hoe tests were done with ANONA and the Student Keuls method to analyze the data Using SPSS22.0 software package. RESULTS： The profile with the highest score was the picture treated by orthognathic and orthodontic treatment. The profile with genioplasty （advancement of 4 mm） took the second place. When the advancement distance of genioplasty was 8 mm, the score was under the score of orthodontic compensatory treatment profile. CONCLUSIONS： Orthognathic-orthodontic treatment of skeletal Class II is still the best treatment option to improve facial aesthetics. Genioplasty, as a adjuvant treatment, improves the appearance based on compensatory orthodontic treatment to some extent, but not comparable to orthognathic-orthodontic treatment.

关 键 词：骨性Ⅱ类错畸形 颏成形术 正畸-正颌联合治疗 审美评价 

分 类 号：R783.5[医药卫生—口腔医学]