FRⅢ矫治功能性和早期骨性安氏Ⅲ类错的软组织变化  

Changes of soft tissues in patients with functional and skeletal Angel Class Ⅲ malocclusion after FRⅢ appliance therapy

作　　者：张楠[1] 汪隼[2] 樊林峰[3] 成晓敏 李小新 ZHANG Nan;WANG Sun;FAN Lin-feng;CHEN Xiao-min;LI Xiao-xin(Department of Stomatology, First Affiliated Hospital of Medical School, Shihezi University. Shihezi 832008, Xinjiang Uygur Autonomous Region;Department of Pediatric Dentistry, Shanghai Ninth People＇s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology. Shanghai 200011;Department of Radiology, Shanghai Ninth People＇s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011;Jinhua Stomatological Hospital. Jinhua 313000, ghejiang Province;Ruian Peoples＇s Hospital, Third Afftliated Hospital of Wenzhou University. Ruian 325200, Zhejiang Province, China)

机构地区：[1]新疆石河子大学医学院第一附属医院口腔科,新疆石河子832008 [2]上海交通大学医学院附属第九人民医院·口腔医学院儿童口腔科,上海市口腔医学重点实验室,国家口腔疾病临床研究中心,上海200011 [3]上海交通大学医学院附属第九人民医院放射科,上海200011 [4]金华口腔医院,浙江金华313000 [5]温州医科大学附属第三医院·瑞安市人民医院,浙江瑞安325200

出　　处：《上海口腔医学》2017年第6期658-661,共4页Shanghai Journal of Stomatology

摘　　要：目的 :比较FRⅢ型矫治器矫治功能性和早期骨性安氏Ⅲ类错前、后软组织的变化。方法 :选择30例功能性和早期骨性安氏Ⅲ类错患者,利用FRⅢ型矫治器矫治,采用SPSS22.0软件包对矫治前、后的X线头影测量项目进行t检验。结果:FRⅢ型矫治器矫治前、后,面型角、鼻唇角、颏唇角、上唇-E线距离均显著增大(P<0.05),Z角显著减小(P<0.05),下唇-E线距离显著减少(P<0.01);H角、上唇沟深、颏唇沟深、上唇基厚度、上唇紧张度均无显著改变(P>0.05)。结论:经FRⅢ型矫治器矫治后的安氏Ⅲ类错患者,侧貌突度增大,Ⅲ类凹面型趋于平直,面部侧貌趋于美观;上唇近中移动,下唇远中移动,上唇突度增加。PURPOSE： To compare the changes of soft tissues before and after treatment of functional and skeletal Angle class Ⅲ malocclusion with FRⅢ appliance. METHODS： Thirty patients with functional and skeletal Angel Class Ⅲ malocclusion were selected and treated with FRⅢ appliance,SPSS 22 software package was used to analyzed soft tissue changes before and after treatment. RESULTS： After treatment, FCA,NLA, Pog labial angle,upper lip to E line were increased significantly （P〈0.05）. Z angle was decreased significantly （P〈0.05）. Lower lip to E line was decreased significantly （P〈0.01）. There was no significant difference in H angle, superior sulcus depth, inferior sulcus to H-line, basic upper lip thickness, upper lip strain measurement （P〉0.05）. CONCLUSIONS： After FRⅢ appliance treatment of Angel Class Ⅲ malocclusion, the convexity of facial profile was increased, type Ⅲ concave profile tends to be flat, the facial profile of patient become more attractive; the protrusion of upper lip was found, the retrusion of lower lip was also present, the convexity of upper lip was increased.

关 键 词：FRⅢ型矫治器 安氏Ⅲ类错[牙合]畸形 反[牙合] X线头影测量 

分 类 号：R783.5[医药卫生—口腔医学]