上颌骨宽度不足诊断方法的研究进展  

Research progress in the diagnosis of the maxillary transverse deficiencies

作　　者：张丹楠 雍敏[2] 崔文月 刘伟 Zhang Dannan;Yong Min;Cui Wenyue;Liu Wei(School of Stomatology,Ningxia Medical University,Yinchuan 750003,China;Department of Orthodontics,General Hospital of Ningxia Medical University,Yinchuan 750000;Department of Orthodontics,Yinchuan Stomatological Hospital,Ningxia Medical University,Yinchuan 750002)

机构地区：[1]宁夏医科大学口腔医学院,银川750003 [2]宁夏医科大学总医院口腔医院正畸科,银川750003 [3]宁夏医科大学附属银川市口腔医院正畸科,银川750002

出　　处：《中华口腔医学研究杂志（电子版）》2022年第1期59-65,共7页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：宁夏自然科学基金(2021AAC03524);宁夏回族自治区科技惠民计划(2021CMG03025)。

摘　　要：上颌骨宽度不足常伴有后牙反和咬合干扰,对牙周组织、颞下颌关节、上气道及颌面部的正常发育等造成一系列不良影响。正确诊断上颌骨宽度不足、建立协调的颌骨间横向关系、达到稳定的咬合对患者的口颌系统及全身健康具有重要意义。在各类错畸形中,宽度问题也是治疗中首要解决的问题。然而,目前对于上颌骨宽度不足缺乏诊断的金标准,且诊断方法多样,准确性不一,随着锥形束CT(CBCT)的广泛应用,多种CBCT横向分析法被提出。本文对上颌骨宽度不足的诊断方法作一综述,为临床医生精准诊断和矫治设计提供参考。Maxillary transverse discrepancy is often accompanied by posterior crossbite and occlusal interference,which has a series of adverse effects on the periodontium,temporomandibular joint,upper airway and maxillofacial development.Correct diagnosis of a maxillary transverse discrepancy and the establishment of ideal maxillary transverse relationship,as well as the stable occlusion are of great significance to patients′oral and systemic health.In all kinds of malocclusion,the transverse problem is also the primary problem to be solved in the treatment.However,diagnostic methods vary in accuracy at present,and there is no gold standard for diagnosing maxillary insufficiency.With the wide application of CBCT,a variety of CBCT transverse analysis methods have been proposed.This study reviews the diagnostic methods of maxillary transverse discrepancy to provide a reference for clinician precision diagnosis and correction design.

关 键 词：诊断技术和方法 上颌骨 牙弓 锥束计算机体层摄影术 

分 类 号：R78[医药卫生—口腔医学]