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中华口腔医学研究杂志(电子版) ›› 2008, Vol. 02 ›› Issue (06) : 620 -626. doi: 10.3877/cma.j.issn.1674-1366.2008.06.013

临床研究

Twin-block 矫治器治疗年轻成人安氏Ⅱ1错 的临床研究
王大为1,(), 马迅1, 郭慧1, 朱双林1, 何旭顺1   
  1. 1. 510055 广州,中山大学光华口腔医学院·附属口腔医院·口腔医学研究所
  • 收稿日期:2008-06-20 出版日期:2008-12-01
  • 通信作者: 王大为
  • 基金资助:
    广东省医学科研基金(A2007223)

Clincical research on treatment of Angle class Ⅱ division Ⅰ young adults with mandibular retraction by Twin-block appliance

Da-wei WANG1,(), Xun MA1, Hui GUO1, Shuang-lin ZHU1, Xu-shun HE1   

  1. 1. Guanghua School of Stomatology, Institute of Stomatological Research, Sun Yat-sen University, Guangzhou 510055, China
  • Received:2008-06-20 Published:2008-12-01
  • Corresponding author: Da-wei WANG
引用本文:

王大为, 马迅, 郭慧, 朱双林, 何旭顺. Twin-block 矫治器治疗年轻成人安氏Ⅱ1错 的临床研究[J/OL]. 中华口腔医学研究杂志(电子版), 2008, 02(06): 620-626.

Da-wei WANG, Xun MA, Hui GUO, Shuang-lin ZHU, Xu-shun HE. Clincical research on treatment of Angle class Ⅱ division Ⅰ young adults with mandibular retraction by Twin-block appliance[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2008, 02(06): 620-626.

目的

探讨Twin-block 矫治器(TB)矫治年轻成人下颌后缩型安氏Ⅱ1 类错 的矫治效果。

方法

选取11 例下颌后缩型安氏Ⅱ1的年轻成人,采用Twin-block 矫治器(TB)以及固定矫治器双期矫治。 对治疗前后测量结果进行统计学分析。

结果

经TB 治疗后,所有患者Ⅱ1得到有效矫治:磨牙中性,覆、覆盖正常,侧貌面型明显改善。

结论

Twin-block矫治器可以有效矫治年轻成人下颌后缩型安氏Ⅱ1,能使边缘性病例避免正颌手术。

Objectives

The purpose of this study is to evaluate the effect of treatment Angle class Ⅱdivision Ⅰwith mandibular retraction in young adults with Twin-block appliance and fixed appliance.

Methods

11 cases of Angle class ⅡdivisionⅠwith mandibular retraction were included. All subjects were treated with Twin-block appliance and fixed appliance without extraction. Cephalograms were taken before and after treatment. Cephalometric analysis was conducted to evaluate the treatment effects. Student's t test was used to determine the effect on jaw changes, teeth movement and profile changes before and after treatment.

Results

After treament, ClassⅠmolar relationship was achieved in all subjects. Skeletal and soft tissue facial profile convexity were reduced.

Conclusion

Twin-block appliance is effective in the treatment of Angle class ⅡdivisionⅠmalocclusion with mandibular retraction in young adults. It is suggested that this treatment method could be an alternative to orthognathic surgery in borderline Class Ⅱcases.

图1 主要头影响测量项目标志点与平面 S:蝶鞍点; N:鼻根点; Po:耳点; Or:眶点; A:上齿槽座点; B:下齿槽座点; P:颏前点; Me:颏下点; Gn:颏顶点; Ns:软组织鼻根点; Sn:鼻下点; UL:上唇突点; LL:下唇突点; Pos:软组织颏前点; Mes:软组织颏下点; SN 平面:前颅底平面; FH:眼耳平面;MP:下颌平面
图2 治疗前侧面像
图3 治疗前头颅侧位片
图4 治疗前右侧 像
图5 治疗前左侧 像
图6 治疗后侧面像
图7 治疗后头颅侧位片
图8 治疗后右侧
图9 治疗后左侧 像
图10 结束2年后侧面像
图11 结束2年后头颅侧位片
图12 结束2年后右侧
图13 结束2年后左侧 像
表1 典型病例治疗前后头影测量值
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