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中华口腔医学研究杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 191 -196. doi: 10.3877/cma.j.issn.1674-1366.2020.03.011

所属专题: 口腔医学 文献

综述

骨性Ⅱ类错畸形早期矫形治疗疗效稳定性的研究进展
陈雅莉1, 胡江天1,()   
  1. 1. 昆明医科大学附属口腔医院正畸科 650000
  • 收稿日期:2020-01-02 出版日期:2020-06-01
  • 通信作者: 胡江天

Research progress in stability of early orthopedic therapy in skeletal Class Ⅱ malocclusion

Yali Chen1, Jiangtian Hu1,()   

  1. 1. Departmen of Orthodontics, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming 650000, China
  • Received:2020-01-02 Published:2020-06-01
  • Corresponding author: Jiangtian Hu
  • About author:
    Corresponding author: Hu Jiangtian, Email:
  • Supported by:
    National Natural Science Foundation of China(81860200); Science and Technology Innovation project of Kunming Medical University(CXTD201607); Department of Science and Technology of Yunnan Province and Kunming Medical University(2019FE001 (-008))
引用本文:

陈雅莉, 胡江天. 骨性Ⅱ类错畸形早期矫形治疗疗效稳定性的研究进展[J]. 中华口腔医学研究杂志(电子版), 2020, 14(03): 191-196.

Yali Chen, Jiangtian Hu. Research progress in stability of early orthopedic therapy in skeletal Class Ⅱ malocclusion[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2020, 14(03): 191-196.

骨性Ⅱ类错畸形是一种常见的发育性牙颌畸形,对口腔功能及颜面部美观有明显的影响。骨性Ⅱ类错畸形在我国患病率较高,以下颌后缩为主要表征。临床上通过早期矫治以获得良好效果,主要以前导下颌功能矫形为主。早期矫形疗效的稳定性一直受到关注,特别是关于长期效果的保持。本文综合骨性Ⅱ类错畸形的各种矫形矫治器最新研究进展,阐述其疗效的长期稳定性以及稳定性的影响因素。

Skeletal ClassⅡ malocclusion is a common developmental dentognathic deformity. It influences on oral function and facial appearance. The skeletal ClassⅡ malocclusion is mainly characterized by mandibular retrusion, with high prevalence in China. Dentists use early treatment to obtain good results, mainly using anterior mandibular functional appliance. We usually concern on the stability of early orthopedic treatment especially on the long constancy. This paper reviews the latest progress of the orthopedic appliances, discussing the long-term stability and its influencing factors.

[1]
Foncatti CF, Castanha Henriques JF, Janson G,et al. Long-term stability of Class Ⅱ treatment with the Jasper jumper appliance[J]. Am J Orthod Dentofacial Orthop,2017,152(5):663-671. DOI:10.1016/j.ajodo.2017.03.029.
[2]
Karamesinis K, Basdra EK. The biological basis of treating jaw discrepancies:An interplay of mechanical forces and skeletal configuration[J]. Biochim Biophys Acta Mol Basis Dis,2018,1864(5 Pt A):1675-1683. DOI:10.1016/j.bbadis.2018.02.007.
[3]
Al-Kurwi ASA, Bos A, Kuitert RB. Overjet reduction in relation to wear time with the van Beek activator combined with a microsensor[J]. Am J Orthod Dentofacial Orthop,2017,151(2):277-283. DOI:10.1016/j.ajodo.2016.06.046.
[4]
Čirgić E, Kjellberg H, Hansen K. Treatment of large overjet in Angle ClassⅡ:division 1 malocclusion with Andresen activators versus prefabricated functional appliances—a multicenter,randomized,controlled trial[J]. Eur J Orthod,2016,38(5):516-524. DOI:10.1093/ejo/cjv080.
[5]
Čirgić E, Kjellberg H, Hansen K. Discomfort,expectations,and experiences during treatment of large overjet with Andresen Activator or prefabricated functional appliance:a questionnaire survey[J]. Acta Odontol Scand,2017,75(3):166-172. DOI:10.1080/00016357.2016.1274424.
[6]
Koretsi V, Zymperdikas VF, Papageorgiou SN,et al. Treatment effects of removable functional appliances in patients with ClassⅡ malocclusion:a systematic review and meta-analysis[J]. Eur J Orthod,2015,37(4):418-434. DOI:10.1093/ejo/cju071.
[7]
Bilgiç F, Başaran G, Hamamci O. Comparison of Forsus FRD EZ and Andresen activator in the treatment of classⅡ,division 1 malocclusions[J]. Clin Oral Investig,2015,19(2):445-451. DOI:10.1007/s00784-014-1237-y.
[8]
于倩,朱妍菲,孙蕙珺,等. Ⅱ类功能矫治器对颌骨牙齿改变权重的研究进展[J].口腔医学,2019,39(7):668-672. DOI:10.13591/j.cnki.kqyx.2019.07.021.
[9]
黄鑫琪,岑啸,刘钧.功能矫治对安氏Ⅱ类错畸形患者髁突位置影响的Meta分析[J].华西口腔医学杂志,2016,34(6):589-593. DOI:10.7518/hxkq.2016.06.008.
[10]
Arponen H, Hirvensalo R, Lindgren V,et al. Treatment compliance of adolescent orthodontic patients with headgear activator and twin-block appliance assessed prospectively using microelectronic wear-time documentation[J]. Eur J Orthod,2020,42(2):180-186. DOI:10.1093/ejo/cjaa001.
[11]
Campbell C, Millett D, Kelly N,et al. Frankel 2 appliance versus the Modified Twin Block appliance for Phase 1 treatment of ClassⅡ division 1 malocclusion in children and adolescents:A randomized clinical trial[J]. Angle Orthod,2019,90(2):202-208. DOI:10.2319/042419-290.1.
[12]
易颖煜,赵宁,沈刚.矢向引导型Twin-block矫治器对安氏Ⅱ类上颌骨及磨牙的远移作用[J].上海口腔医学,2016,25(4):456-460.
[13]
Parekh J, Counihan K, Fleming PS,et al. Effectiveness of part-time vs full-time wear protocols of Twin-block appliance on dental and skeletal changes:A randomized controlled trial[J]. Am J Orthod Dentofacial Orthop,2019,155(2):165-172. DOI:10.1016/j.ajodo.2018.07.016.
[14]
Ehsani S, Nebbe B, Normando D,et al. Short-term treatment effects produced by the Twin-block appliance:a systematic review and meta-analysis[J]. Eur J Orthod,2015,37(2):170-176. DOI:10.1093/ejo/cju030.
[15]
Barnabé Raveli D, Schwartz JP, Boamorte Raveli T,et al. Skeletal and dental changes induced by bionator in early treatment of classⅡ[J]. Acta Scientiarum Health Sciences,2016,38(2):205-210. DOI:10.4025/actascihealthsci.v38i2.28763.
[16]
Ahmadian-Babaki F, Araghbidi-Kashani SM, Mokhtari S. A Cephalometric Comparison of Twin Block and Bionator Appliances in Treatment of ClassⅡ Malocclusion[J]. J Clin Exp Dent,2017,9(1):e107-e111. DOI:10.4317/jced.53031.
[17]
Mommio LD, Vompi C, Carreri C,et al. Bionator di Balters and Frankel in the treatment of classⅡ malocclusions:a literature review[J/OL]. 2019.

URL    
[18]
Divya S, Kumar HCK, Shetty KS. Effectiveness of functional regulatorⅡ appliance in producing skeletal and dental changes and its permanence in classⅡ patients compared to a control group:A retrospective cephalometric study[J]. Int J Dent Oral Health,2017,9(6):269-278. DOI:10.4103/jioh.jioh_223_17.
[19]
Angelieri F, Franchi L, Cevidanes LHS,et al. Long-term treatment effects of the FR-2 appliance:a prospective evalution 7 years post-treatment[J]. Eur J Orthod,2014,36(2):192-199. DOI:10.1093/ejo/cjt026.
[20]
Perillo L, Cannavale R, Ferro F,et al. Meta-analysis of skeletal mandibular changes during Frankel appliance treatment[J]. Eur J Orthod,2011,33(1):84-92. DOI:10.1093/ejo/cjq033.
[21]
金婕,陈钰文,朱玉,等. FRⅡ型功能矫治器与肌激动器对儿童安氏Ⅱ1类错矫治效果对比研究[J].中国实用口腔科杂志,2015,8(11):668-671. DOI:10.7504/kq.2015.11.008.
[22]
Schwartz JP, Raveli TB, Almeida KCdM,et al. Cone beam computed tomography study of apical root resorption induced by Herbst appliance[J]. J Appl Oral Sci,2015,23(5):479-485. DOI:10.1590/1678-775720150224.
[23]
Yang X, Zhu Y, Long H,et al. The effectiveness of the Herbst appliance for patients with Class Ⅱ malocclusion:a meta-analysis[J]. Eur J Orthod,2015,38(3):324-333. DOI:10.1093/ejo/cjv057.
[24]
王训,谢慧,樊佳兵,等.隐适美MA在治疗青少年骨性Ⅱ类下颌后缩临床疗效的观察[J].全科口腔医学电子杂志,2019,6(32):57-58. DOI:10.16269/j.cnki.cn11-9337/r.2019.32.042.
[25]
沈刚.矢向引导型互阻式矫形技术治疗突面畸形—演化、变革与创新[J].上海口腔医学,2015,24(5):513-518.
[26]
王宝然,陈文静.预成型肌功能矫治器早期肌功能矫治研究进展[J].口腔医学,2019,39(6):573-576. DOI:10.13591/j.cnki.kqyx.2019.06.020.
[27]
田丽丽,张金龙,江涌. T4K矫治器治疗替牙早期安氏Ⅱ类1分类错的软、硬组织改变及稳定性[J].上海口腔医学,2019,28(6):662-665. DOI:10.19439/j.sjos.2019.06.022.
[28]
张晓洁,梁芮,林楚如. T4K矫治器矫正早期安氏Ⅱ类1分类错的疗效及稳定性研究[J].口腔医学研究,2014,30(11):1087-1091. DOI:10.13701/j.cnki.kqyxyj.2014.11.020.
[29]
Spalj S, Mroz Tranesen K, Birkeland K,et al. Comparison of Activator-Headgear and Twin Block Treatment Approaches in ClassⅡ Division 1 Malocclusion[J]. Biomed Res Int,2017,2017:4861924. DOI:10.1155/2017/4861924.
[30]
Bishara SE. ClassⅡ malocclusions:diagnostic and clinical considerations with and without treatment[J]. Semin Orthod,2006,12(1):11-24. DOI:10.1053/j.sodo.2005.10.005.
[31]
Varrela J. Early developmental traits in ClassⅡ malocclusion[J]. Acta Odontol Scand,1998,56(6):375-377. DOI:10.1080/000163598428356.
[32]
Cannavale R, Chiodin P, Perillo L,et al. Rapid palatal expansion(RPE):Meta-analysis of long-term effects[J]. Orthod Craniofac Res,2018,21(4):225-235. DOI:10.1111/ocr.12244.
[33]
冶录平,陈菁菁,丰鑫. Hyrax快速与慢速扩弓矫治替牙晚期上颌狭窄疗效对比研究[J].中国实用口腔科杂志,2014,7(12):740-743. DOI:10.7504/kq.2014.12.010.
[34]
Pereira JS, Jacob HB, Locks A,et al. Evaluation of the rapid and slow maxillary expansion using cone-beam computed tomography:a randomized clinical trial[J]. Dental Press J Orthod,2017,22(2):61-68. DOI:10.1590/2177-6709.22.2.061-068.oar.
[35]
Bucci R, Montanaro D, Rongo R,et al. Effects of maxillary expansion on the upper airways:Evidence from systematic reviews and meta-analyses[J]. J Oral Rehabil,2019,46(4):377-387. DOI:10.1111/joor.12766.
[36]
Buck LM, Dalci O, Darendelier MA,et al. Volumetric upper airway changes after rapid maxillary expansion:a systematic review and meta-analysis[J]. Eur J Orthod,2017,39(5):463-473. DOI:10.1093/ejo/cjw048.
[37]
Bastos RTDRM, Blagitz MN, Aragón MLSC,et al. Periodontal side effects of rapid and slow maxillary expansion:A systematic review[J]. Angle Orthod,2019,89(4):651-660. DOI:10.2319/060218-419.1.
[38]
da Fontoura CS, Miller SF, Wehby GL,et al. Candidate gene analyses of skeletal variation in malocclusion[J]. J Dent Res,2015,94(7):913-920. DOI:10.1177/0022034515581643.
[39]
Jiang Q, Mei L, Zou Y,et al. Genetic Polymorphisms in FGFR2 Underlie Skeletal Malocclusion[J]. J Dent Res,2019,98(12):1340-1347. DOI:10.1177/0022034519872951.
[40]
Grippaudo C, Paolantonio EG, Antonini G,et al. Association between oral habits,mouth breathing and malocclusion[J]. Acta Otorhinolaryngol Ital,2016,36(5):386-394. DOI:10.14639/0392-100X-770.
[41]
赵迪,曹军,李小燕,等.骨性二类错患者上、下颌骨矢状结构病因机制分析[J].口腔医学研究,2007,23(1):95-97. DOI:10.13701/j.cnki.kqyxyj.2007.01.034.
[42]
Tulloch JFC, Proffit WR, Phillips C. Influences on the outcome of early treatment for Class Ⅱ malocclusion[J]. Am J Orthod Dentofacial Orthop,1997,111(5):533-542. DOI:10.1016/S0889-5406(97)70290-7.
[43]
Perinetti G, Primožič J, Furlani G,et al. Treatment effects of fixed functional appliances alone or in combination with multibracket appliances:A systematic review and meta-analysis [J]. Angle Orthod,2015,85(3):480-492. DOI:10.2319/102813-790.1.
[44]
Chung CH, Wong WW. Craniofacial growth in untreated skeletal ClassⅡ subjects:a longitudinal study[J]. Am J Orthod Dentofacial Orthop,2002,122(6):619-626. DOI:10.1067/mod.2002.129195.
[45]
Bschang PH, Tanguay R, Turkewicz J,et al. A polynomial approach to craniofacial growth:description and comparison of adolescent males with normal occlusion and those with untreated ClassⅡ malocclusion[J]. Am J Orthod Dentofacial Orthop,1996,90(5):437-442. DOI:10.1016/0889-5406(86)90009-0.
[46]
田惠军,李洪发,张馨匀.生长发育高峰期青少年骨性Ⅱ类错下颌骨生长变化的CBCT分析[J].天津医科大学学报,2019,25(2):150-153.
[47]
Stahl F, Baccetti T, Franchi L,et al. Longitudinal growth changes in untreated subjects with Class Ⅱ Division 1 malocclusion[J]. Am J Orthod Dentofacial Orthop,2008,134(1):125-137. DOI:10.1016/j.ajodo.2006.06.028.
[48]
Malmgren O, Omblus J, Hägg U,et al. Treatment with an orthopedic appliance system in relation to treatment intensity and growth periods. A study of initial effects[J]. Am J Orthod Dentofacial Orthop,1987,91(2):143-151. DOI:10.1016/0889-5406(87)90472-0.
[49]
Pavoni C, Lombardo EC, Lione R,et al. Treatment timing for functional jaw orthopaedics followed by fixed appliances:a controlled long-term study[J]. Eur J Orthod,2018,40(4):430-436. DOI:10.1093/ejo/cjx078.
[50]
Perinetti G, Contardo L. Reliability of Growth Indicators and Efficiency of Functional Treatment for Skeletal ClassⅡ Malocclusion:Current Evidence and Controversies[J]. Biomed Res Int,2017,2017:1367691. DOI:10.1155/2017/1367691.
[51]
Perinetti G, Caprioglio A, Contardo L. Visual assessment of the cervical vertebral maturation stages:a study of diagnostic accuracy and repeatability[J]. Angle Orthod,2014,84(6):951-956. DOI:10.2319/120913-906.1.
[52]
Perinetti G, Contardo L, Castaldo A,et al. Diagnostic reliability of the cervical vertebral maturation method and standing height in the identification of the mandibular growth spurt[J]. Angle Orthod,2016,86(4):599-609. DOI:10.2319/072415-499.1.
[53]
Lee YS, Lee SJ, An H,et al. Do ClassⅢ patients have a different growth spurt than the general population?[J]. Am J Orthod Dentofacial Orthop,2012,142(5):679-689. DOI:10.1016/j.ajodo.2012.07.009.
[54]
Francisconi MF, Henriques JFC, Janson G,et al. Stability of ClassⅡ treatment with the Bionator followed by fixed appliances [J]. J Appl Oral Sci,2013,21(6):547-553. DOI:10.1590/1679-775720130002.
[55]
Jungbauer R, Koretsi V, Proff P,et al. Twenty-year follow-up of functional treatment with a bionator appliance:A retrospective dental cast analysis[J]. Angle Orthod,2019,90(2):209-215. DOI:10.2319/042419-292.1.
[56]
Bock NC, von Bremen J, Ruf S. Stability of ClassⅡ fixed functional appliance therapy—a systematic review and meta-analysis[J]. Eur J Orthod,2016,38(2):129-139. DOI:10.1093/ejo/cjv009.
[57]
Cacciatore G, Ugolini A, Sforza C,et al. Long-term effects of functional appliances in treated versus untreated patients with ClassⅡ malocclusion:A systematic review and meta-analysis [J]. PLoS One,2019,14(9):e0221624. DOI:10.1371/journal.pone.0221624.
[58]
Liu S, Xu T, Zou W. Effects of rapid maxillary expansion on the midpalatal suture:a systematic review[J]. Eur J Orthod,2015,37(6):651-655. DOI:10.1093/ejo/cju100.
[59]
Zhou Y, Long H, Ye N,et al. The effectiveness of non-surgical maxillary expansion:a meta-analysis[J]. Eur J Orthod,2013,36(3):233-242. DOI:10.1093/ejo/cjt044.
[60]
McNamara JA, Baccetti T, Franchi L,et al. Long-term evaluation of changes in arch dimensions produced by rapid maxillary expansion and fixed appliances[J]. Revista Española de Ortodoncia,2019,49(1):17-26.
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