功能矫形结合差动力技术治疗下颌严重后缩伴生长激素缺乏症1例

doi:10.7518/hxkq.2022.05.014

华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (5): 597-605.doi: 10.7518/hxkq.2022.05.014

功能矫形结合差动力技术治疗下颌严重后缩伴生长激素缺乏症1例

吴佳奇¹^,²(), 陈露祎¹^,³, 李媛媛⁴, 罗俊¹()

^1.南昌大学附属口腔医院正畸科江西省口腔生物医学重点实验室，南昌 330006
^2.深圳市儿童医院口腔科，深圳 518001
^3.深圳市口腔医院儿童口腔科，深圳 518001
^4.萍乡市人民医院口腔科，萍乡 337055

收稿日期:2021-11-08 修回日期:2022-05-13 出版日期:2022-10-01 发布日期:2022-10-17
通讯作者: 罗俊 E-mail:416612955@qq.com;174637426@qq.com
作者简介:吴佳奇，主治医师，硕士，E-mail：416612955@qq.com
基金资助:
江西省科技计划项目(202210046)

Functional orthopedic treatment combined with differential-force technique to treat a severe mandibular retraction with growth-hormone deficiency: a case report

Wu Jiaqi¹^,²(), Chen Luyi¹^,³, Li Yuanyuan⁴, Luo Jun¹()

^1.Dept. of Orthodontics, Affiliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine, Nanchang 330006, China
^2.Dept. of Stomatology, Shenzhen Children’s Hospital, Shenzhen 518001, China
^3.Dept. of Children’s Pediatric Dentistry, Shenzhen Stomatological Hospital, Shenzhen 518001, China
^4.Dept. of Stomatology, People’s Hospital of Pingxiang, Pingxiang 337055, China

Received:2021-11-08 Revised:2022-05-13 Online:2022-10-01 Published:2022-10-17
Contact: Luo Jun E-mail:416612955@qq.com;174637426@qq.com
Supported by:
Science and Technology Project of Jiangxi Province(202210046);Correspondence: Luo Jun, E-mail: 174637426@qq.com

摘要/Abstract

摘要：

生长激素缺乏症（GHD）是儿童生长发育常见病，主要原因是生长激素缺乏，颜面部常表现为严重下颌后缩，临床治疗难度大。本文报道1例利用功能矫形结合差动力技术治疗有GHD病史的严重下颌后缩患者，并获得良好效果的病例，为临床治疗类似病例提供参考。

关键词: 生长激素缺乏症, 骨性Ⅱ类错𬌗畸形, 下颌后缩, 功能矫形, 差动力技术

Abstract:

Growth-hormone deficiency (GHD) is a common growth-related disease in children, and the main reason is the lack of growth hormone. In the oralfacial region, GHD often manifests as severe mandibular retraction, which increases the difficulty of clinical treatment. This article reports a case of severe mandibular retraction with GHD subjected to functional orthopedic treatment combined with differential-force technique, which yielded satisfactory results. This study can serve as a reference for clinical treatments of similar cases.

Key words: growth hormone deficiency, skeletal class Ⅱ malocclusion, mandibular retraction, functional orthopedics, differential force technique

中图分类号:

R 78

吴佳奇, 陈露祎, 李媛媛, 罗俊. 功能矫形结合差动力技术治疗下颌严重后缩伴生长激素缺乏症1例[J]. 华西口腔医学杂志, 2022, 40(5): 597-605.

Wu Jiaqi, Chen Luyi, Li Yuanyuan, Luo Jun. Functional orthopedic treatment combined with differential-force technique to treat a severe mandibular retraction with growth-hormone deficiency: a case report[J]. West China Journal of Stomatology, 2022, 40(5): 597-605.

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测量项目	治疗前	功能矫形后	固定矫治后	正常值
SNA角/°	77.63	77.38	77.84	82.30±3.50
SNB角/°	71.61	73.35	74.54	78.90±3.50
ANB角/°	6.02	4.03	3.30	3.40±1.80
U1-SN角/°	116.74	111.00	98.29	103.80±5.50
L1-MP角/°	101.56	101.69	109.14	96.30±5.80
上下中切牙角/°	109.21	114.54	120.71	120.60±9.20
FH-MP角/°	18.34	20.71	20.86	28.80±5.20
Y轴角/°	55.43	57.07	57.47	64.00±2.00
Z角/°	76.13	67.57	79.61	77.00±5.00
蝶鞍角/°	127.71	127.39	125.89	123.00±5.00
关节角/°	145.40	145.32	145.62	143.00±6.00
下颌角/°	121.52	121.30	123.53	130.00±7.00
联合变量*/°	394.63	394.01	395.04	396.00±6.00
后前面高比	63.14	64.82	63.47	63.00±2.00

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功能矫形结合差动力技术治疗下颌严重后缩伴生长激素缺乏症1例

Functional orthopedic treatment combined with differential-force technique to treat a severe mandibular retraction with growth-hormone deficiency: a case report

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