华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

Herbst矫治器伴头帽牵引治疗安氏Ⅱ类错

杜 熹1, Urban H¨agg2   

  1. 1.四川大学华西口腔医院 正畸科,四川 成都610041;2.香港大学牙学院 正畸专业,香港
  • 收稿日期:2004-02-25 修回日期:2004-02-25 出版日期:2004-02-20 发布日期:2004-02-20
  • 通讯作者: 杜 熹,Tel:028-85501425
  • 作者简介:杜 熹(1966-),女,四川人,讲师,博士

Treatment Effects of Headgear-Herbst Appliance

DUXi1,UrbanH¨agg2   

  1. 1.Dept.ofOrthodontics,West China College of Stomatology,Sichuan University,Chengdu610041,China;2.Chair in Orthodontics,Faculty ofDentistry,The University of HongKong,China
  • Received:2004-02-25 Revised:2004-02-25 Online:2004-02-20 Published:2004-02-20

摘要:

目的 研究Herbst矫治器伴头帽牵引逐步前伸下颌对安氏Ⅱ类错的矫治效果。方法 治疗组22例患者,对照组31例患者。治疗组患者均按治疗的前6个月、后6个月(平均)及维持期6个月,3个阶段治疗并拍摄头侧位定位片观察。对照组患者拍摄2次头侧位定位片,其间间隔6个月。结果 平均治疗12个月后的疗效是抑制上颌骨生长、刺激下颌骨生长并降低下面高。与对照组相比,对上颌骨的抑制作用在治疗的前后6个月均有统计学意义,对下颌骨的刺激作用仅在治疗前6个月有统计学意义,对下面高的降低作用仅在治疗后6个月有统计学意义。维持阶段上下基骨关系不变而对下面高的降低作用进一步加强。结论 Herbst矫治器伴头帽牵引能有效地矫治安氏Ⅱ类错,对上颌骨的作用随时间的增加而加强,对下颌骨的作用随时间的增加而减弱。

关键词: Herbst矫治器, 头帽牵引, 安氏Ⅱ类错, 下颌逐步前伸

Abstract:

Objective Skeletal and dental changes during treatment and six months post-treatment with the headgear-Herbst appliance were evaluated quantitatively.Methods The sample comprised of 22 treated patients and 31 controls. Lateral cephalo- grams were obtained at start, after 6 months and end of active treatment, and after 6 months of retention.Results The restraint effect on the maxilla was significant in both initial and late phases, the enhanced growth of the mandible was significant during the initial phase only, while there was effect of reduced increase in lower facial height during the late phase only. During retention pe- riod the jaw base relationshipwas maintained and the effect on the lower facial heightwas reinforced.Conclusion The Headgear Herbst was effective orthopedic devise.

Key words: Herbst appliance, headgear, ClassⅡmalocclusion, step-by-step advancement of the mandible