华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

双颌前突畸形正畸治疗后颅面硬组织变化的研究

谢永建,王大为,林界伟,卢新华,何旭顺   

  1. 中山大学附属口腔医院正畸科,广东广州510055
  • 收稿日期:2004-10-25 修回日期:2004-10-25 出版日期:2004-10-20 发布日期:2004-10-20
  • 通讯作者: 谢永建,Te1:020-83802802
  • 作者简介:谢永建(1971-),女,四川人,主治医师,硕士

Changes of Cranio-facial Hard issue after Orthodontic Treatment in Bimabllary Protrusive Patients

XIE Yong-jian, WANG Da-wei, GIN Jii-e-wei, LU Xirthua, HE Xv-shun   

  1. Dept.of Orthodontics,Guanghua College of Stornatology, Sun Yat- Sen Unavers勿。Cuangzhou 510055, China
  • Received:2004-10-25 Revised:2004-10-25 Online:2004-10-20 Published:2004-10-20

摘要:

目的研究正畸治疗对双领前突患者硬组织矢状及垂直向的影响。方法对24例广东籍双领前突患者在拔除4个第一双尖牙后,采用标准方丝弓矫治技术进行矫治,并对矫治前后硬组织侧貌的变化进行分析。结果 ①上下领骨间关系无明显变化,上下前牙突度和倾斜度明显减小。②前后面高明显增加,但前后面高间的比值及反映下领平面倾斜度的MP-FH无明显变化。③上下磨牙高度随前后面高的增加而明显增加。④上前牙高度明显增加,下前牙高度明显减小。结论双领前突畸形正畸治疗中垂直向及矢状向支抗可得到较好控制。

关键词: 双领前突, 头影测量, 方丝弓矫治技术

Abstract:

Objective The aim of this study is to investigate the changes of hard tissue profile in anterior-posterior and vertical direction in bimaxillary protrusion patients after orthodontic treatment. Methods A total of 24 bimaxillary protrusion patients (male 8, female 16),aged from II. 2 to 29.0 (average 16. 9 years old), were selected to be treated with standard edgewise tech- nique consisted of 4 first premolars extraction. Cephalometrics were taken before and after treatment. The changes of hard tissue profile were studied using the computer-aid X-ray cephalometric analysis. Results 1.The length of the maxillary and the mandi- ble increased significantly, but the anterior-posterior relationship of the maxillary and the mandible did not change significantly. 2. The anterior and posterior facial height increased significantly, but the ratio of anterior and posterior facial height and the angle of MP-FH which reflected the inclination of the mandible plane did not change significantly. 3. The height of the upper and lower first molar increased significantly along with the increase of the anterior and posterior facial height. 4. The height of the upper inci- ~increased significantly, but the height of the lower incisors decreased significantly. Conclusion The anchorage in anterior- posterior and vertical direction were controlled preferably, the patients did not manifest disadvantageous vertical growth trend.

Key words: bimaxillary protrusion, cephalometrics, edgewise technique