华西口腔医学杂志

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摆形矫治器矫治不同垂直骨面型安氏Ⅱ类错的疗效评价

吴 勇1,罗颂椒1,赵志河1,袁 晓2,郑 翼1,刘 颖1,米晓晖1,倪 琳1   

  1. 1.四川大学华西口腔医院 正畸科,四川 成都610041; 2.上海第二医科大学附属第九人民医院 正畸科,上海200011
  • 收稿日期:2005-02-25 修回日期:2005-02-25 出版日期:2005-02-20 发布日期:2005-02-20
  • 通讯作者: 罗颂椒,Tel:028-85501492
  • 作者简介:吴 勇(1977-),男,浙江人,博士

Cephalometric Evaluation of the Effects of Pendulum Appliance on Various Vertical Growth Patterns

WU Yong1,LUO Song-jiao1,ZHAO Zhi-he1,YUANXiao2,ZHENG Yi1,LIUYing1,MIXiao-hui1,NILin1   

  1. 1.Dept.ofOrthodontics,West China College of Stomatology,Sichuan University,Chengdu610041,China; 2.Dept.of Orthodontics,Shanghai Ninth People′sHospital,Shanghai SecondMedical University,Shanghai200011,China
  • Received:2005-02-25 Revised:2005-02-25 Online:2005-02-20 Published:2005-02-20

摘要: 目的 探讨摆形矫治器矫治不同垂直骨面型安氏Ⅱ类错的疗效及对牙颌面的影响。方法 对30例样 本(低角组、均角组、高角组各10例)治疗前后的24项X线头影测量指标进行测量和比较分析。结果 上颌磨牙在 不同的垂直骨面型中远中移动的距离不同,低角组移动最小,高角组移动最大;上颌磨牙在3组中均被压低,但差 别无统计学意义;各组样本第一双尖牙向近中移动量和前牙覆盖增加量不同,低角组最多,高角组最少。结论 摆 形矫治器可有效远中移动磨牙,在不同的垂直骨面型磨牙均被压低,为摆形矫治器用于矫治AngleⅡ类高角患者提 供了理论依据。

关键词: 摆形矫治器, 磨牙远中移动, 垂直骨面型, 安氏Ⅱ类错

Abstract:

Objective The aim of this studywas to investigate the effects of the pendulum appliance in treating dental ClassⅡ patients with various vertical growth patterns.Methods The samples (n=30) were divided into three groups equally based on their FMA. Pretreatment and post-treatment cephalometric radiographs were taken to measure the changes.Results The amount of upper molar distalization in the low-angle group was the fewest, and that in the high-angle group was the most. Upper molars had been intruded insignificantly. The amount of anchorage loss at the first premolars and overjet increased at incisorswas different in the three groups. The biggest change happened in the low-angle group, and the smallest in the high-angle group.Conclusion  The results of this study showed that pendulum appliance could move the uppermolars distally in a short period of time. The upper molars in different groups were intruded insignificantly. Pendulum appliance could be used to move the upper molars distally in high-angle cases.

Key words: pendulum appliance, molar distalization, vertical growth patterns, Angle′s ClassⅡmalocclusion