华西口腔医学杂志

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细丝片段弓移动尖牙的应用分析

卢新华,蔡斌,吴莉萍,谢永建   

  1. 中山大学光华口腔医院 正畸科,广东 广州510060
  • 收稿日期:2005-06-25 修回日期:2005-06-25 出版日期:2005-06-20 发布日期:2005-06-20
  • 通讯作者: 蔡 斌,Tel:020-83802802
  • 作者简介:卢新华(1968-),女,新疆人,主治医师,硕士
  • 基金资助:
    广东省医学科学技术研究基金资助项目(1998年)

Analysis of Distalization of Lower Canine by Light-segmented Archwire

LUXin-hua,CAI Bin,WULi-ping,XIE Yong- jian   

  1. Dept.ofOrthodontics,Guanghua School ofStomatology,Sun Yat-sen University,Guangzhou510060,China
  • Received:2005-06-25 Revised:2005-06-25 Online:2005-06-20 Published:2005-06-20

摘要: 目的 分析细丝片段弓远中移动下颌尖牙的应用效果。方法 选择拔除下颌双侧第一前磨牙、磨牙强支 抗病例17例,治疗的头半年内用细丝片段弓远中移动下颌尖牙,下颌切牙进行生理性调整,治疗前、治疗3个月、治 疗6个月拍头颅侧位片,取阶段模型,测量结果由SPSS 10·0进行统计分析。结果 半年内下颌磨牙前移、下颌尖牙 后移分别为1·14 mm、5·02 mm,LM-MP、SN-MP角无明显改变,LI-NB角减小约9·57°,下颌切牙段由拥挤(-2·55 mm) 调整为出现间隙(1·08 mm)。结论 细丝片段弓移动下颌尖牙过程中,后牙支抗稳固,下颌尖牙有效后移,下颌切 牙自行向理想治疗位调整。

关键词: 细丝片段弓, 生理性调整, 尖牙, 强支抗

Abstract: Objective To analyze the practical effect of distalization of lower cuspiud by light-segmented archwire.Methods  17 caseswere selected. In all cases, two lower first bicuspidswere extracted and lowermolarswere designed as reinforced anchor- age. In the first half year, lower cuspids were distalized with light-segmented archwire, and lower incisors were in the physiologic drift stage. Before the treatment, three months and six months after the treatment, cephalograms and study models were recorded respectively. The data were analyzed with SPSS 10·0.Results The distance of mesiolization of the first lower molar was 1·14 mm in half a year. The distance of distalization of the lower cuspidwas 5·02 mm in half a year. No significant differencewas found in LM-MP and SN-MP angle. LI-NB angle was decreased by 9·57°. Crowding of lower incisors was transferred from -2·55 mm to 1·08 mm.Conclusion During distalization of lower cuspid by light-segmented archwire, anchorage toothwas sta- ble, lower cuspids were distalized effectively, and lower incisors drifted towards the ideal position automatically.

Key words: light-segmented archwire, drifodontics, cuspid, reinforced anchorage