华西口腔医学杂志

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PAR指数评价安氏Ⅱ类1分类错畸形单颌拔牙和双颌拔牙的矫治效果

杨彤彤,米宇菁   

  1. 山西医科大学第一医院  口腔科,山西  太原 030001
  • 收稿日期:2006-06-25 修回日期:2006-06-25 出版日期:2006-06-20 发布日期:2006-06-20
  • 通讯作者: 杨彤彤, Tel: 13834641018
  • 作者简介:杨彤彤(1974-), 女, 山西人, 主治医师, 硕士

ssessment of Upper Jaw Extraction versus Upper and Lower Jaw Extraction Treatment for ClassⅡ Division 1 Malocclusion Using Peer Assessment Rating Index

YANG Tong-tong, MI Yu-jing   

  1. Dept. of Stomatology, The First Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2006-06-25 Revised:2006-06-25 Online:2006-06-20 Published:2006-06-20

摘要:

目的  采用PAR指数评价上颌单颌拔牙和双颌拔牙矫治安氏Ⅱ类1分类错畸形的效果。方法  选择52例安氏Ⅱ类1分类错患者,分为两组:单颌拔牙矫治组28例,双颌拔牙矫治组24例。采用PAR指数对两组患者矫治前后的牙齿排列、磨牙关系、覆盖、覆及中线情况进行评估和比较。结果  双颌拔牙组患者的牙齿排列、PAR总分和加权总分在矫治前大于单颌拔牙组,矫治后与矫治前的差值亦大于单颌拔牙组(P<0.05),而两组患者矫治后PAR各项分值均无统计学差异(P>0.05)。结论  双颌拔牙组患者的错较单颌拔牙组复杂,主要表现在牙齿拥挤方面;只要设计合理,适应证选择得当,两者均能获得良好的矫治效果。

关键词:  PAR指数, 拔牙矫治, 错畸形, 安氏Ⅱ类

Abstract:

Objective To assess the outcome of orthodontic treatment with upper jaw or upper and lower jaw extraction for Class Ⅱ division 1 malocclusion using the peer assessment rating(PAR) index. Methods 28 patients with Class Ⅱ division 1 were extracted two first premolars or second premolars of upper jaw, and 24 patients were extracted four premolars of upper and lower jaw N. The PAR was applied on pre-and post-orthodontic treatment dental casts for the fifty-two cases. Results The upper and lower jaw extraction groups had significantly higher initial PAR scores and the weighted PAR total scores(P<0.05). Although significantly different before treatment, both groups were not statistically different after treatment(P>0.05). Conclusion The upper and lower jaw extraction cases showed more severe dental displacement. Both treatment can acquire successful results.

Key words: peer assessment rating index, orthodontic extraction, malocclusion, Angle′s Class Ⅱ