华西口腔医学杂志

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Begg及Edgewise矫治器减数治疗安氏Ⅱ类1分类错的硬组织变化及其稳定性

曾金玲1, 许天民2, 林久祥2   

  1. 1.首都医科大学附属北京安贞医院口腔医疗中心, 北京100029; 2.北京大学口腔医院正畸科, 北京100081
  • 收稿日期:2008-06-25 修回日期:2008-06-25 出版日期:2008-06-20 发布日期:2008-06-20
  • 通讯作者: 许天民, Tel:13801354182
  • 作者简介:曾金玲(1972-),女,山东人,主治医师,硕士

The differ ences of hard tissue changes and stability of Angle′s Class Ⅱ division 1 extr action cases tr eated by Begg appliance and Edgewise appliance

ZENG Jin- ling1, XU Tian- min2, LIN Jiu- xiang2   

  1. 1. Dept. of Stomatology, Beijing Anzhen Hospital of The Capital University of Medical Sciences, Beijing 100029, China; 2. Dept. of Orthodontics, College of Stomatology, Peking University, Beijing 100081, China
  • Received:2008-06-25 Revised:2008-06-25 Online:2008-06-20 Published:2008-06-20
  • Contact: XU Tian- min, Tel:13801354182

摘要:

目的对Begg及Edgewise矫治器减数治疗安氏Ⅱ类1分类错的硬组织变化及其稳定性进行分析和比较。方法对30例拔除4个第一前磨牙的安氏Ⅱ类1分类错患者(其中19例Begg矫治器治疗、11例Edgewise矫治器治疗)治疗前后及追踪时的头影测量片进行扫描测量分析,用配对t检验和非配对t检验对数据进行统计分析。结果治疗结束时,Begg矫治组和Edgewise矫治组的上颌前牙均发生明显的舌向移动和伸长,Edgewise矫治组的上颌磨牙无明显近中移动,但其下颌磨牙及Begg矫治组的上下磨牙均发生明显的近中移动及伸长。治疗后追踪观察时,Begg矫治组和Edgewise矫治组的上颌前牙均发生唇向移位和伸长,上颌磨牙均发生近中移位和伸长,而下颌磨牙除Edgewise矫治组伸长外,其余均无明显变化。Begg矫治组和Edgewise矫治组在治疗结束时及追踪时的硬组织变化均无统计学差异(P>0.05)。结论Begg矫治器和Edgewise矫治器矫治安氏Ⅱ类1分类错拔牙患者的硬组织变化及其稳定性无统计学差异。

关键词: Begg矫治器, Edgewise矫治器, 牙齿移动, 硬组织, 稳定性

Abstract:

patients with Class Ⅱ division 1 treated with extraction of four first premolars by Begg appliance and Edgewise appliance. Methods The study was conducted using lateral cephalometric radiographs taken pretreatment, posttreatment and following- up. Thirty patients who had an Angle′s Class Ⅱ division 1 malocclusion were treated with first premolar extractions(19 by Begg appliance and 11 by Edgewise appliance). Cephalometric radiographs were scanned and the data were analyzed according to the paired and unpaired t- test. Results The differences between the pretreatment and posttreatment periods were statistically significant for all the incisor and molar cephalometric variables(P<0.05) except UMA- PPV and UMC- PPV by Edgewise appliance. During treatment the incisors moved lingual - inclined and extrusively, the molar moved mesially and extrusively except that the upper molar of the Edgewise group stayed relatively stable anteroposteriorly. During the follow- up period the anterior teeth moved forward and extrusively, the upper molar moved mesially and extrusively. There was no significant differences of tooth movement and stability between Begg appliance and Edgewise appliance(P>0.05). Conclusion There is no significant differences of hard tissue changes and stability between Begg appliance and Edgewise appliance.

Key words: Begg appliance, Edgewise appliance, tooth movement, hard tissue, stability