华西口腔医学杂志

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Z2矫治器——基于正常中国人牙齿特征的直丝弓矫治器

曾祥龙 雪梅   

  1. 北京大学口腔医院正畸科, 北京100081
  • 收稿日期:2008-12-25 修回日期:2008-12-25 出版日期:2008-12-20 发布日期:2008-12-20
  • 通讯作者: 曾祥龙,Tel:13611143588
  • 作者简介:曾祥龙(1945-),男,湖北人,教授,硕士

Z2 appliance:The pre-adjusted appliance based on Chinese normal occlusion

ZENG Xiang-long, GAO Xue-mei   

  1. Dept. of Orthodontics, School and Hospital of Stomatology, Peking University, Beijing 100081, China
  • Received:2008-12-25 Revised:2008-12-25 Online:2008-12-20 Published:2008-12-20
  • Contact: ZENG Xiang-long,Tel:13611143588

摘要:

Z2矫治器是北京大学口腔医院正畸科历经10多年研制开发出的适于中国错患者的直丝弓矫治器,其预置的3个序列弯曲数据源于正常中国人牙齿测量结果,与西方人的数据有许多差异。矫治器包括20颗托槽和8颗磨牙颊面管,并配有3种标准弓形。矫治技术上使用持续轻力。由于前牙轴倾角的减小,排齐阶段前牙唇倾、覆加深、磨牙支抗丢失的副作用进一步减小;拥挤严重的病例推荐使用低摩擦结扎圈,其减小矫治器系统摩擦力的效果不亚于自锁托槽。三维非线性有限元研究证明:在牙弓完全整平条件下,0.48 mm×0.64 mm不锈钢弓丝、1.47 N牵引力是滑动法关闭间隙的最佳组合。需要最大支抗的病例可配合使用自攻微螺钉。完成阶段选择使用0.53 mm×0.64 mm镍钛丝使转矩充分表达。经临床研究验证,Z2矫治器可以进一步减少弓丝弯制、提高矫治质量。

关键词: 直丝弓矫治器, 中国人, 正常

Abstract:

Z2 appliance is the pre-adjusted appliance designed for Chinese orthodontic patients. The prescription of the appliance is based on Chinese normal occlusion, which is much different from the West in the first and the second orders as well as the third one. The appliance routinely includes 20 brackets and 8 molar buccal tubers with 3 standard arch forms. Clinically, continued light force is used in whole treatment. The side-effects such as forward tipping of incisors, bite deepening and loss of molar anchorage are reduced further due to fewer tips built into the anterior brackets as well as lower friction elastometric modules used during aligning and leveling. In condition of arch are leveled completely, 0.48 mm×0.64 mm stainless steel archwire with 1.47 N retraction force is the best combination for sliding mechanics, which is proved by 3D nonlinear finite element study. Self drilling micro-screw is used for maximum anchorage. In finishing stage 0.53 mm ×0.64 mm NT arch wire is added in order to get full torque expressing. The research of Chinese pre-adjusted appliance has been lasted for more than 10 years in the department  and clinical studies on Z2 appliance show that with minimal wire bending, treatment is more efficient and result is igh quality and more consistent for Chinese orthodontic patients.

Key words: pre-adjusted appliance, Chinese, normal occlusion