华西口腔医学杂志

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Frnkel矫治器对安氏Ⅱ类错患者髁突和下颌位置的影响

王艳民1,周 力1,易新竹2,陈扬熙1   

  1. 1.四川大学华西口腔医院 正畸科;2.四川大学华西口腔医学院 口腔解剖生理学教研室,四川 成都610041
  • 收稿日期:2005-04-25 修回日期:2005-04-25 出版日期:2005-04-20 发布日期:2005-04-20
  • 通讯作者: 王艳民,Tel:028-85503645
  • 作者简介:王艳民(1976-),男,山西人,博士研究生

Effect of Frankel Function Regulator on the Condylar and Mandibular Positions of Patients with ClassⅡMalocclusion 

WANG Yan-min1, ZHOULi1, YIXin-zhu2, CHEN Yang-xi1   

  1. 1. Dept. ofOrthodontics, West China College ofStomatology, Sichuan University, Chengdu610041, China;2. Dept. ofOral Anatomy and Physiology,West China College ofStomatology, Sichuan University, Chengdu610041, China
  • Received:2005-04-25 Revised:2005-04-25 Online:2005-04-20 Published:2005-04-20

摘要:

目的 了解Frankel矫治器治疗安氏Ⅱ类错过程中,髁突和下颌位置的变化情况。方法 选择经Frankel 矫治器治疗成功的安氏Ⅱ类错患者30例,男女各15例,对其治疗前后的头颅侧位定位片进行X线头影测量重叠分析。结果 ①前颅底结构重叠显示治疗后患者的髁突点、下颌角点和颏前点发生明显的下移,同时男性患者颏前点发生明显的前移。②下颌结构重叠显示治疗后患者的髁突点发生明显的上移和后移(移位比约为2∶1),下颌角点相对颏部发生后移。结论 Frankel矫治器能刺激安氏Ⅱ类错患者髁突的生长,有利于下颌水平向的改建。

关键词: 髁突, 功能矫形治疗, 安氏Ⅱ类错

Abstract: Objective To determine the positional changes of condyle and mandible in children treated successfully with Frankel function regulator.Methods 30 Angle′s classⅡpatients including 15 boys and 15 girls treated with Frankel function regulator were selected. Superimposition of the pretreatment and posttreatment lateral cephalograms of all the patients was done on the stable bone structure of the anterior cranial base and mandible. Cartesian coordinate systemwas used to measure the positional changes of condyle and mandible over time by computer.Results There was significant inferior displacement of condyle, gonion and pogonion after treatment with reference to stable bone structure of anterior cranial base. Anterior displacement of pogonion in boys was also significant. There was significantly superior and posterior displacement of condyle and posterior displacement of go- nion after treatment with reference to stable bone structure of mandible.Conclusion Frankel function regulator can stimulate condylar growth and do favor to mandibular remolding.

Key words: condyle, orthopedics, Angle′s classⅡmalocclusion