华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

种植微螺钉支抗矫治下颌磨牙缺失患者的上牙前突伴拥挤

姜世同1, 姜晓蕾2, 秦雍3, 张茹1, 刘洪杰1, 焦广军1, 袁阔1   

  1. 1.日照市东港区人民医院口腔正畸科, 山东日照276800; 2.青岛市第八人民医院口腔科, 山东青岛266100; 3.潍坊市市直机关医院口腔科, 山东潍坊261041
  • 收稿日期:2007-06-25 修回日期:2007-06-25 出版日期:2007-06-20 发布日期:2007-06-20
  • 通讯作者: 姜世同,Tel: 0633- 8022633
  • 作者简介:姜世同(1962-),男,山东人,副主任医师,大专

Tr eating Maxillary Dental Ar ch Crowding and Protrusion of the Patient with Mandibular Molar s Missing by Implanting Miniscr ew Anchor age

JIANG Shi- tong1, JIANG Xiao- lei2, QIN Yong3, ZHANG Ru1, LIU Hongjie1, JIAO Guang- jun1, YUAN Kuo1   

  1. 1. Dept. of Orthodontics, Donggang People′s Hospital of Rizhao, Rizhao 276800, China; 2. Dept. of Stomatology, The Eighth People′s Hospital of Qingdao, Qingdao 266100, China; 3. Dept. of Stomatology, The Affiliated Hospital of Weifang Government, Weifang 261041, China
  • Received:2007-06-25 Revised:2007-06-25 Online:2007-06-20 Published:2007-06-20
  • Contact: JIANG Shi- tong,Tel: 0633- 8022633

摘要:

目的探讨微螺钉种植体作为支抗用于下颌磨牙缺失患者矫治上牙前突伴拥挤的临床效果。方法选择下颌单侧磨牙缺失、上牙前突伴拥挤的成年错!患者8例(年龄22~38岁),在每位患者下颌磨牙缺失侧的第二前磨牙远中11~13 mm颊侧牙槽嵴处各种植1枚纯钛微螺钉,并以栓道固位方式在微螺钉的龈上部分附着自制微螺钉牵引帽,利用微螺钉牵引帽依次牵引同侧的下颌前磨牙、尖牙、切牙向远中移位,并利用牵引帽上的牵引钩行颌间Ⅱ类牵引。结果采用种植微螺钉作为支抗的8例患者治疗后均达到较理想的效果,前牙覆盖覆!和后牙尖窝关系均正常。疗程最长者24个月,最短者15个月,平均20.8个月。结论微螺钉种植体支抗可以用于下颌磨牙缺失的上牙前突伴拥挤患者的矫治。

关键词: 种植微螺钉, 支抗, 磨牙缺失, 颌间牵引

Abstract:

Objective To study the clinical effectiveness of implanting miniscrew serving as anchorage instead of molars in treating maxillary dental arch crowding and protrusive patients mandibular molars complete missing. Methods Eight adult patients aged from 22 to 38, whose maxillary dental arch were crowding and protrusion, with mandibular molars missing were chosed. At the missing side, a miniscrew was implanted on the buccal surface, 11- 13 mm away from the distal end of the second premolar. After implanting, a self- made miniscrew traction cap was attached to its supergingival section by keyway retention. Premolars and anterior teeth were tracted in turn to distal end. Intermaxillary traction Ⅱ was made necessarily on the traction cap. Results Successful results were acquired after treating together with normal overbite, overjet and right occlusion relation. It took 24 months in the longest course, 15 months in the shortest course and 20.8 months on average. Conclusion The implanting miniscrew anchorages could be used in maxillary dental arch crowding and protrusive patients with single molars complete missing.

Key words: implanting miniscrew, anchorage, molar missing, intermaxillary traction