肌功能增强器矫治上颌前突40例临床分析

doi:10.19439/j.sjos.2018.01.022

上海口腔医学 ›› 2018, Vol. 27 ›› Issue (1): 96-99.doi: 10.19439/j.sjos.2018.01.022

肌功能增强器矫治上颌前突40例临床分析

谢雪梅, 谢兴潜

上海市奉贤区奉城医院口腔科,上海 201411

收稿日期:2017-09-01 修回日期:2017-12-03 出版日期:2018-02-25 发布日期:2018-03-05
通讯作者: 谢兴潜,E-mail：8316255@qq.com
作者简介:谢雪梅（1981-）,女,硕士,主治医师,E-mail: xuemeideai20071101@163.com
基金资助:
奉贤区科学技术发展基金（奉科20121005）

Clinical analysis of muscle function intensifier in treatment of 40 patients with maxillary protrusion

XIE Xue-mei, XIE Xing-qian

Department of Dentistry, Fengcheng Hospital, Fengxian District. Shanghai 201411, China

Received:2017-09-01 Revised:2017-12-03 Online:2018-02-25 Published:2018-03-05

摘要/Abstract

摘要： 目的: 探讨采用肌功能增强器与直丝弓矫正技术联合矫正上颌前突的临床效果。方法: 选择40例上颌前突患者,分为A、B 2组。A组采用肌功能增强器与直丝弓矫正技术联合矫正,B组单独采用直丝弓矫正。拔牙矫正6个月后拍摄X线片,评估矫正效果,测量上颌骨各项指标：上、下切牙的唇倾度、SNA、SNB、FMA、上颌平面角、颌凸角、U1-FH、U1-PP、U6的前移量。2组的测量值采用SPSS20.0软件包进行t检验。结果: A组上、下切牙的唇倾度、SNA、SNB、FMA、上颌平面角、颌凸角、U1-FH、U1-PP矫治前后比较有显著差异（P<0.05）,B组上、下切牙的唇倾度、SNA、SNB、FMA、上颌平面角、颌凸角、U1-FH、U1-PP矫治前、后比较也有显著差异（P<0.05）;A组矫治后的SNA、U1-SN、A-Nv、U1NP上、下切牙的唇倾度、SNA、SNB、FMA、上颌平面角、颌凸角、U1-FH、U1-PP显著优于B组（P<0.05）,即A组比B组切牙内收更多,且U6的近中移动更少。结论: 上颌前突病例多数有口呼吸的不良习惯,肌功能增强器为夜间使用,可解除患者口呼吸,加快牙移动,减少支抗丧失,提高矫正效率和效果。

关键词: 肌功能增强器, 安氏Ⅱ类错▋畸形, 上颌前突, 直丝弓

Abstract: PURPOSE: To investigate the clinical effects of combined muscle functions intensifier and straight wire appliance in the treatment of maxillary protrusion. METHODS: Forty patients with maxillary protrusion were randomly divided into 2 groups (group A and group B). Straight wire appliance and muscle function intensifier were used in group A, while patients in group B received straight wire appliance only. X-ray projection was conducted to measure relative maxillary index (labial inclination of upper or lower incisor, SNB angle, ANB angle, FMA, maxillary plane angle, NA-PA, U1-FH, U1-PP, forward moving distance of U6) before and 6 months after treatment. The efficacy was analyzed and evaluated using SPSS 20.0 software package. RESULTS: After correction, labial inclination of upper or lower incisor, SNB angle, ANB angle, FMA, maxillary plane angle, NA-PA, U1-FH, U1-PP changed significantly in both groups (P<0.05), but patients in group A achieved more incisor adduction and less forward moving distance of U6, with significant difference between the two groups (P<0.05). CONCLUSIONS: Most patients with maxillary protrusion have a bad habit of mouth breathing. Muscle function intensifier is used only at night and can relieve the patient's mouth breathing, speed up the movement of teeth, and reduce the loss of anchorage and ultimately, improve the correction efficiency and clinical effect of patients with maxillary protrusion.

Key words: Muscle function intensifier, Class Ⅱ malocclusion, Maxillary protrusion, Straight wire appliance

中图分类号:

R783.5

谢雪梅, 谢兴潜. 肌功能增强器矫治上颌前突40例临床分析[J]. 上海口腔医学, 2018, 27(1): 96-99.

XIE Xue-mei, XIE Xing-qian. Clinical analysis of muscle function intensifier in treatment of 40 patients with maxillary protrusion[J]. Shanghai Journal of Stomatology, 2018, 27(1): 96-99.

参考文献

[1] 魏威, 龚仁国, 肖海鹰. 种植支抗非拔牙矫治成人上颌前突畸形的临床研究[J].中国实用医药, 2015, 10(3): 39-40.
[2] 王瑞晨, 李桂珍, 柳春明, 等. 三维头影测量分析法在正颌外科术前测量中的应用[J]. 中国修复重建外科杂志, 2014, 28(7): 873-878.
[3] 刘曙光, 艾伟健, 周会喜, 等. 正颌外科联合正畸治疗骨性Ⅱ类上颌前突畸形[J].广东医学, 2011, 32(22): 2978-2980.
[4] 冯毅. 微型种植体支抗在青少年口腔正畸治疗中的应用[J]. 河北医药, 2013, 35(3): 352-353.
[5] 靳爱萍, 胡晓聪, 黄月燕, 等. 微型种植体支抗在成人口腔正畸中的应用[J]. 美容医学, 2012, 21(6): 1003-1004.
[6] 杨凯, 曾祥龙, 俞梦孙. 口呼吸与鼻呼吸儿童颅面形态差异的研究[J].中华口腔医学杂志, 2002, 37(5): 385-387.
[7] Moyers RE, Riolo ML, Guire KE, et al.Differential diagnosis of ClassⅡmalocclusion. Part1. Facial types associated with ClassⅡmaloc-clusion[J]. Am J Orthod, 1980, 78(5): 477-494.
[8] Mc Namara JA Jr. Components of ClassⅡmalocclusion in children 8-10 years of age[J]. Angle Orthod, 1981, 51(3): 177-202.
[9] Fields HW, Warren DW, Black K, et al.Relationship between vertical dentofacial morphology and respiration in adolescents[J]. Am J Orthod Dentofacial Orthop, 1991, 99(2): 147-154.
[10] Solow B, Siersbaek-Nielsen S, Greve E.Airway adequacy, head posture and craniofacial morphology[J]. Am J Orthod, 1984, 86(3): 214-223.
[11] 傅民魁. 口腔正畸学 [M]. 北京: 人民卫生出版社, 2009: 40.
[12] Leavey A, Zwaigenbaum L, Heavner K, et al.Gestational age at birth and risk of autism spectrum disorders in Alberta, Canada[J]. J Pediatr, 2013, 162(2): 361-368.
[13] Basciftci FA, Uysal T, Büyükerkmen A, et al.The effects of activator treatment on the craniofacial structure of Class II division 1 patients[J]. Eur J Orthod, 2003, 25(1): 87-93.
[14] Doruk C, Sokucu O, Sezere H, et al.Evaluation of nasal airway resistance during rapid maxillary expansion using acoustic rhinometry[J]. Eur J Orthod, 2004, 26(4): 397-401.
[15] McNamara JA Jr, Bookstein FL, Shaughnessy TG. Skeletal and dental changes following functional regulator therapy on class Ⅱ patients[J]. Am J Orthod, 1985, 88(2): 91-110.
[16] Gianelly AA, Brosnan P, Martignoni M.Mandibular length, condyle position and Frankel appliance therapy[J]. Angle Orthod, 1983, 53(2): 131-142.

肌功能增强器矫治上颌前突40例临床分析

Clinical analysis of muscle function intensifier in treatment of 40 patients with maxillary protrusion

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 4

编辑推荐

Metrics

本文评价

[1]	王冠, 杨璐, 张玉峰, 罗三莲, 郑纪伟. 无托槽隐形矫治器和直丝弓矫治器对切牙牙根吸收的影响[J]. 上海口腔医学, 2017, 26(1): 121-124.
[2]	马宁, 李巍然, 陈晓红, 郑旭. 种植体支抗与传统口内支抗矫治上颌前突的效果比较[J]. 上海口腔医学, 2016, 25(4): 475-480.
[3]	刘筠，郭宏铭. 自锁托槽与传统托槽导致正畸牙根吸收的锥形束CT比较[J]. 上海口腔医学, 2016, 25(2): 238-241.
[4]	陈双喜，唐国华，蒋雨楠，顾永佳，章婷，高美琴. 高转矩自锁托槽拔牙矫治上颌前突的效果评价[J]. 上海口腔医学, 2015, 24(6): 739-742.