Damon自锁矫治系统非拔牙治疗上颌轻中度拥挤的效果评价

doi:10.19439/j.sjos.2017.06.008

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (6): 610-614.doi: 10.19439/j.sjos.2017.06.008

Damon自锁矫治系统非拔牙治疗上颌轻中度拥挤的效果评价

张薇, 颜传杰, 李俐

合肥市口腔医院·安徽医科大学合肥口腔临床学院西区正畸科, 安徽合肥 230601

收稿日期:2017-03-17 修回日期:2017-05-23 出版日期:2017-12-20 发布日期:2018-01-09
通讯作者: 张薇,E-mail：zhangwei860920@126.com
作者简介:张薇(1986-),女,硕士研究生
基金资助:
合肥市自主创新政策“借转补”项目资助（2015）

Clinical research for non-extraction treatment of maxillary mild-to-moderate crowding with Damon technology

ZHANG Wei, YAN Chuan-jie, LI Li

Department of Western Orthodontics, Hefei Stomatological Hospital, Anhui Medical University, School of Stomatology. Hefei 230601, Anhui Province, China

Received:2017-03-17 Revised:2017-05-23 Online:2017-12-20 Published:2018-01-09

摘要/Abstract

摘要： 目的: 评价Damon自锁矫治系统与Roth传统矫治器非拔牙治疗上颌轻中度拥挤的临床效果。方法: 选取骨性Ⅰ类正畸患者60例,根据矫正器种类及上颌拥挤程度分为DamonⅠ、RothⅠ、DamonⅡ、RothⅡ4组（各15例）。测量排齐整平前、后的头颅侧位片与模型,使用SPSS19.0软件包对所得数据进行配对t检验和独立样本t检验,分析治疗前、后以及各组间软、硬组织与牙弓形态的变化特征。结果: 非拔牙治疗上颌Ⅰ度拥挤时,2种托槽治疗前、后各段牙弓宽度与牙弓长度、上前牙唇倾度均有增加,但无显著差异。非拔牙治疗上颌Ⅱ度拥挤时,DamonⅡ组在上颌尖牙区（1.81 mm）、前磨牙区牙弓宽度的扩大量（2.29 mm)显著大于RothⅡ组（1.66 mm,1.80 mm）（P<0.05）,但DamonⅡ组牙弓长度扩大量（3.19 mm）、上前牙唇倾度的变化量（9.1°）显著小于RothⅡ组（3.85 mm,14.5°）（P<0.05）,而上颌磨牙牙弓宽度的扩大量在2组之间无显著差异。结论: 在非拔牙治疗牙列拥挤时,随着上颌拥挤度的增大,Damon自锁矫治系统的扩弓作用和控制前牙唇倾的优势越明显。

关键词: Damon自锁矫治系统, 非拔牙, 模型分析, 头影测量

Abstract: PURPOSE: To compare the clinical efficacy of non-extraction treatment in maxillary mild-to-moderate crowding cases with Damon self-ligating system and Roth traditional brackets. METHODS: Sixty skeletalⅠorthodontic patients were selected in this study. They were divided into DamonⅠ, RothⅠ, DamonⅡ and RothⅡ group according to the bracket species and maxillary crowding degrees. Lateral cephalometric radiographs and models were measured before and after aligning and leveling to analyze the changes in dental arch and soft and hard tissue using SPSS 19.0 software package. RESULTS: After non-extraction treatment of cases with mild (Ⅰ) crowding, significant increase was found in dental width ,dental length and upper incisor torque produced by two brackets. However, there was no significant difference between the two groups. After non-extraction treatment of cases with moderate(Ⅱ) crowding, the width of maxillary canines (1.81 mm) and premolars (2.29 mm) of Damon Ⅱ group were significantly greater than those of Roth Ⅱ group (1.66 mm, 1.80 mm) (P<0.05). The changes of arch length (3.19 mm)and upper incisor torque (9.1°) in Damon Ⅱ group were significantly less than those in Roth Ⅱ group (3.85 mm, 14.5°). There was no significant difference of increased widths between maxillary molars in the two groups. CONCLUSIONS: With the increase of maxillary crowding level, the advantages of expansion and controlling the torque of anterior teeth are more obvious in non-extraction treatment using Damon self-ligating system.

Key words: Damon self-ligating system, Non-extraction, Model analysis, Cephalometric analysis

中图分类号:

R738.5

张薇, 颜传杰, 李俐. Damon自锁矫治系统非拔牙治疗上颌轻中度拥挤的效果评价[J]. 上海口腔医学, 2017, 26(6): 610-614.

ZHANG Wei, YAN Chuan-jie, LI Li. Clinical research for non-extraction treatment of maxillary mild-to-moderate crowding with Damon technology[J]. Shanghai Journal of Stomatology, 2017, 26(6): 610-614.

参考文献

[1] Damon DH. The rationale, evolution and clinical application of the self-ligating bracket [J]. Clin Orthod Res, 1998, 1(1): 52-61.
[2] Weinberg M, Sadowsky C. Resolution of mandibular arch crowding in growing patients with Class I malocclusions treated nonextraction [J]. Am J Orthod Dentofacial Orthop, 1996, 110(4): 359-364.
[3] Fleming PS, Lee RT, Marinho V, et al. Comparison of maxillary arch dimensional changes with passive and active self-ligation and conventional brackets in the permanent dentition: a multicenter, randomized controlled trial[J]. Am J Orthod Dentofacial Orthop, 2013, 144(2): 185-193.
[4] 周昱, 郑敏玲, 胡荣党. 自锁托槽与传统托槽不拔牙矫治软硬组织及牙弓变化的对比研究[J]. 口腔医学, 2012, 32(3): 154-157.
[5] 周欣荣, 盛敏, 厉松, 等. 自锁托槽不拔牙矫治牙弓形态变化的研究 [J]. 中华口腔正畸学杂志, 2009, 16(2): 90-94.
[6] Franchi L, Baccetti T, Camporesi M, et al. Maxillary arch changes during leveling and aligning with fixed appliances and low-friction ligatures [J]. Am J Orthod Dentofacial Orthop, 2006, 130(1): 88-91.
[7] Pandis N, Polychronopoulou A, Eliades T, et al. Self-ligating vs conventional brackets in the treatment of mandibular crowding: a prospective clinical trial of treatment duration and dental effects[J]. Am J Orthod Dentofacial Orthop, 2007, 132(2): 208-215.
[8] 陈上, 厉松. 自锁托槽解除上颌牙列拥挤后牙弓与牙齿的三维变化研究 [J]. 中华口腔正畸学杂志, 2016, 23(2): 67-72.
[9] 姜若萍, 傅民魁. 自锁托槽非拔牙矫治下牙列拥挤的临床研究 [J]. 中华口腔医学杂志, 2008, 43(8): 459-463.
[10] 唐国华, 张蕾, 许晓岑. Damon技术非拔牙矫治牙列拥挤的适应证分析 [J]. 上海口腔医学, 2008, 17(4): 364-371.
[11] Kasai K. Soft tissue adaptability to hard tissues in facial profiles [J]. Am J Orthod Dentofacial Orthop, 1998, 113(6): 674-684.

[1]	刘明瑾, 李乐, 陈菊芳, 郝鑫, 杨儒, 田玉楼. 舌刺联合头帽颏兜与前方牵引矫治前牙反的疗效比较[J]. 上海口腔医学, 2021, 30(4): 429-434.
[2]	徐频频, 林燕, 刘小敏. 浙江丽水畲族、汉族青少年Downs头影测量分析[J]. 上海口腔医学, 2019, 28(5): 509-512.
[3]	周驰, 王旭, 姜虹, 朱也森, 徐辉. 头影测量用于阻塞性睡眠呼吸暂停低通气综合征患者困难插管预测的效果评价[J]. 上海口腔医学, 2019, 28(3): 317-320.
[4]	李佳, 卢淑娟, 李乐, 史娅婕, 陆平, 田玉楼. 前磨牙正锁对下颌骨矢状向位置的影响[J]. 上海口腔医学, 2019, 28(2): 179-183.
[5]	许亮, 黄晓红, 林珊. 非减数治疗中不同托槽对牙弓三维方向的影响[J]. 上海口腔医学, 2018, 27(2): 176-180.
[6]	张楠, 汪隼, 樊林峰, 成晓敏, 李小新. FRⅢ矫治功能性和早期骨性安氏Ⅲ类错▉的软组织变化[J]. 上海口腔医学, 2017, 26(6): 658-661.
[7]	张奇峰, 金莉, 姚华, 李志勇, 黄旭, 王慧明. 正常青少年颅面形态与上气道关系的研究[J]. 上海口腔医学, 2016, 25(6): 702-706.
[8]	张楠, 汪隼, 郑为, 陈敏, 沈玉凤, 闫红娟. FRⅢ矫治功能性和早期骨性安氏Ⅲ类错的硬组织变化[J]. 上海口腔医学, 2016, 25(6): 725-728.
[9]	曹宇鸣，张媛媛，于默，岳杨，李昂，田玉楼. 舌刺联合头帽颏兜矫治前牙反的头影测量分析[J]. 上海口腔医学, 2016, 25(2): 221-226.
[10]	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.
[11]	马嘉, 阎秀林. 双侧下颌支矢状劈开截骨术后咽腔气道的变化[J]. 上海口腔医学, 2015, 24(5): 425-428.
[12]	戴美璐, 肖孟, 鱼哲, 刘东旭. 拔牙与非拔牙矫治对正面微笑美学影响的meta分析[J]. 上海口腔医学, 2015, 24(4): 499-504.
[13]	张东平, 刘珺, 刘洋, 孙娜, 伊吉翠. 自锁托槽与传统托槽对非拔牙矫治牙弓宽度影响的meta分析[J]. 上海口腔医学, 2014, 23(3): 367-372.
[14]	田玉楼, 朴美玲, 赵震锦, 刘芳, 王晶, 曹宇鸣. 上颌前牙埋伏阻生与矢状骨面型的关系[J]. 上海口腔医学, 2014, 23(1): 99-102.
[15]	赵彦惠, 朱敏, 卢晓峰, 孙红霞, 聂萍, 徐晓珑, 陶丽. 应用X线头影测量结合Müller试验评估OSAHS患者上气道结构[J]. 上海口腔医学, 2013, 22(6): 684-689.

Damon自锁矫治系统非拔牙治疗上颌轻中度拥挤的效果评价

Clinical research for non-extraction treatment of maxillary mild-to-moderate crowding with Damon technology

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价