不同骨面型对青少年骨性Ⅲ类错牙合正畸疗效影响的初步分析
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福建医科大学 附属协和医院口腔科,福州350001

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R322.41

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Preliminary Analysis of Treatment Outcomes Among Different Vertical Facial Skeletal Types in Adolescences with Skeletal Class Ⅲ Malocclusion
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Department of Stomatology, Fujian Medical University Union Hospital, Fuzhou 350001, China

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    摘要:

    目的评价不同垂直骨面型的青少年骨性Ⅲ类错牙合正畸治疗疗效差异。方法收集青少年骨性Ⅲ类错牙合患者42例,根据不同骨面型分为3组,通过头影测量分析比较各组患者治疗前后骨骼与软组织改变,探讨不同垂直骨面型患者错牙合畸形面部改善疗效的差异。结果3组患者凹陷的软组织侧貌均得到改善。高角患者主要通过下颌骨顺时针旋转、牙合平面逆时针旋转及上前牙唇倾、下前牙舌倾代偿来实现前牙反牙合的解除,而低角患者更多依赖上前牙唇倾及上颌骨的发育来实现。均角患者其面部比例及颌骨关系相对正常,矫治后主要变化为牙齿的相对移动。结论不同垂直骨面型青少年骨性Ⅲ类错牙合正畸疗效不尽相同;高角型患者在选择采取单纯正畸治疗时需更加谨慎。

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    ObjectiveTo evaluate the treatment outcomes among different vertical facial skeletal types in adolescences with skeletal Class Ⅲ malocclusion.MethodA total of 42 skeletal Class Ⅲ adolescences treated by orthodontic treatment were collected and were divided into three groups according to different vertical facial skeletal types.The cephalometric measurements before and after treatment were analyzed by indepentsamples ttest when homogeneity of variance.Otherwise,when heterogeneity of variance, Satterthwaite ttest was used.ResultsAll of the three groups effectively ameliorated the skeletal Ⅲ deformity.Patients with high angle corrected the crossbite by clockwise rotation of the mandibles, anticlockwise rotation of the occlusion planes and the teeth compensation, while low angle patients more depended on upper anterior teeth protrusion and the forward growth of the maxillary.The change of the normal angle patients were the teeth relative movement.ConclusionThe treatment outcomes were not the same among adolescences with skeletal Class Ⅲ malocclusion by normal orthodontic treatment.

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林斌, 梁甲兴, 林立, 张玉华, 李多.不同骨面型对青少年骨性Ⅲ类错牙合正畸疗效影响的初步分析[J].福建医科大学学报自然版,2014,(4):253-257

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