国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (3): 354-361.doi: 10.7518/gjkq.2021039

• 综述 • 上一篇    下一篇

骨性Ⅲ类错牙合畸形上颌骨前牵引方法及辅助扩弓的研究进展

张世珍1(),赖文莉2()   

  1. 1.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医学院 成都 610041
    2.口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院正畸科 成都 610041
  • 收稿日期:2020-09-11 修回日期:2021-01-17 出版日期:2021-05-01 发布日期:2021-05-14
  • 通讯作者: 赖文莉
  • 作者简介:张世珍,硕士,Email: 1429339354@qq.com
  • 基金资助:
    国家自然科学基金(82071147)

Research progress on maxillary protraction methods and auxiliary maxillary expansion for skeletal Class Ⅲ malocclusion

Zhang Shizhen1(),Lai Wenli2()   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China School of Stomatology, Sichuan University, Chengdu 610041, China
    2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-09-11 Revised:2021-01-17 Online:2021-05-01 Published:2021-05-14
  • Contact: Wenli Lai
  • Supported by:
    National Natural Science Foundation of China(82071147)

摘要:

上颌骨前牵引是早期矫治上颌发育不足行之有效的方法。微种植支抗的应用增强了上颌骨前牵引的骨性效应,提高了早期矫治的稳定性。上颌扩弓有激活或打开上颌骨缝的作用,在上颌骨前牵引中配合扩弓能否增强牵引的临床效果已经引起临床医生的广泛关注。本文将对骨性Ⅲ类错牙合畸形早期矫治的取舍、不同前牵引方法的有效性及上颌扩弓对前牵引矫治的影响等方面作一综述,以便为该技术的临床应用提供参考。

关键词: 骨性Ⅲ类错牙合畸形, 上颌前牵引, 骨性支抗, 上颌扩弓

Abstract:

Maxillary protraction is an effective method for the early treatment of maxillary deficiency. The application of mini-implant anchorage enhances the bone effect of maxillary protraction and improves the stability of early correction. Maxillary expansion activates or opens maxillary sutures, and whether or not the auxiliary maxillary expansion enhances maxillary protraction has attracted the attention of clinicians. To provide reference for the clinical application of this technique, this article reviews the selection of early treatment for skeletal Class Ⅲ malocclusion, the effectiveness of alternative protraction methods, and the influence of maxillary arch expansion on maxillary protraction.

Key words: skeletal Class Ⅲ malocclusion, maxillary protraction, bone anchorage, maxillary expansion

中图分类号: 

  • R783.5

表1

RME、Alt-RAMEC对上颌骨前牵引效应的比较"

研究 年龄/岁 结果 P
RME+FM前牵引 Alt-RAMEC+FM前牵引
Isci等[52](2010年) 11~12 2.33 mm(A’) 4.13 mm(A’) >0.05
Liu等[53](2015年) 7~13 2.11 mm(A’) 3.04 mm(A’) <0.05
Masucci等[43](2014年) 6~8 1.5°(SNA’) 2.7°(SNA’) <0.05
Fischer等[54](2018年) 6~7 2.0 mm(A’) 2.0 mm(A’) <0.05
Onem Ozbilen等[55](2019年) 9~10 2.53 mm(A’) 2.73 mm(A’) >0.05
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