国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (1): 112-118.doi: 10.7518/gjkq.2019.01.020

• 综述 • 上一篇    下一篇

生长发育期骨性Ⅲ类错畸形骨支抗上颌前牵引的研究进展

刘艳丽,赵薇,张碧莹,安晓莉()   

  1. 兰州大学口腔医院正畸科 兰州 730000
  • 收稿日期:2018-01-29 修回日期:2018-06-15 出版日期:2019-01-01 发布日期:2019-01-11
  • 通讯作者: 安晓莉
  • 作者简介:刘艳丽,医师,硕士,Email:liuyl2015@lzu.edu.cn

Research progress on maxillary protraction with skeletal anchorage in growing patients with Class Ⅲ malocclusion

Yanli Liu,Wei Zhao,Biying Zhang,Xiaoli An()   

  1. Dept. of Orthodontics, Stomatological Hospital of Lanzhou University, Lanzhou 730000, China
  • Received:2018-01-29 Revised:2018-06-15 Online:2019-01-01 Published:2019-01-11
  • Contact: Xiaoli An

摘要:

骨性Ⅲ类错畸形是临床上常见的一类多因素错畸形。对于生长发育期以上颌发育不足为主的骨性Ⅲ类错畸形,临床上较常采用的矫形治疗方法是上颌前牵引。随着骨支抗在正畸临床中的广泛应用,骨支抗上颌前牵引在骨性Ⅲ类错畸形的矫治中展现出良好的应用前景。相较于牙支抗上颌前牵引,骨支抗上颌前牵引所产生的骨性效应显著,可减少甚至消除不利的牙性效应。本文就近年来的相关研究进展作一综述,以期为临床实践提供参考。

关键词: 骨性Ⅲ类错畸形, 骨支抗, 上颌前牵引, 生长改良

Abstract:

Skeletal Class Ⅲ malocclusion, which has many multiple factors, is a common type of malocclusion in clinics. Maxillary protraction, an orthopedic therapeutic method, has commonly been used to treat skeletal Class Ⅲ malocclusion with maxillary deficiency in growing patients. With the extensive application of skeletal anchorage in orthodontic clinical work, maxillary protraction with skeletal anchorage has a good application prospect in the treatment of skeletal Class Ⅲmalocclusion. In comparison with dental anchored maxillary protraction, maxillary protraction with skeletal anchorage produces more bone defects and can significantly reduce or even eliminate adverse dental effects. This study reviews the research progress on maxillary protraction therapy with skeletal anchorage for skeletal Class Ⅲ malocclusion to provide a reference for clinical practice.

Key words: skeletal Class Ⅲ malocclusion, skeletal anchorage, maxillary protraction, growth modification

中图分类号: 

  • R783.5
[1] Begum Khan M, Karra A . Early treatment of Class Ⅲ malocclusion: a boon or a burden[J]. Int J Clin Pediatr Dent, 2014,7(2):130-136.
doi: 10.5005/jp-journals-10005-1250 pmid: 25356013
[2] Degala S, Bhanumathi M, Shivalinga BM . Ortho-paedic protraction of the maxilla with miniplates: treatment of midface deficiency[J]. J Maxillofac Oral Surg, 2015,14(1):111-118.
doi: 10.1007/s12663-013-0585-5 pmid: 4339329
[3] Kilic N, Celikoglu M, Oktay H . Effects of the func-tional regulator Ⅲ on profile changes in subjects with maxillary deficiency[J]. Eur J Orthod, 2010,32(6):729-734.
doi: 10.1093/ejo/cjq011 pmid: 20453006
[4] Celikoglu M, Oktay H . Effects of maxillary protrac-tion for early correction of Class Ⅲ malocclusion[J]. Eur J Orthod, 2014,36(1):86-92.
doi: 10.1093/ejo/cjt006 pmid: 23460730
[5] Canturk BH, Celikoglu M . Comparison of the effects of face mask treatment started simultaneously and after the completion of the alternate rapid maxillary expansion and constriction procedure[J]. Angle Or-thod, 2015,85(2):284-291.
doi: 10.2319/031114-176.1 pmid: 25017013
[6] Tschill P, Bacon W, Sonko A . Malocclusion in the deciduous dentition of Caucasian children[J]. Eur J Orthod, 1997,19(4):361-367.
doi: 10.1093/ejo/19.4.361 pmid: 9308256
[7] McNamara JA, Brudon WL . Orthodontic and ortho-pedic treatment in the mixed dentition[J]. Am J Orthod Dentofacial Orthop, 1993,104(2):206-207.
[8] 傅民魁 . 口腔正畸学[M]. 6版. 北京: 人民卫生出版社, 2012: 6-7.
Fu MK. Orthodontics[M]. 6th ed. Beijing: People's Medical Publishing House, 2012: 6-7.
[9] de Clerck HJ, Proffit WR . Growth modification of the face: a current perspective with emphasis on Class Ⅲ treatment[J]. Am J Orthod Dentofacial Or-thop, 2015,148(1):37-46.
doi: 10.1016/j.ajodo.2015.04.017 pmid: 26124026
[10] Kim JH, Viana MA, Graber TM , et al. The effec-tiveness of protraction face mask therapy: a meta-analysis[J]. Am J Orthod Dentofacial Orthop, 1999,115(6):675-685.
doi: 10.1016/S0889-5406(99)70294-5
[11] Fränkel R . Maxillary retrusion in Class 3 and treat-ment with the function corrector 3[J]. Rep Congr Eur Orthod Soc, 1970: 249-259.
pmid: 5287495
[12] Levin AS, McNamara JA, Franchi L , et al. Short-term and long-term treatment outcomes with the FR-3 appliance of Fränkel[J]. Am J Orthod Dento-facial Orthop, 2008,134(4):513-524.
doi: 10.1016/j.ajodo.2006.10.036 pmid: 18929269
[13] Kalavritinos M, Papadopoulos MA, Nasiopoulos A . Dental arch and cephalometric changes following treatment for Class Ⅲ malocclusion by means of the function regulator (FR-3) appliance[J]. J Orofac Orthop, 2005,66(2):135-147.
doi: 10.1007/s00056-005-0438-z pmid: 15827701
[14] Yang XR, Li CJ, Bai D , et al. Treatment effec-tiveness of Fränkel function regulator on the Class Ⅲ malocclusion: a systematic review and meta-analysis[J]. Am J Orthod Dentofacial Orthop, 2014,146(2):143-154.
doi: 10.1016/j.ajodo.2014.04.017 pmid: 25085296
[15] Arman A, Toygar TU, Abuhijleh E . Profile changes associated with different orthopedic treatment appro-aches in Class Ⅲ malocclusions[J]. Angle Orthod, 2004,74(6):733-740.
[16] Azamian Z, Shirban F . Treatment options for Class Ⅲ malocclusion in growing patients with emphasis on maxillary protraction[J]. Scientifica (Cairo), 2016,2016:8105163.
doi: 10.1155/2016/8105163 pmid: 27144056
[17] De Clerck H, Cevidanes L, Baccetti T . Dentofacial effects of bone-anchored maxillary protraction: a controlled study of consecutively treated Class Ⅲ patients[J]. Am J Orthod Dentofacial Orthop, 2010,138(5):577-581.
doi: 10.1016/j.ajodo.2009.10.037 pmid: 3033914
[18] Cevidanes L, Baccetti T, Franchi L , et al. Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion[J]. Angle Orthod, 2010,80(5):799-806.
doi: 10.2319/111709-651.1 pmid: 2930261
[19] Chen G, Teng F, Xu TM . Distalization of the maxil-lary and mandibular dentitions with miniscrew an-chorage in a patient with moderate Class Ⅰ bimaxil- lary dentoalveolar protrusion[J]. Am J Orthod Dento-facial Orthop, 2016,149(3):401-410.
doi: 10.1016/j.ajodo.2015.04.041
[20] Wang XD, Zhang JN, Liu DW , et al. Nonsurgical correction using miniscrew-assisted vertical control of a severe high angle with mandibular retrusion and gummy smile in an adult[J]. Am J Orthod Dentofacial Orthop, 2017,151(5):978-988.
doi: 10.1016/j.ajodo.2016.04.034 pmid: 28457276
[21] Ge YS, Liu J, Chen L , et al. Dentofacial effects of two facemask therapies for maxillary protraction[J]. Angle Orthod, 2012,82(6):1083-1091.
doi: 10.2319/012912-76.1 pmid: 22639823
[22] 林伟就, 邹敏, 刘小兰 , 等. 上颌前方牵引方向的有限元分析[J]. 上海口腔医学, 2010,19(5):475-479.
Lin WJ, Zou M, Liu XL , et al. A three-dimensional 3-D finite element study on direction of maxillary protraction[J]. Shanghai J Stomatol, 2010,19(5):475-479.
[23] Maino G, Turci Y, Arreghini A , et al. Skeletal and dentoalveolar effects of hybrid rapid palatal ex-pansion and facemask treatment in growing skeletal Class Ⅲ patients[J]. Am J Orthod Dentofacial Orthop, 2018,153(2):262-268.
doi: 10.1016/j.ajodo.2017.06.022 pmid: 29407504
[24] Haas AJ . Palatal expansion: just the beginning of dentofacial orthopedics[J]. Am J Orthod, 1970,57(3):219-255.
doi: 10.1016/0002-9416(70)90241-1
[25] Liou EJ, Tsai WC . A new protocol for maxillary protraction in cleft patients: repetitive weekly pro-tocol of alternate rapid maxillary expansions and constrictions[J]. Cleft Palate Craniofac J, 2005,42(2):121-127.
doi: 10.1597/03-107.1
[26] 刘伟涛, 宋扬, 王雪东 , 等. 上颌反复快速扩缩前方牵引效果的锥形束CT观察[J]. 中华口腔医学杂志, 2015,50(2):78-83.
doi: 10.3760/cma.j.issn.1002-0098.2015.02.004
Liu WT, Song Y, Wang XD , et al. A cone-beam computed tomography evaluation of maxillary pro-traction with repetitive rapid palatal expansions and constrictions[J]. Chin J Stomatol, 2015,50(2):78-83.
doi: 10.3760/cma.j.issn.1002-0098.2015.02.004
[27] Halicioglu K, Yavuz I, Ceylan I , et al. Effects of face mask treatment with and without rapid maxillary expansion in young adult subjects[J]. Angle Orthod, 2014,84(5):853-861.
doi: 10.2319/092913-707.1 pmid: 24628408
[28] Foersch M, Jacobs C, Wriedt S , et al. Effectiveness of maxillary protraction using facemask with or without maxillary expansion: a systematic review and meta-analysis[J]. Clin Oral Investig, 2015,19(6):1181-1192.
doi: 10.1007/s00784-015-1478-4 pmid: 25982454
[29] Celikoglu M, Buyukcavus MH . Changes in phar-yngeal airway dimensions and hyoid bone position after maxillary protraction with different alternate rapid maxillary expansion and construction pro-tocols: a prospective clinical study[J]. Angle Orthod, 2017,87(4):519-525.
doi: 10.2319/082316-632.1 pmid: 28139938
[30] Ming Y, Hu Y, Li YY , et al. Effects of maxillary protraction appliances on airway dimensions in growing Class Ⅲ maxillary retrognathic patients: a systematic review and meta-analysis[J]. Int J Pediatr Otorhinolaryngol, 2018,105:138-145.
doi: 10.1016/j.ijporl.2017.12.013 pmid: 29447802
[31] 李建华, 杨璞 . 前牵引矫治骨性Ⅲ类错的临床应用[J]. 四川医学, 2012,33(8):1485-1487.
doi: 10.3969/j.issn.1004-0501.2012.08.085
Li JH, Yang P . Clinical application of maxillary protraction for Class Ⅲ malocclusion[J]. Sichuan Med J, 2012,33(8):1485-1487.
doi: 10.3969/j.issn.1004-0501.2012.08.085
[32] Ngan P, Wilmes B, Drescher D , et al. Comparison of two maxillary protraction protocols: tooth-borne versus bone-anchored protraction facemask treat-ment[J]. Prog Orthod, 2015,16:26.
doi: 10.1186/s40510-015-0096-7 pmid: 4547969
[33] Yepes E, Quintero P, Rueda ZV , et al. Optimal force for maxillary protraction facemask therapy in the early treatment of Class Ⅲ malocclusion[J]. Eur J Orthod, 2014,36(5):586-594.
doi: 10.1093/ejo/cjt091 pmid: 24351569
[34] Hino CT, Cevidanes LH, Nguyen TT , et al. Three-dimensional analysis of maxillary changes associated with facemask and rapid maxillary expansion com-pared with bone anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2013,144(5):705-714.
doi: 10.1016/j.ajodo.2013.07.011 pmid: 3972125
[35] 张晓歌, 陈扬熙 . 上颌前牵引矫治骨性Ⅲ类错畸形的研究进展[J]. 国际口腔医学杂志, 2013,40(6):813-816.
doi: 10.7518/gjkq.2013.06.029
Zhang XG, Chen YX . Research progress on maxil-lary protraction therapy for skeletal Class Ⅲ maloc-clusion[J]. Int J Stomatol, 2013,40(6):813-816.
doi: 10.7518/gjkq.2013.06.029
[36] Sar C, Arman-Özçırpıcı A, Uçkan S , et al. Comparative evaluation of maxillary protraction with or without skeletal anchorage[J]. Am J Orthod Dentofacial Or-thop, 2011,139(5):636-649.
doi: 10.1016/j.ajodo.2009.06.039 pmid: 21536207
[37] Ağlarcı C, Esenlik E, Fındık Y . Comparison of short-term effects between face mask and skeletal anchorage therapy with intermaxillary elastics in patients with maxillary retrognathia[J]. Eur J Orthod, 2016,38(3):313-323.
doi: 10.1093/ejo/cjv053 pmid: 26219549
[38] Kilic N, Catal G, Kiki A , et al. Soft tissue profile changes following maxillary protraction in Class Ⅲsubjects[J]. Eur J Orthod, 2010,32(4):419-424.
doi: 10.1093/ejo/cjp119
[39] 李建华, 封小霞, 杨璞 . 骨支抗前牵引的研究进展[J]. 国际口腔医学杂志, 2013,40(3):416-418.
doi: 10.7518/gjkq.2013.03.038
Li JH, Feng XX, Yang P . Research progress on the bone-anchored maxillary protraction[J]. Int J Sto-matol, 2013,40(3):416-418.
doi: 10.7518/gjkq.2013.03.038
[40] Sabri R . Nonextraction treatment of a skeletal Class Ⅲ adolescent girl with expansion and facemask: long-term stability[J]. Am J Orthod Dentofacial Orthop, 2015,147(2):252-263.
doi: 10.1016/j.ajodo.2014.01.027 pmid: 25636560
[41] Kircelli BH, Pektas ZO . Midfacial protraction with skeletally anchored face mask therapy: a novel approach and preliminary results[J]. Am J Orthod Dentofacial Orthop, 2008,133(3):440-449.
doi: 10.1016/j.ajodo.2007.06.011 pmid: 18331946
[42] Kaya D, Kocadereli I, Kan B , et al. Effects of face-mask treatment anchored with miniplates after al-ternate rapid maxillary expansions and constrictions; a pilot study[J]. Angle Orthod, 2011,81(4):639-646.
doi: 10.2319/081010-473.1 pmid: 21299407
[43] Lee NK, Yang IH, Baek SH . The short-term treat-ment effects of face mask therapy in Class Ⅲ pa-tients based on the anchorage device: miniplates vs rapid maxillary expansion[J]. Angle Orthod, 2012,82(5):846-852.
doi: 10.2319/090811-584.1 pmid: 22264134
[44] Cha BK, Choi DS, Ngan P , et al. Maxillary pro-traction with miniplates providing skeletal anchorage in a growing Class Ⅲ patient[J]. Am J Orthod Dentofacial Orthop, 2011,139(1):99-112.
doi: 10.1016/j.ajodo.2009.06.025 pmid: 21195283
[45] 罗晨, 秦晓中, 曾照斌 , 等. 不同部位植入微种植钉进行前方牵引时上颌骨旋转趋势[J]. 医用生物力学, 2015,30(1):38-42.
doi: 10.3871/j.1004-7220.2015.01.038
Luo C, Qin XZ, Zeng ZB , et al. Rotation trend of maxillary complex with mini-implant assisted pro-traction in different maxillary positions[J]. J Med Biomech, 2015,30(1):38-42.
doi: 10.3871/j.1004-7220.2015.01.038
[46] 孟耀, 刘进, 郭鑫 , 等. 骨种植钉前牵引对骨性Ⅲ类错患者软硬组织侧貌的影响[J]. 华西口腔医学杂志, 2012,30(3):278-282.
doi: 10.3969/j.issn.1000-1182.2012.03.014
Meng Y, Liu J, Guo X , et al. Soft and hard tissue changes after maxillary protraction with skeletal anchorage implant in treatment of Class Ⅲ maloc-clusion[J]. West Chin J Stomatol, 2012,30(3):278-282.
doi: 10.3969/j.issn.1000-1182.2012.03.014
[47] Chen YJ, Chang HH, Huang CY , et al. A retrospec-tive analysis of the failure rate of three different orthodontic skeletal anchorage systems[J]. Clin Oral Implants Res, 2007,18(6):768-775.
doi: 10.1111/clr.2007.18.issue-6
[48] De Clerck EE, Swennen GR . Success rate of mini-plate anchorage for bone anchored maxillary protra-ction[J]. Angle Orthod, 2011,81(6):1010-1013.
doi: 10.2319/012311-47.1 pmid: 21721948
[49] De Clerck HJ, Cornelis MA, Cevidanes LH , et al. Orthopedic traction of the maxilla with miniplates: a new perspective for treatment of midface deficiency[J]. J Oral Maxillofac Surg, 2009,67(10):2123-2129.
doi: 10.1016/j.joms.2009.03.007 pmid: 2910397
[50] Elnagar MH, Elshourbagy E, Ghobashy S , et al. Dentoalveolar and arch dimension changes in pa-tients treated with miniplate-anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2017,151(6):1092-1106.
doi: 10.1016/j.ajodo.2016.10.038 pmid: 28554455
[51] Sar C, Sahinoğlu Z, Özçirpici AA , et al. Dentofacial effects of skeletal anchored treatment modalities for the correction of maxillary retrognathia[J]. Am J Orthod Dentofacial Orthop, 2014,145(1):41-54.
doi: 10.1016/j.ajodo.2013.09.009 pmid: 24373654
[52] Esenlik E, Ağlarcı C, Albayrak GE , et al. Maxillary protraction using skeletal anchorage and intermaxillary elastics in Skeletal Class Ⅲ patients[J]. Korean J Orthod, 2015,45(2):95-101.
doi: 10.4041/kjod.2015.45.2.95 pmid: 25798416
[1] 张世珍,赖文莉. 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[J]. 国际口腔医学杂志, 2021, 48(3): 354-361.
[2] 金作林. 颅面部生长发育与早期生长改良[J]. 国际口腔医学杂志, 2021, 48(1): 7-11.
[3] 张晓歌 陈扬熙. 上颌前牵引矫治骨性Ⅲ类错牙合畸形的研究进展[J]. 国际口腔医学杂志, 2013, 40(6): 813-816.
[4] 李建华 封小霞 杨璞. 骨支抗前牵引的研究进展[J]. 国际口腔医学杂志, 2013, 40(3): 416-418.
[5] 张京剧. 上颌前牵引矫治骨性Ⅲ类错He的组织改变及影响因素[J]. 国际口腔医学杂志, 2000, 27(06): -.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .