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论文摘要

早期骨性Ⅲ类错前方牵引矫治中扩弓效果的比较

Effect of maxillary protraction with or without rapid palatal expansion in treating early skeletal Class Ⅲ malocclusion

作者:马文盛 卢海燕 董福生 胡骁颖 栗兴超

Author:MA Wen-sheng1, LU Hai-yan1, DONG Fu-sheng2, HU Xiao-ying1, LI Xing-chao2

收稿日期:2009-04-25          年卷(期)页码:2009,27(02):178-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:骨性Ⅲ类错,前方牵引,快速扩弓,早期矫治,

Key words:skeletal Class Ⅲ malocclusion,maxillary protraction,rapid palatal expansion,early orthodontic treatment,

基金项目:

河北省科学技术研究与发展指导计划资助项目(627611011)

中文摘要

目的研究快速扩弓前方牵引与单纯前方牵引矫治早期骨性Ⅲ类错临床疗效的异同。方法选择31例替牙期骨性Ⅲ类错患者分为A、B组,A组15例采用快速扩弓前方牵引矫治,B组16例采用单纯前方牵引矫治。2组患者矫治前后分别拍摄头颅定位侧位片,选择23个测量项目,比较矫治前后的变化,并用Pancherz分析法进行分析。结果A组疗程平均10.14个月,B组平均9.77个月(P>0.05)。Pancherz分析结果表明,A、B组上颌基骨分别前移2.99 mm和3.33 mm;A组下颌基骨后移0.07 mm,B组下颌基骨前移0.80 mm;A、B组前牙覆盖分别增加4.51 mm和6.37 mm,磨牙关系改善分别为4.97 mm和4.73 mm。以上项目除前牙覆盖的变化2组间有统计学差异外(P0.05),均达到满意的临床效果。A组下颌磨牙在下颌基骨中前移了1.18 mm,B组下颌磨牙在下颌基骨中后移了1.20 mm(P

英文摘要

Objective To evaluate the effectiveness of treatment with maxillary protraction with or without rapid palatal expansion(RPE) for skeletal Class Ⅲ malocclusion in mixed dentition. Methods A total of 31 children with Class Ⅲ malocclusion in mixed dentition were selected, and 15(group A) received maxillary protraction treatment with RPE, the other 16(group B) received maxillary protraction without RPE. Cephalometric films were taken before and after treatment, and traditional and Pancherz analysis were used. Results The average duration of treatment was 10.14 months in group A and 9.77 months in group B respectively(P >0.05). According to Pancherz analysis, maxillary basal bone moved forwards by 2.99 mm in group A and 3.33 mm in group B respectively(P>0.05), mandibular basal bone moved backwards by 0.07 mm in group A, while forwards by 0.80 mm in group B(P>0.05), the overjet increased by 4.51 mm in group A and 6.37 mm in group B respectively(P0.05). The effects were clinically satisfactory in the both groups. Lower molar moved forwards by 1.18 mm in basal bone in group A, while backwards by 1.20 mm in group B(P

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