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论文摘要

活动式前牵引矫治器口内固位装置改进的临床研究

Modified r etention elements of r emovable r ever se headgear appliances

作者:张慧 刘钧 范晓枫 赵青 张景慧 赵志河

Author:ZHANG Hui1, LIU Jun2, FAN Xiaofeng2, ZHAO Qing2, ZHANG Jing- hui1, ZHAO Zhi- he2

收稿日期:2008-06-25          年卷(期)页码:2008,26(03):306-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:前牵引矫治器,固位,箭头卡,

Key words:reverse headgear appliance,retention,adams clasp,

基金项目:

中文摘要

目的探讨活动式前牵引矫治器口内固位装置改进后治疗骨性Ⅲ类错的临床效果。方法选择18例需行前牵引的替牙期骨性Ⅲ类错患者为研究对象,将18例患者随机分为传统组(T组)和改良组(M组),每组9例。根据分组,固位方式分别选择传统型活动式前牵引矫治器和改良型活动式前牵引矫治器。改良型活动式前牵引矫治器在传统型矫治器基础上,在上颌中切牙间加做箭头卡固位。分别在患者初次佩戴和第1次复诊时使用2个相同的弹簧测力计测定2种前牵引矫治器的最小脱位力,并在矫治初始3个月记录每次复诊时患者的牵引后脱位情况。结果初次佩戴和第1次复诊时M组与T组的最小脱位力之间均有统计学差异(P

英文摘要

Objective Retention elements were added in the removable reverse headgear appliances in order to achieve better treatment effects of skeletal Class Ⅲ malocclusion. Methods Eighteen patients who needed treatments with reverse headgear appliances were randomly and equally divided into two groups with traditional type of retention elements(T group) and modified type of retention elements(M group) respectively. For the modified type appliances, an adams clasp was added in the position of central incisors on the basis of the traditional type. The minimum dislocating force for both types was measured with the same forcemeter in the first and second visit, respectively. The occurrence of dislocation caused by traction was recorded during the visits of the first three months. Results The M group showed significantly greater retention than the T group. The minimum dislocating force for M group was larger in the first and second visit (P

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