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论文摘要

成人低角骨性Ⅲ类错非手术矫治对颞下颌关节的影响

Effects of non- surgical tr eatment on temporomandibular joint of adult low- angle subjects with sever e skeletal Class Ⅲ deformity

作者:赵艳红 王春玲 郭杰 朱鲲 魏福兰

Author:ZHAO Yan- hong, WANG Chun- ling, GUO Jie, ZHU Kun, WEI Fu- lan

收稿日期:2007-10-25          年卷(期)页码:2007,25(05):463-

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,成人,正畸治疗,颞下颌关节,

Key words:skeletal Class Ⅲ malocclusion,adult,orthodontic treatment,temporomandibular joint,

基金项目:

中文摘要

目的探讨非手术矫治对成人低角骨性Ⅲ类错患者颞下颌关节的影响。方法选取13例严重成人低角骨性Ⅲ类错病例,男5例,女8例,年龄18~23岁,平均年龄21.3岁。所有患者均采用OPA- K滑动直丝固定矫治技术矫治,矫治前后均做Helkimo指数分析,并拍摄双侧闭口矫正薛氏位片和X线头颅侧位片,行颞下颌关节间隙测量和头影测量分析。采用SPSS 12.0统计软件进行统计分析。结果非手术矫治后,Helkimo主诉症状指数重新分布,Ai0级比例明显升高,AiⅡ级比例减少为零。间隙分析表明:矫治前,髁突处于关节窝过前位;矫治后,关节前间隙线距和面积增大(P

英文摘要

Objective To investigate effects of non- surgical treatment on temporal mandibular joint(TMJ)of adult low- angle subjects with severe skeletal Class Ⅲ deformity. Methods Thirteen low- angle patients with severe skeletal Class Ⅲ malocclusion(male 5, female 8)were included in the study. The average age was 21.3 years old. They were treated with OPA- K straight wire technique. Helkimo index evaluation was made before and after treatment. Lateral cephalometric films and corrected TMJ lateral cephalometric radiograghs were taken before and after treat - ment, and linear and area measurement were observed. All data were analyzed with SPSS 12.0 software. Results After non- surgical treatment, Helkimo indexes of all patients redistributed. The line distance and area of anterior space in TMJ increased while the posterior space decreased. Linear percent decreased from 20.81% to 8.04%, and area proportion decreased from 1.62 to 1.01. Anterior space was the same as the posterior. Condyles and mandibles were retruded. Conclusion After non- surgical therapy in adult low- angle subjects with severe skeletal Class Ⅲ malocclusion, condyles remove posteriorly from more anterior position to normal concentric position, and temporomandibular disorders symptom is relieved and cured effectively

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