青春期安氏Ⅱ1 错牙合功能矫形治疗后下颌骨旋转研究
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四川省卫计委科研资助项目


Study of the mandibular rotation of adolescent angle class II division 1 malocclusions after orthopedic treatment
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    【摘要】 目的 探讨青春期安氏Ⅱ1错牙合患者功能矫行治疗后下颌骨旋转的变化。方法 将70例青春期安氏Ⅱ1错颌患者随机分为治疗组(G1)与对照组(G0),每组各35例,对照组不做治疗,观察12个月,治疗组采用肌激动矫治器治疗12个月,实验开始(T1期)与结束(T2期)拍摄所有患者的头侧位X光片,采用结构重叠法对头侧位X光片上相关指标进行测量分析,所得数据进行统计分析。结果 治疗组下颌综合长度明显增加,髁突生长量明显增加,生长方向明显向后向上,髁突的生长方向与髁突总旋转和基质内旋转明显正相关,生长量与下颌旋转无相关性。结论 青春期安氏Ⅱ1错牙合行功能矫形治疗能通过改变髁突生长方向和生长量来取得较好的临床治疗效果,对下颌骨的旋转影响不明显。

    Abstract:

    【Abstract】 Objective To study the mandibular rotation of adolescent angle class II division 1 malocclusions after orthopedic treatment. Methods 70 adolescent patients with angle class II division 1 malocclusions were divided into treatment group (G1)(average aged 101±23 year ) treated with activator for 12months and control group (G0) (average aged 92±41year ) used as control. The lateral cephalograms of each patients were gotten at pretreatment (T1) and posttreatment (T2) times of the study. Structure superposition method was used to analyze the relate indexes on the lateral cephalograms. Results Functional orthopedic treatment of adolescent patients with angle class II division 1 malocclusions had no effects on the mandibular rotations, but it can change the growth amount and direction of the condylar which direction became more backward and upward, while the growth amount became larger than the untreated control group. The condylar growth direction showed positive relation to mandibular total rotation and intramatrix rotation. Conclusion Orthopedic treatment of adolescent angle class II division 1 malocclusions could get good result from regulate the growth direction and amount of condylar and had no effect to the mandibular rotations.

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  • 在线发布日期: 2018-06-28
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