无托槽隐形矫治器前导下颌矫治儿童骨性Ⅱ类错颌畸形的疗效及对患儿面型的影响
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凌诗青(1983.11-),女,广东广州人,硕士,主治医师,主要从事口腔医学临床方面工作

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R783.5

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Effect of Bracketless Invisible Correction Appliance for Anterior Mandible on the Treatment of Skeletal Class Ⅱ Malocclusion in Children and its Influence on the Facial Type
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    摘要:

    目的 探究儿童骨性Ⅱ类错颌畸形接受无托槽隐形矫治器前导下颌矫治的效果及对患儿面型的影 响。方法 选择2020年1月-2022年1月于菲亚锦绣口腔门诊部接受正畸治疗的66例骨性Ⅱ类错颌畸形患儿为 研究对象,根据选择的矫治方式不同分为对照组(n=33)和观察组(n=33)。对照组予以传统功能矫治器前导下 颌,观察组予以无托槽隐形矫治器前导下颌,比较两组骨性、牙性、面型相关指标及整体治疗时间。结果 两 组矫治后ANB角、Wits值、颌凸角均优于矫治前(P <0.05),但观察组与对照组比较,差异无统计学意 义(P >0.05);观察组矫治后U1-NA、U1-SN、L1-NB、L1-MP均优于对照组(P <0.05);两组 矫治后UL-E、Z角均优于矫治前,且观察组优于对照组(P <0.05);观察组整体治疗时间短于对照 组(P<0.05)。结论 与传统功能矫治器相比,无托槽隐形矫治器矫治儿童骨性Ⅱ类错颌畸形在改善牙 齿-牙槽骨关系、调整上中切牙唇倾度、改善侧貌、缩短整体矫治周期方面更具优势,值得临床应用。

    Abstract:

    Objective To explore the effect of anterior mandibular correction with bracketless invisible correction appliance for anterior mandible in children with skeletal class Ⅱ malocclusion and its influence on the facial shape. Methods From January 2020 to January 2022, 66 children with skeletal class Ⅱ malocclusion who received orthodontic treatment in the Feiya Jinxiu Dental Clinic were selected as the research objects. According to the different treatment methods, they were divided into control group (n =33) and observation group (n =33). The control group was treated with traditional functional appliance to guide the mandible, and the observation group was treated with bracketless invisible correction appliance for anterior mandible. The bone, dental, facial type related indicators and overall treatment time were compared between the two groups. Results After treatment, the ANB angle, Wits value and jaw convex angle of the two groups were better than those before treatment (P <0.05), but there was no significant difference between the observation group and the control group (P >0.05). After treatment, U1-NA, U1-SN, L1- NB and L1-MP in the observation group were better than those in the control group (P <0.05). The UL-E and Z angles of the two groups after treatment were better than those before treatment, and those of the observation group were better than those of the control group (P <0.05). The overall treatment time of the observation group was shorter than that of the control group (P <0.05). Conclusion Compared with the traditional functional appliance, the bracketless invisible correction appliance has more advantages in improving the tooth-alveolar bone relationship, adjusting the lip inclination of the upper and middle incisors, improving the profile and shortening the overall treatment cycle in the treatment of skeletal class Ⅱ malocclusion in children. It is worthy of clinical application.

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凌诗青.无托槽隐形矫治器前导下颌矫治儿童骨性Ⅱ类错颌畸形的疗效及对患儿面型的影响[J].医学美学美容,2024,33(23):20-23.

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  • 在线发布日期: 2025-01-02
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