替牙期骨性Ⅱ类错牙合畸形临床矫治的研究进展
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张雪蕾(2000.1-),女,新疆博乐人,硕士研究生,主要从事儿童口腔咬合诱导方面研究

通讯作者:

刘奕杉(1963.9-),女,山东蓬莱人,硕士,教授,主要从事儿童口腔医学方面研究

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R783.5

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Research Progress in Clinical Correction of Skeletal Class Ⅱ Malocclusion in Mixed Dentition Period
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    摘要:

    骨性Ⅱ类错牙合是儿童常见的牙颌畸形之一,主要由于上下颌骨发育不协调所致,严重影响面型 美观与咬合功能。替牙期为颌面生长发育的重要阶段,早期干预有望改善颌骨关系,降低前牙创伤风险, 为恒牙期治疗奠定基础。本文主要综述了替牙期常用三类治疗方法(功能性矫治器、头颈牵引、快速扩弓 器)及其矫治效果、稳定性、适应证,并探讨早期与晚期治疗的效果差异与治疗时机选择策略,以期为临 床实践提供一定参考。

    Abstract:

    Skeletal class Ⅱ malocclusion is one of the common dentomaxillary deformities in children, mainly caused by uncoordinated development of the maxilla and mandible, which seriously affects facial aesthetics and occlusal function. The mixed dentition period is a critical stage for maxillofacial growth and development, and early intervention is expected to improve jaw relationships, reduce the risk of anterior tooth trauma, and lay a foundation for treatment in the permanent dentition period. This paper systematically reviews three commonly used treatment methods in the mixed dentition period (functional appliances, cervical headgear, rapid palatal expanders) as well as their correction effects, stability and indications, and discusses the differences in effects between early and late treatment and strategies for selecting treatment timing, aiming to provide certain reference for clinical practice.

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张雪蕾,张小芳,等.替牙期骨性Ⅱ类错牙合畸形临床矫治的研究进展[J].医学美学美容,2025,34(13):194-198.

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  • 在线发布日期: 2025-08-27
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