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安氏II类2分类错牙合深覆牙合矫治后的保持期评估

Postretention assessment of deep overbite correction in Class II Division 2 malocclusion.

作者信息

Kim T W, Little R M

机构信息

Department of Orthodontics College of Dentistry, Seoul National University, Korea.

出版信息

Angle Orthod. 1999 Apr;69(2):175-86. doi: 10.1043/0003-3219(1999)069<0175:PAODOC>2.3.CO;2.

Abstract

The purposes of this study were to evaluate the long-term stability of deep overbite correction in Class II Division 2 malocclusion and to search for predictors of postretention overbite. The sample of 62 (31 males, 31 females) was limited to Class II Division 2 patients with initial deep overbite and successful orthodontic treatment as judged clinically at the end of treatment. Study models and cephalograms were analyzed before treatment, after treatment, and out of retention (average 15 years). The sample was divided into two groups according to the degree of postretention overbite: Group 1 (N=33; overbite > or = 4.0 mm at T3, mean = 5.17 +/- 0.87) and group 2 (N=29; overbite <4.0 mm at T3, mean = 2.95 +/- 0.87). The results showed that patients with very upright pretreatment maxillary and mandibular incisors tended to have deeper initial overbite and a tendency to return to their original relationship by the postretention stage. Posttreatment vertical growth contributed to maintenance of overbite correction. By stepwise multiple regression analysis, initial overbite was selected as the most important predictor of postretention overbite. Initial overbite was positively related with postretention overbite.

摘要

本研究的目的是评估安氏II类2分类错牙合深覆牙合矫治的长期稳定性,并寻找保持后覆牙合的预测因素。62例样本(31例男性,31例女性)仅限于安氏II类2分类患者,这些患者初始为深覆牙合,且在治疗结束时经临床判断正畸治疗成功。在治疗前、治疗后及保持结束后(平均15年)对研究模型和头影测量片进行分析。根据保持后覆牙合的程度将样本分为两组:第1组(N = 33;T3时覆牙合≥4.0 mm,均值 = 5.17±0.87)和第2组(N = 29;T3时覆牙合<4.0 mm,均值 = 2.95±0.87)。结果显示,治疗前上颌和下颌切牙非常直立的患者往往初始覆牙合更深,且在保持后阶段有恢复到原来关系的趋势。治疗后的垂直生长有助于维持覆牙合矫治效果。通过逐步多元回归分析,初始覆牙合被选为保持后覆牙合最重要的预测因素。初始覆牙合与保持后覆牙合呈正相关。

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