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采用滑动机制进行上颌单侧磨牙远中移动:一项初步研究。

Maxillary unilateral molar distalization with sliding mechanics: a preliminary investigation.

作者信息

Keles A

机构信息

Department of Orthodontics, Marmara University, Istanbul, Turkey.

出版信息

Eur J Orthod. 2001 Oct;23(5):507-15. doi: 10.1093/ejo/23.5.507.

Abstract

Fifteen patients, eight males and seven females with a mean age of 13.32 years, were selected for unilateral molar distalization. Dentally, all presented with a unilateral Class II molar relationship. The subjects were all in the permanent dentition with second molars erupted and with a well aligned lower dental arch. For maxillary molar distalization a new intra-oral appliance was developed, the Keles Slider, which comprised two premolar and two molar bands. The anchorage unit was a Nance button with an anterior bite plane. From the palatal side, the point of distal force application was carried towards the level of centre of resistance of the maxillary first molar. A Ni-Ti coil spring was used and 200 g distal force was applied to the Class II first molar. Lateral cephalograms were taken and analysed before and 2 months after molar distalization. The Class II molars were distalized bodily, on average, 4.9 mm (P < 0.001). Mesial migration of the Class II first premolars was 1.3 mm (P < 0.05), incisor protrusion was 1.8 mm (P < 0.05) and incisor proclination 3.2 degrees (P < 0.05). The overbite was reduced by 3.1 mm (P < 0.001) and the overjet increased 2.1 mm (P < 0.01). For stabilization, the corrected Class II unilateral molar relationship was maintained with a Nance button for 2 months. The results show that this newly developed device achieved bodily distal molar movement with minimum anchorage loss.

摘要

选取15例患者(8例男性,7例女性,平均年龄13.32岁)进行单侧磨牙远中移动。在牙齿方面,所有患者均表现为单侧安氏II类磨牙关系。研究对象均处于恒牙列期,第二磨牙已萌出,下颌牙弓排列整齐。为实现上颌磨牙远中移动,研发了一种新型口内矫治器——凯莱斯滑动矫治器,它由两个前磨牙带环和两个磨牙带环组成。支抗装置是一个带有前牙咬合平面的Nance弓。从腭侧将远中力的施加点移至上颌第一磨牙的抗力中心水平。使用镍钛螺旋弹簧,对安氏II类第一磨牙施加200g的远中力。在磨牙远中移动前及移动2个月后拍摄并分析头颅侧位片。安氏II类磨牙平均整体远中移动4.9mm(P<0.001)。安氏II类第一前磨牙近中移动1.3mm(P<0.05),切牙前突1.8mm(P<0.05),切牙倾斜3.2度(P<0.05)。覆合减小3.1mm(P<0.001),覆盖增加2.1mm(P<0.01)。为保持稳定,使用Nance弓将矫正后的单侧安氏II类磨牙关系维持2个月。结果表明,这种新研发的装置能使磨牙整体远中移动,且支抗丧失最小。

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