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[联合快速腭开展(RPE)、方丝弓技术和前方牵引矫治器矫治骨性III类错牙合畸形]

[Combined rapid palatal expansion (RPE), edgewise technique and protraction headgear in correction of skeletal Class III malocclusion].

作者信息

Xiang Weixiong, Lu Meng, Shi Xinhua, Lu Haiping

机构信息

People's First Hospital, Xiaoshan.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2002 Oct;20(5):353-5.

Abstract

OBJECTIVE

The skeletal Class III malocclusion often occurs in ethnic Asia population, and it is difficult to obtain an ideal results if only treated with protraction headgear (PH). However, the combined rapid palatal expansion (RPE), Edgewise Technique and PH can reach it, so the authors investigated the methods and characteristics of combined RPE, Edgewise Technique and PH in the treatment of skeletal Class III malocclusion.

METHODS

Fifteen patients, aged 8.5-12 years, including six males and 9 females, with skeletal Class III malocclusion and maxillary retrusion were selected for this study. Radiographs of left hand and wrist showed that all patients were at the pre-pubertal stage. The duration of treatment was nine months on average.

RESULTS

The SNA and A-ptm increased with a mean of cephalometric analysis, which showed significant difference (P < 0.05).

CONCLUSION

Obvious skeletal and profile changes can be achieved with combined RPE, Edgewise Technique and PH in the treatment of early skeletal Class III malocclusion.

摘要

目的

骨性Ⅲ类错牙合畸形在亚洲人群中较为常见,单纯使用前方牵引矫治器(PH)治疗往往难以取得理想效果。而快速腭开展(RPE)、方丝弓技术联合PH则可达到理想效果,因此作者探讨了RPE、方丝弓技术联合PH治疗骨性Ⅲ类错牙合畸形的方法及特点。

方法

选取15例年龄在8.5至12岁之间的患者,其中男性6例,女性9例,均为骨性Ⅲ类错牙合畸形且上颌后缩。左手和手腕的X线片显示所有患者均处于青春发育前期。治疗时间平均为9个月。

结果

头影测量分析显示,SNA和A-ptm平均增加,差异有统计学意义(P < 0.05)。

结论

RPE、方丝弓技术联合PH治疗早期骨性Ⅲ类错牙合畸形可实现明显的骨骼和面部外形改变。

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