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使用改良滑动装置进行单侧磨牙远中移动

Unilateral molar distalization with a modified slider.

作者信息

Sayinsu Korkmaz, Isik Fulya, Allaf Ferdi, Arun Tülin

机构信息

Department of Orthodontics, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey.

出版信息

Eur J Orthod. 2006 Aug;28(4):361-5. doi: 10.1093/ejo/cji118. Epub 2006 Apr 28.

Abstract

Although there are numerous publications on bilateral non-compliance molar distalization appliances, there is limited information on problems such as asymmetrical unilateral Class II malocclusions. The aim of the present investigation was to examine the distalization of molars unilaterally in patients with a unilateral Class II molar relationship utilizing a Keles Slider, designed without a bite plane. Ten girls (mean age 13.94 +/- 2.13 years) and seven boys (mean age 13.12 +/- 1.51 years) comprised the study material. Following insertion of the appliance, the patients were seen monthly and the screw was reactivated every 2 months. After a super-Class I molar relationship was achieved, the appliance was removed and the molars were stabilized with a Nance appliance for 2 months before the second-phase of orthodontic treatment. The Nance appliance was maintained in the palate until the end of canine distalization. Lateral cephalometric radiographs were obtained before and immediately after insertion of the molar distalizer. The results showed that the maxillary first molars were distalized bodily on average by 2.85 mm. The maxillary first premolars moved forward bodily 2 mm and were extruded 2.03 mm. In all, 1.32 mm of protrusion, 1.12 mm of extrusion, and 1.79 degrees of proclination of the upper incisors were observed. The mandibular incisors and mandibular molars erupted 0.83 and 0.95 mm, respectively. The unilateral Keles Slider distalized molars successfully to a Class I molar relationship.

摘要

尽管有许多关于双侧非依从性磨牙远移矫治器的出版物,但关于不对称单侧安氏II类错牙合等问题的信息有限。本研究的目的是利用一种无牙合平面设计的凯莱斯滑动器,检查单侧安氏II类磨牙关系患者的单侧磨牙远移情况。研究材料包括10名女孩(平均年龄13.94±2.13岁)和7名男孩(平均年龄13.12±1.51岁)。矫治器插入后,每月对患者进行检查,每2个月重新激活一次螺旋弹簧。在达到超安氏I类磨牙关系后,拆除矫治器,并用Nance矫治器使磨牙稳定2个月,然后进行第二阶段的正畸治疗。Nance矫治器一直保留在腭部,直到尖牙远移结束。在插入磨牙远移器之前和之后立即拍摄头颅侧位片。结果显示,上颌第一磨牙平均整体远移2.85mm。上颌第一前磨牙整体向前移动2mm,并伸长2.03mm。总体上,观察到上切牙有1.32mm的前突、1.12mm的伸长和1.79°的前倾。下颌切牙和下颌磨牙分别萌出0.83mm和0.95mm。单侧凯莱斯滑动器成功地将磨牙远移至I类磨牙关系。

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