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Forsus镍钛平板弹簧和雅斯帕跳跃矫治器矫治安氏II类1分类错牙合畸形。

Forsus Nitinol Flat Spring and Jasper Jumper corrections of Class II division 1 malocclusions.

作者信息

Karacay Seniz, Akin Erol, Olmez Huseyin, Gurton A Umit, Sagdic Deniz

机构信息

Department of Orthodontics, Dental Science Center, Gulhane Military Medical Academy, Ankara, Turkey.

出版信息

Angle Orthod. 2006 Jul;76(4):666-72. doi: 10.1043/0003-3219(2006)076[0666:FNFSAJ]2.0.CO;2.

Abstract

OBJECTIVE

To compare the effects of Forsus Nitinol Flat Spring (FNFS) and Jasper Jumper (JJ) in the correction of Class II division I malocclusions.

MATERIALS AND METHODS

Our research was conducted on 48 adolescents, who had a normal or horizontal growth pattern and retrognathic mandible. The patients were divided into three equal groups randomly. First group was treated with FNFS, and the second group was treated with JJ appliances, whereas the third group was the control group. Lateral cephalograms and study models were obtained after the leveling phase and at time of the removal of the appliances.

RESULTS

Cephalometric analysis revealed that both the appliances stimulated mandibular growth, increased the anterior face height because of the lower face, and elongated the posterior face height because of the growth of temporomandibular joint. Maxillary central incisors were extruded, retruded, and distally tipped. Contrarily, intrusion, protrusion, and labial tipping were observed in the mandibular central incisors. Distal movement and intrusion of the maxillary first molars and mesial movement and extrusion of the mandibular first molars were the other dental alterations. Overjet and overbite were decreased, and a Class I molar relationship and improvement in the profile were attained in both treatment groups. Cast model analysis showed expansion in the maxillary and mandibular dental arches.

CONCLUSIONS

Both the appliances were effective in the treatment of Class II malocclusion and revealed nearly same alterations in the skeletal, dental, and soft tissue parameters.

摘要

目的

比较Forsus镍钛扁平弹簧(FNFS)和雅斯佩矫治器(JJ)对安氏II类1分类错牙合畸形的矫治效果。

材料与方法

对48例具有正常或水平生长型及下颌后缩的青少年进行研究。将患者随机分为三组,每组人数相等。第一组采用FNFS矫治,第二组采用JJ矫治器矫治,第三组为对照组。在整平阶段结束时及拆除矫治器时获取头颅侧位片和研究模型。

结果

头影测量分析显示,两种矫治器均刺激下颌生长,因下颌面高度增加导致前面高增加,因颞下颌关节生长导致后面高延长。上颌中切牙被压低、后缩并向远中倾斜。相反,下颌中切牙出现伸长、前突和唇向倾斜。上颌第一磨牙远中移动和压低以及下颌第一磨牙近中移动和伸长是其他牙齿改变。两组患者的覆盖和覆牙合均减小,磨牙关系达到I类,侧貌得到改善。模型分析显示上颌和下颌牙弓均有扩弓。

结论

两种矫治器对安氏II类错牙合畸形均有效,在骨骼、牙齿和软组织参数方面显示出几乎相同的改变。

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