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使用双力咬合矫正器进行安氏II类错颌治疗:病例报告

Skeletal Class II treatment with Twin Force Bite Corrector: case reports.

作者信息

Altuğ-Ataç Ayşe Tuba, Dalcı Öykü Nebioğlu, Memikoğlu Ufuk Toygar

机构信息

Department of Orthodontics, School of Dentistry, University of Ankara, Ankara, Turkey.

出版信息

World J Orthod. 2008 Fall;9(3):e7-17.

Abstract

AIM

To analyze the effectiveness of the Twin Force Bite Corrector in 2 patients requiring anterior advancement of the mandible.

METHODS

To correct the imbalanced maxillomandibular relationship, a Twin Force Bite Corrector was inserted in 2 female adolescents (case 1: 12 years 3 months of age; case 2: 12 years 7 months of age) presenting with a skeletal Class II malocclusion. The pretreatment, posttreatment, and follow-up dental and skeletal parameters were evaluated on lateral cephalometric radiographs. Twenty-two reference points were marked and 23 variables measured for each set of lateral cephalograms.

RESULTS

The Twin Force Bite Corrector therapy lasted for 3 months in both patients. The total orthodontic treatment duration was 1 year 4 months for case 1 and 1 year 6 months for case 2. In both patients, the overjet reduced, the mandibles advanced, and a Class I molar relationship was achieved. Effective mandibular length (Co-Gn) increased significantly, while the mandibular incisors almost kept their initial positions without a significant change in inclination (L1/ML). The clinical profiles of both girls remarkably improved.

CONCLUSIONS

The Twin Force Bite Corrector was effective in the correction of skeletal Class II malocclusion with retrognathic mandible, with negligible anchorage loss in the mandibular arch.

摘要

目的

分析双力咬合矫治器对2例需要下颌前导的患者的疗效。

方法

为纠正上颌骨与下颌骨关系失衡,将双力咬合矫治器插入2例患有骨性II类错牙合畸形的女性青少年患者(病例1:12岁3个月;病例2:12岁7个月)口中。在头颅侧位片上评估治疗前、治疗后及随访时的牙齿和骨骼参数。每组头颅侧位片标记22个参考点并测量23个变量。

结果

两名患者使用双力咬合矫治器治疗均持续3个月。病例1的正畸总治疗时间为1年4个月,病例2为1年6个月。两名患者的覆盖均减小,下颌前导,达到I类磨牙关系。有效下颌长度(Co-Gn)显著增加,而下颌切牙几乎保持初始位置,倾斜度(L1/ML)无明显变化。两名女孩的临床外形均显著改善。

结论

双力咬合矫治器对矫正伴有下颌后缩的骨性II类错牙合畸形有效,下颌弓中的支抗丧失可忽略不计。

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