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早期混合牙列期上颌横向及矢状向发育不足的阻断性正畸治疗

Interceptive orthopedics for the correction of maxillary transverse and sagittal deficiency in the early mixed dentition period.

作者信息

Talapaneni Ashok Kumar, Kumar Karnati Praveen, Kommi Pradeep Babu, Nuvvula Sivakumar

机构信息

Department of Orthodontics, Narayana Dental College and Hospital, Nellore, AP, India.

出版信息

Contemp Clin Dent. 2011 Oct;2(4):331-6. doi: 10.4103/0976-237X.91798.

DOI:10.4103/0976-237X.91798
PMID:22346162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3276862/
Abstract

Dentofacial Orthopedics directed to a hypoplastic maxilla in the prepubertal period redirects growth of the maxilla in the vertical, transverse and sagittal planes of space. The orthopedic correction of maxillary hypoplasia in the early mixed dentition period thus intercepts the establishment of permanent structural asymmetry in the mandible and helps in the achievement of optimal dentofacial esthetics. This paper presents the growth redirection in a hypoplastic maxilla of an 8-year-old girl with simultaneous rapid maxillary expansion and protraction headgear therapy for a period of 11 months which corrected the posterior unilateral cross-bite, the positional asymmetry of the mandible and established an orthognathic profile in the individual.

摘要

针对青春期前上颌骨发育不全的牙颌面正畸可在空间的垂直、横向和矢状平面上重新引导上颌骨的生长。因此，在乳牙混合早期对上颌骨发育不全进行正畸矫正可阻断下颌骨永久性结构不对称的形成，并有助于实现最佳的牙颌面美观效果。本文介绍了一名8岁女孩上颌骨发育不全的生长引导情况，同时进行了11个月的快速上颌扩弓和前牵引矫治器治疗，纠正了后牙单侧反合、下颌骨位置不对称，并使该个体建立了正颌侧貌。

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本文引用的文献

1
Profile changes associated with different orthopedic treatment approaches in Class III malocclusions.与III类错牙合畸形不同正畸治疗方法相关的面部轮廓变化。
Angle Orthod. 2004 Dec;74(6):733-40. doi: 10.1043/0003-3219(2004)074<0733:PCAWDO>2.0.CO;2.
2
A new approach of assessing sagittal discrepancies: the Beta angle.一种评估矢状面差异的新方法：β角。
Am J Orthod Dentofacial Orthop. 2004 Jul;126(1):100-5. doi: 10.1016/j.ajodo.2003.08.026.
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Morphological and positional asymmetries of young children with functional unilateral posterior crossbite.
功能性单侧后牙反合幼儿的形态学和位置不对称性
Am J Orthod Dentofacial Orthop. 2001 Nov;120(5):513-20. doi: 10.1067/mod.2001.118627a.
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A comparison of different treatment techniques for posterior crossbite in the mixed dentition.混合牙列期后牙反合不同治疗技术的比较
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Cephalometric changes after the correction of class III malocclusion with maxillary expansion/facemask therapy.上颌扩弓/面罩疗法矫治Ⅲ类错牙合畸形后的头影测量变化
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Skeletal effects of early treatment of Class III malocclusion with maxillary expansion and face-mask therapy.早期采用上颌扩弓和面罩疗法治疗III类错牙合畸形的骨骼效应。
Am J Orthod Dentofacial Orthop. 1998 Mar;113(3):333-43. doi: 10.1016/s0889-5406(98)70306-3.
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Extraoral traction and class III treatment.口外牵引与Ⅲ类错颌治疗
Am J Orthod. 1981 Dec;80(6):638-50. doi: 10.1016/0002-9416(81)90266-9.
8
Condylar position in children with functional posterior crossbites: before and after crossbite correction.功能性后牙反合患儿髁突位置：反合矫治前后
Pediatr Dent. 1980 Sep;2(3):190-4.
9
Soft tissue cephalometric analysis for orthognathic surgery.正颌外科的软组织头影测量分析
J Oral Surg. 1980 Oct;38(10):744-51.
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Early treatment of unilateral posterior crossbite in children with bilaterally contracted maxillae.
Eur J Orthod. 1984 Feb;6(1):65-9. doi: 10.1093/ejo/6.1.65.