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年轻生长发育期患者II类错牙合的两阶段治疗

Two-phase treatment of class II malocclusion in young growing patient.

作者信息

Nayak Krishna U S, Goyal Varun, Malviya Nikhil

机构信息

Department of Orthodontics, A. B. Shetty Memorial Institute of Dental Sciences, Mangalore, Karnataka, India.

出版信息

Contemp Clin Dent. 2011 Oct;2(4):376-80. doi: 10.4103/0976-237X.91808.

DOI:10.4103/0976-237X.91808
PMID:22346172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3276872/
Abstract

The use of functional jaw orthopedics, at the correct time during growth, can ultimately result in malocclusion patients achieving a broad beautiful smile, an excellent functional occlusion, a full face with a beautiful jaw line and lateral profile. Following is a case report of a young growing individual with mandibular retrognathia. Treatment was planned in two stages with the use of twin block during the first phase for correction of skeletal malocclusion and forward positioning of the mandible, followed by the second phase of fixed pre-adjusted edgewise orthodontic appliance for camouflaging the remaining skeletal discrepancy and achieving a stable harmonious occlusion.

摘要

在生长发育的合适阶段使用功能性颌骨矫形器，最终可使错颌畸形患者拥有宽阔而美丽的笑容、良好的功能咬合、轮廓优美的全脸以及漂亮的下颌线条和侧貌。以下是一例下颌后缩的年轻生长发育期患者的病例报告。治疗计划分两个阶段进行，第一阶段使用 Twin-block 矫治器矫正骨骼性错颌并使下颌向前定位，第二阶段使用固定直丝弓正畸矫治器掩饰剩余的骨骼差异并实现稳定和谐的咬合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/8a29d7ae4daf/CCD-2-376-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/15f82c0b471c/CCD-2-376-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/61e7eaed1f4f/CCD-2-376-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/3711347db2c0/CCD-2-376-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/7a67bcafb547/CCD-2-376-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/0956ff5ad1cf/CCD-2-376-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/29fa6c893aec/CCD-2-376-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/0ed679335265/CCD-2-376-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/ea98c07a0090/CCD-2-376-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/8a29d7ae4daf/CCD-2-376-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/15f82c0b471c/CCD-2-376-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/61e7eaed1f4f/CCD-2-376-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/3711347db2c0/CCD-2-376-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/7a67bcafb547/CCD-2-376-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/0956ff5ad1cf/CCD-2-376-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/29fa6c893aec/CCD-2-376-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/0ed679335265/CCD-2-376-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/ea98c07a0090/CCD-2-376-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/87d8/3276872/8a29d7ae4daf/CCD-2-376-g009.jpg

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本文引用的文献

1
Early treatment for Class II Division 1 malocclusion with the Twin-block appliance: a multi-center, randomized, controlled trial.使用双阻板矫治器早期治疗安氏II类1分类错牙合畸形：一项多中心、随机、对照试验。
Am J Orthod Dentofacial Orthop. 2009 May;135(5):573-9. doi: 10.1016/j.ajodo.2007.10.042.
2
Timing of Class II treatment: skeletal changes comparing 1-phase and 2-phase treatment.II类错（牙合）治疗的时机：比较一期治疗和二期治疗的骨骼变化
Am J Orthod Dentofacial Orthop. 2007 Oct;132(4):481-9. doi: 10.1016/j.ajodo.2005.08.046.
3
Outcomes in a 2-phase randomized clinical trial of early Class II treatment.
早期II类错颌治疗两阶段随机临床试验的结果
Am J Orthod Dentofacial Orthop. 2004 Jun;125(6):657-67. doi: 10.1016/j.ajodo.2004.02.008.
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Effectiveness of early orthodontic treatment with the Twin-block appliance: a multicenter, randomized, controlled trial. Part 2: Psychosocial effects.双阻板矫治器早期正畸治疗的有效性：一项多中心、随机、对照试验。第2部分：心理社会影响。
Am J Orthod Dentofacial Orthop. 2003 Nov;124(5):488-94; discussion 494-5. doi: 10.1016/S0889540603006425.
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The modified twin block appliance in the treatment of Class II division 2 malocclusions.改良双阻板矫治器治疗安氏II类2分类错牙合畸形
J Orthod. 2001 Dec;28(4):271-80. doi: 10.1093/ortho/28.4.271.
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Treatment timing for Twin-block therapy.双阻板矫治器治疗的时机
Am J Orthod Dentofacial Orthop. 2000 Aug;118(2):159-70. doi: 10.1067/mod.2000.105571.
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Treatment effects of the twin block appliance: a cephalometric study.双阻板矫治器的治疗效果：一项头影测量研究。
Am J Orthod Dentofacial Orthop. 1998 Jul;114(1):15-24. doi: 10.1016/s0889-5406(98)70232-x.