Sander F G, Lassak C
Poliklinik für Kieferorthopädie, Zahnklinik, Universität Ulm.
Fortschr Kieferorthop. 1990 Jun;51(3):155-64. doi: 10.1007/BF02164567.
The bite-jumping-appliance BJA is a special functional appliance which affects the upper jaw comparably to activator headgear combinations (SNA angle). Concerning its influence on the lower jaw (SNB angle) the BJA can be compared with the Teuscher activator and the Klammt activator. The change in the inclination of the upper jaw (ANS-PNS to nasion-sella) proved to be negligible because the vector of the force passed through the center of resistance of the upper jaw. The extend of the dental influence was the largest with the activator, the smallest with the Fränkel II appliance. The inclination of the lower incisors (1 to gonion-menton) was hardly affected. The upper incisors were retruded however not be the same extend as with the Teuscher activator which even has torque springs (to avoid the retrusion). The treatment of all the patients ended in all cases excepting those that were treated with an activator in a nearly ideal IIW angle. Our findings encourage us to say that the BJA is an appliance with a far better working mechanism than the working mechanism of other functional appliances.
咬合跳跃矫治器(BJA)是一种特殊的功能性矫治器,对上颌的影响与肌激动器-头帽联合装置相当(SNA角)。就其对下颌的影响(SNB角)而言,BJA可与特舍尔肌激动器和克拉姆特肌激动器相比较。上颌倾斜度(前鼻棘-后鼻棘至鼻根-蝶鞍)的变化被证明可以忽略不计,因为力的矢量穿过上颌的阻力中心。牙齿影响的程度在肌激动器作用下最大,在弗伦克尔Ⅱ型矫治器作用下最小。下切牙的倾斜度(下切牙至下颌角-颏下点)几乎未受影响。然而,上切牙后缩的程度与特舍尔肌激动器不同,后者甚至配有转矩弹簧(以避免后缩)。除了使用肌激动器治疗的患者外,所有患者的治疗均以接近理想的Ⅱ类磨牙关系结束。我们的研究结果促使我们认为,BJA是一种工作机制比其他功能性矫治器好得多的矫治器。