Kılıçoğlu Hülya, Öğütlü Nilüfer Yılmaz, Uludağ Ceylan Alioğlu
Department of Orthodontics, İstanbul University School of Dentistry, İstanbul, Turkey.
Private Practice, İstanbul, Turkey.
Turk J Orthod. 2017 Mar;30(1):6-14. doi: 10.5152/TurkJOrthod.2017.016. Epub 2017 Mar 1.
The aim of this study was to evaluate the skeletal and dental changes in Class III patients treated with Modified Jasper Jumper appliance and Delaire face mask before the growth peak.
A study sample comprising 16 patients with functional Class III malocclusion treated with Modified Jasper Jumper appliance and 17 patients treated with Delaire face mask was compared with a control group comprising 13 patients. Pancherz analysis was used as the analysis method.
In both treatment groups forward movement of maxillary base and incisors and an increase in the overjet while no positional change in the mandibular base was observed. In the Modified Jasper Jumper group, 4.63 mm overjet correction was due to 51.4% skeletal and 48.6% dental changes; 4.77 mm Class III molar correction was due to 49.9% skeletal and 50.1% dental changes. In the Delaire face mask group, 5.17 mm overjet correction was due to 70.6% skeletal and 29.4% dental changes and 4.87 mm Class III molar correction was due to 75% skeletal and 25% dental changes.
It was shown that both appliances were skeletally and dentally effective. Therefore, Modified Jasper Jumper therapy may be an alternative treatment modality for patients with poor cooperation, who are not ideal recipients for Delaire face mask.
本研究旨在评估在生长高峰期前使用改良型贾斯珀跳跃矫治器和德莱尔面罩治疗的III类错颌患者的骨骼和牙齿变化。
将16例使用改良型贾斯珀跳跃矫治器治疗的功能性III类错颌患者和17例使用德莱尔面罩治疗的患者组成的研究样本与由13例患者组成的对照组进行比较。采用潘彻兹分析法作为分析方法。
在两个治疗组中，均观察到上颌基骨和切牙向前移动，覆盖增加，而下颌基骨位置无变化。在改良型贾斯珀跳跃矫治器组中，4.63mm的覆盖纠正中，骨骼变化占51.4%，牙齿变化占48.6%；4.77mm的III类磨牙纠正中，骨骼变化占49.9%，牙齿变化占50.1%。在德莱尔面罩组中，5.17mm的覆盖纠正中，骨骼变化占70.6%，牙齿变化占29.4%；4.87mm的III类磨牙纠正中，骨骼变化占75%，牙齿变化占25%。
结果表明两种矫治器在骨骼和牙齿方面均有效。因此，改良型贾斯珀跳跃矫治器治疗对于合作性差、不适合使用德莱尔面罩的患者可能是一种替代治疗方式。
