Luca Lombardo, Francesca Cervinara, Daniela Guiducci, Alfredo Spedicato Giorgio, Giuseppe Siciliani
Postgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.
Postgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy.
Am J Orthod Dentofacial Orthop. 2022 May;161(5):659-665. doi: 10.1016/j.ajodo.2020.12.024. Epub 2022 Jan 5.
The objective was to describe the dental and skeletal changes obtained using the Carriere Motion Appliance (CMA), lateral cephalogram, and the corresponding cephalometric tracings.
A sample of 29 patients with Class II malocclusion (mean age, 12.6 ± 1.7 years) was retrospectively selected. All patients were treated at a single center using a CMA as the primary sagittal correction device. Cephalometric tracings at the beginning and end of treatment were compared. Each cephalometric tracing was performed 3 times by the same operator.
Using the CMA, the 29 patients studied reached dental Class I in 4.4 ± 0.98 months. All measurements were subjected to statistical analysis, paired t test, and all displayed differences between T0 and T1 (P <0.05) except for the SNA. At the end of treatment, the Wits and ANB values were reduced by 1.38 mm and 0.8°, respectively. Overbite and overjet were also reduced by 1.4 mm and 2 mm, respectively. The SNB, FMA, LAFH, and IMPA increased to a lesser extent (ie, 0.7°, 0.4°, 1.5 mm, and 1.5°, respectively).
The CMA is a rapid and efficient means of correcting Class II malocclusion. Its effects are predominantly dentoalveolar, with minimal skeletal alteration of little clinical significance.
目的是描述使用Carriere Motion矫治器(CMA)、头颅侧位片及相应的头影测量描记所获得的牙齿和骨骼变化。
回顾性选取29例安氏II类错牙合患者样本(平均年龄12.6±1.7岁)。所有患者均在单一中心接受治疗,使用CMA作为主要的矢状向矫治装置。比较治疗开始和结束时的头影测量描记。每次头影测量描记均由同一名操作人员进行3次。
使用CMA,29例研究患者在4.4±0.98个月内达到安氏I类牙合。所有测量值均进行了统计分析、配对t检验,除SNA外,所有测量值在T0和T1之间均显示出差异(P<0.05)。治疗结束时,Wits值和ANB值分别降低了1.38 mm和0.8°。覆牙合和覆盖也分别降低了1.4 mm和2 mm。SNB、FMA、LAFH和IMPA的增加幅度较小(分别为0.7°、0.4°、1.5 mm和1.5°)。
CMA是矫治安氏II类错牙合的一种快速有效的方法。其作用主要在牙牙槽骨,对骨骼的改变极小,临床意义不大。