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使用颏兜疗法对Ⅲ类错牙合伴前牙反牙合进行早期干预：病例报告

The Early Intervention of a Class III Malocclusion With an Anterior Crossbite Using Chincup Therapy: A Case Report.

作者信息

Singh Shefali, Gilani Rizwan, Kathade Anjali, Atey Aishwarya R, Atole Srushti, Rathod Pratik

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jun 16;16(6):e62473. doi: 10.7759/cureus.62473. eCollection 2024 Jun.

DOI:10.7759/cureus.62473
PMID:39022499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11251932/
Abstract

Class III malocclusions with anterior crossbites pose significant challenges in orthodontic treatment, especially in growing children. This case report details the early intervention of a 12-year-old patient presenting with a Class III malocclusion characterized by an anterior crossbite and mandibular prognathism. A chincup was employed to inhibit mandibular growth and encourage maxillary development. Consistent use of the chincup, with regular follow-ups and adjustments, led to significant improvements. The anterior crossbite was corrected, resulting in a Class I molar relationship and an improved facial profile. The maxillary arch perimeter increased, providing space for the eruption of canines and premolars. This case demonstrates that early intervention with a chincup can effectively manage Class III malocclusion with an anterior crossbite, highlighting the importance of timely orthodontic assessment and treatment to achieve stable, long-term results.

摘要

伴有前牙反合的III类错颌畸形在正畸治疗中带来重大挑战，尤其是在生长发育期的儿童中。本病例报告详细介绍了一名12岁患有III类错颌畸形患者的早期干预情况，其特征为前牙反合和下颌前突。使用颏兜来抑制下颌生长并促进上颌发育。持续使用颏兜并定期随访和调整，带来了显著改善。前牙反合得到纠正，形成了I类磨牙关系并改善了面部轮廓。上颌牙弓周长增加，为尖牙和前磨牙的萌出提供了空间。本病例表明，早期使用颏兜干预可有效治疗伴有前牙反合的III类错颌畸形，凸显了及时进行正畸评估和治疗以获得稳定长期效果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/6d6459bc1366/cureus-0016-00000062473-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/2ea9515f6e43/cureus-0016-00000062473-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/07e4ea227328/cureus-0016-00000062473-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/9ef35e3202a4/cureus-0016-00000062473-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/802db2dd724b/cureus-0016-00000062473-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/49d6585a7108/cureus-0016-00000062473-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/69e821cb8a5b/cureus-0016-00000062473-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/1e9de40b7c99/cureus-0016-00000062473-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/6d6459bc1366/cureus-0016-00000062473-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/2ea9515f6e43/cureus-0016-00000062473-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/07e4ea227328/cureus-0016-00000062473-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/9ef35e3202a4/cureus-0016-00000062473-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/802db2dd724b/cureus-0016-00000062473-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/49d6585a7108/cureus-0016-00000062473-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/69e821cb8a5b/cureus-0016-00000062473-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/1e9de40b7c99/cureus-0016-00000062473-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097a/11251932/6d6459bc1366/cureus-0016-00000062473-i08.jpg

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Children (Basel). 2023 Feb 10;10(2):355. doi: 10.3390/children10020355.
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Int J Clin Pediatr Dent. 2021 Mar-Apr;14(2):331-334. doi: 10.5005/jp-journals-10005-1752.
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Assessment of early orthodontic treatment on functional shifts by telemonitoring mandibular movements using a smart phone.
使用智能手机远程监测下颌运动评估早期正畸治疗对功能移位的影响。
J Telemed Telecare. 2020 Apr;26(3):150-160. doi: 10.1177/1357633X18800876. Epub 2018 Oct 29.
4
Early treatment of pseudo-class III malocclusion with modified swallowing occlusal contact intercept appliance (S.O.C.I.A.).使用改良吞咽咬合接触阻断矫治器（S.O.C.I.A.）对假性III类错牙合进行早期治疗。
J Indian Soc Pedod Prev Dent. 2018 Apr-Jun;36(2):206-212. doi: 10.4103/JISPPD.JISPPD_83_17.
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Developing Class III malocclusions: challenges and solutions.Ⅲ类错颌畸形的发展：挑战与解决方案
Clin Cosmet Investig Dent. 2018 Jun 22;10:99-116. doi: 10.2147/CCIDE.S134303. eCollection 2018.
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Open Dent J. 2016 Dec 9;10:664-679. doi: 10.2174/1874210601610010664. eCollection 2016.
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