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垂直性上颌骨过度发育与骨性安氏II类错牙合畸形的治疗：病例报告

Treatment of Vertical Maxillary Excess and Skeletal Class II Malocclusion: A Case Report.

作者信息

Agrawal Komal J, Gupta Khyati, Khandelwal Prachi, Pipare Vaibhav, Jain Anushka, Raisoni Khushee

机构信息

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

出版信息

Cureus. 2024 Jul 25;16(7):e65367. doi: 10.7759/cureus.65367. eCollection 2024 Jul.

DOI:10.7759/cureus.65367
PMID:39184589
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344579/
Abstract

Class II malocclusion is a recurrent problem that may occur at a young age. If treated initially, the malocclusion can be corrected by redirecting the growth without invasive modalities and avoiding orthognathic surgeries. A female patient aged 10 years three months came to the department of orthodontics having a complaint of upper front teeth placed forwardly, diagnosed with skeletal class II due to retrusive mandible and vertical maxillary excess with hyper divergent growth pattern with increased anterior facial height, with Angle's molar class II division 1 malocclusion, increased overjet of 13 mm and overbite of 7 mm, acute nasolabial angle, deep mentolabial sulcus, and hyperactive mentalis. It was treated using an activator with medium-high-pull headgear (modified Herren activator) passing through the maxillary center of resistance. A fixed mechanotherapy with high-pull headgear was given using the anterior inclined plane acrylic plate in the maxilla and McLaughlin, Bennett, and Trevisi (MBT). Begg's wrap was used for the retention plan. This case report shows the significance of proper treatment results obtained due to correct identification and planning in treating malocclusion. This case report shows the significance of proper treatment results obtained due to correct identification and planning in treating malocclusion.

摘要

安氏II类错牙合是一种可能在年轻时出现的复发性问题。如果早期进行治疗，可通过引导生长来纠正错牙合，而无需采用侵入性方式，避免正颌手术。一名10岁3个月的女性患者来到正畸科，主诉上前牙前突，因下颌后缩、上颌垂直过度生长且生长模式高度分散导致面部前部高度增加，诊断为骨性安氏II类，伴有安氏磨牙II类1分类错牙合、覆盖增加13毫米、覆牙合7毫米、鼻唇角尖锐、颏唇沟深和颏肌亢进。采用通过上颌抗力中心的中高位牵引头帽矫治器（改良Herren矫治器）进行治疗。在上颌使用带有前斜面丙烯酸板的高位牵引头帽固定机械疗法以及McLaughlin、Bennett和Trevisi（MBT）矫治器。保持计划采用Begg氏带环。本病例报告显示了在治疗错牙合时正确识别和规划所取得的适当治疗效果的重要性。本病例报告显示了在治疗错牙合时正确识别和规划所取得的适当治疗效果的重要性。

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/ca5d624b79b2/cureus-0016-00000065367-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/7834717594d5/cureus-0016-00000065367-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/203090935ee4/cureus-0016-00000065367-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/9be8ccfda36a/cureus-0016-00000065367-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/996ee1f1b096/cureus-0016-00000065367-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/26ca9320d139/cureus-0016-00000065367-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/3cbe38286d94/cureus-0016-00000065367-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/6433dcaacc5b/cureus-0016-00000065367-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/8d7d444d8713/cureus-0016-00000065367-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/ea04aeb30fd2/cureus-0016-00000065367-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/c9d93d7fb0e5/cureus-0016-00000065367-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/ca5d624b79b2/cureus-0016-00000065367-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5239/11344579/7834717594d5/cureus-0016-00000065367-i11.jpg

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The Impact of Headgear on Distalization in Class II Division I Malocclusion: A Case Report.头帽对安氏II类1分类错牙合远中移动的影响：病例报告
Cureus. 2024 Jan 13;16(1):e52213. doi: 10.7759/cureus.52213. eCollection 2024 Jan.
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Treatment of Skeletal Class II Division 1 Using Twin Block Myofunctional Appliance.使用双阻板肌功能矫治器治疗安氏II类1分类错牙合
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