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[使用咬合跳跃板期间的骨骼和牙齿变化。与未经治疗的安氏II类组的头影测量比较]

[Skeletal and dental changes during the use of the bite-jumping plate. A cephalometric comparison with an untreated Class-II group].

作者信息

Sander F G, Wichelhaus A

机构信息

Poliklinik für Kieferorthopädie, Universität Ulm.

出版信息

Fortschr Kieferorthop. 1995 May;56(3):127-39. doi: 10.1007/BF02276629.

Abstract

In this study 95 patients with a malocclusion type Angle class II were treated with a bite jumping appliance and the results achieved were compared with untreated class II patients. A clear improvement in the skeletal and dental relationships was observed. Significant changes were achieved yearly in the following: 1. the angle SNA was reduced (0.82 degrees), 2. the angle SNB was increased (0.57 degrees), 3. the angle ANB was reduced (1.39 degrees). All 3 of these variables are significant. Other skeletal variables, most notably the incline of the maxilla to the line NS, were not influenced nor was the relation of posterior facial height to anterior facial height. The mandibular incisors did not exhibit increased protrusion relative to the mandibular plane. Only the angle of the mandibular incisor to NB was changed by the total protrusion of the mandible. The maxillary incisors in these cases manifested obvious lingual tipping. For this reason the orthodontist must weigh carefully on an individual patient basis, whether the use of adjunctive torque springs is required and necessary.

摘要

在本研究中,对95例安氏II类错牙合患者使用咬合跳跃矫治器进行治疗,并将治疗结果与未经治疗的II类患者进行比较。观察到骨骼和牙齿关系有明显改善。以下各项每年都有显著变化:1. SNA角减小(0.82度);2. SNB角增大(0.57度);3. ANB角减小(1.39度)。这三个变量均具有统计学意义。其他骨骼变量,最显著的是上颌相对于NS线的倾斜度,未受影响,后牙面高度与前牙面高度的关系也未受影响。相对于下颌平面,下颌切牙未表现出前突增加。只有下颌切牙与NB的角度因下颌的整体前突而改变。在这些病例中,上颌切牙表现出明显的舌倾。因此,正畸医生必须根据个体患者的情况仔细权衡是否需要并使用辅助转矩弹簧。

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