不同牙列期安氏Ⅱ类2分类错(牙合)畸形矫治的研究进展
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摘要
安氏Ⅱ类2分类错是临床上较为常见的一类错畸形,该类错畸形的形成和发生与遗传、口腔不良习惯以及婴幼儿时期的慢性疾病等因素相关。乳牙期出现的安氏Ⅱ类2分类错畸形已经表现出上下颌骨、颌面部软组织特征的异常,随着生长发育的进行,该类错在替牙期、恒牙列初期以及后期所表现出的异常会更加明显,并会出现牙龈炎、牙周炎等牙周疾病,严重时甚至出现颞下颌关节紊乱疾病症状。不同牙列期安氏Ⅱ类2分类错畸形患者的软硬组织异常特征表现不尽相同,在矫治后相应的变化也具有一定的差异性。
Class Ⅱ division 2 malocclusion is a relatively common type of malocclusion in clinical practice. The formation and occurrence of such malocclusions are related to many factors such as heredity,bad oral habits,and chronic diseases in infants and young children. The class Ⅱ division 2 malocclusion deformed in the deciduous period has been characterized by abnormalities of the soft tissue of the upper and lower jaw and the maxillofacial region. With the growth and development,the malocclusion is in the dentition period,the initial stage of the permanent dentition and the late stage. The abnormalities displayed will be more obvious,and there will be periodontal diseases such as gingivitis and periodontitis. In severe cases,symptoms of the temporomandibular disorders may occur. The abnormal characteristics of soft and hard tissues of patients with class Ⅱ division 2 malocclusions in different dentition periods are not the same,and the corresponding changes after treatment are also different.
Class Ⅱ division 2 malocclusion is a relatively common type of malocclusion in clinical practice. The formation and occurrence of such malocclusions are related to many factors such as heredity,bad oral habits,and chronic diseases in infants and young children. The class Ⅱ division 2 malocclusion deformed in the deciduous period has been characterized by abnormalities of the soft tissue of the upper and lower jaw and the maxillofacial region. With the growth and development,the malocclusion is in the dentition period,the initial stage of the permanent dentition and the late stage. The abnormalities displayed will be more obvious,and there will be periodontal diseases such as gingivitis and periodontitis. In severe cases,symptoms of the temporomandibular disorders may occur. The abnormal characteristics of soft and hard tissues of patients with class Ⅱ division 2 malocclusions in different dentition periods are not the same,and the corresponding changes after treatment are also different.
引文
[1]宋镜明,赵祝,宋扬,等.安氏Ⅱ类错患者上下颌骨生长发育特点的研究[J].实用口腔医学杂志,2012,28(2):209-213.
[2]陈玉萍,厉松.自锁托槽与传统托槽非减数矫治安氏Ⅱ类2分类错机制初探[J].中华口腔医学杂志,2012,47(3):139-143.
[3]Carey JC.Introduction to growth and development in craniofacial anomalies symposium and society of craniofacial genetics abstracts[J].Am J Med Genet A,2011,155A(2):269.
[4]Tatjana P.The Influence of ClassⅡDivision 2 Malocclusions on the Harmony of the Human Face Profile[J].Med Sci Monit,2017,23:5589-5598.
[5]Bratu DC,Blan RA,Szuhanek CA,et al.Craniofacial morphology in patients with Angle ClassⅡdivision 2 malocclusion[J].Rom J Morphol Embryol,2014,55(3):909-913.
[6]李朝晖,邹晖,刘远林.4~6岁幼儿乳前牙重度内倾型深覆颌骨生长发育特征的研究[J].口腔医学研究,2010,26(3):414-415.
[7]邵菊萍,李朝晖.4~6岁幼儿乳前牙重度内倾型深覆矫治后下颌骨生长发育状态观察[J].临床口腔医学杂志,2011,27(12):729-730.
[8]何杨.分析儿童青少年骨性Ⅱ类错畸形患儿拔牙与非拔牙矫治前后的软组织侧貌变化差异[J/CD].全科口腔医学电子杂志,2018,5(1):31-32.
[9]柏思羽.颏部位置对面部侧貌唇突度的影响[C]//中华口腔医学会口腔正畸专业委员会.2016中国国际正畸大会暨第十五次全国口腔正畸学术会议论文汇编.西安,2016.北京:中华口腔医学会,2016:2.
[10]Stamenkovic Z,Raickovic V,Ristic V.Changes in soft tissue profile using functional appliances in the treatment of skeletal classⅡmalocclusion[J].Srp Arh Celok Lek,2015,143(1/2):12-15.
[11]范丰燕,王旭霞,张君.安氏Ⅱ类2分类错畸形非拔牙矫治前后颏部形态的变化[J].上海口腔医学,2011,20(6):653-657.
[12]Greene CS,Galangboquiren M,Bartilotta BY.Orthodontics and the temporomandibular joint:What orthodontic providers need to know[J].Quintessence Int,2017,48(10):799-808.
[13]Srebrzyńska-Witek A,Koszowski R,Róyo-Kalinowska I.Relationship between anterior mandibular bone thickness and the angulation of incisors and canines-a CBCT study[J].Clin Oral Investig,2018,22(3):1567-1578.
[14]Larheim TA,Abrahamsson AK,Kristensen M,et al.Temporomandibular joint diagnostics using CBCT[J].Dentomaxillofac Radiol,2015,44(1):20140235.
[15]Forsberg CM,Hellsing E.The effect of a lingual arch appliance with anterior bite plane in deep overbite correction[J].Eur JOrthod,1984,6(2):107-115.
[16]Barbosa LAG,Araujo E,Behrents RG,et al.Longitudinal cephalometric growth of untreated subjects with ClassⅡDivision 2malocclusion[J].Am J Orthod Dentofacial Orthop,2017,151(5):914-920.
[17]孙阳,孙志涛,刘杰,等.直丝弓矫治安氏Ⅱ类2分类错青少年患者的侧貌分析[J].牙体牙髓牙周病学杂志,2017,27(8):475-478.
[18]Bock NC,Ruf S.ClassⅡdivision 2 treatment-does skeletal maturity influence success and stability?[J].J Orofac Orthop,2013,74(3):187-204.
[19]Alnimri K,Abozomor M,Alomari S.Changes in mandibular position in treated ClassⅡdivision 2 malocclusions in growing and non-growing subjects[J].Aust Orthod J,2016,32(1):73-81.
[20]王婧,徐培成,金蕾.青少年安氏Ⅱ类2分类错患者正畸治疗前后颅颌面结构的变化[J].中国临床医学,2015,22(2):234-236.
[21]张燎,刘莹.安氏Ⅱ类2分类患者矫治前后前面高及双平面变化的临床研究[J].口腔疾病防治,2016,24(7):411-415.
[22]Brezniak N,Arad A,Heller M,et al.Pathognomonic cephalometric characteristics of Angle ClassⅡDivision 2 malocclusion[J].Angle Orthod,2002,72(3):251-257.
[23]Simpson E,Henneberg M.Variation in soft-tissue thicknesses on the human face and their relation to craniometric dimensions[J].Am J Phys Anthropol,2002,118(2):121-133.
[24]秦勤,杨燕方,秦德川,等.安氏Ⅱ~2分类错畸形拔牙矫治前后软硬组织变化的临床研究[J].现代口腔医学杂志,2018,32(3):129-133.
[25]Haralur SB,Mohamed Khaled A,Othman HI,et al.Prevalence of malocclusion,its association with occlusal interferences and temporomandibular disorders among the Saudi sub-population[J].Oral Health Dent Manag,2014,13(2):164-169.
[26]秦金炜,张静露,秦妍,等.安氏Ⅱ类2分类错伴颞下颌关节紊乱病患者的平面导板矫治器临床治疗效果分析[J].口腔医学,2015,35(9):744-746.
[27]Zuaiter S,Robin O,Gebeile-Chauty S,et al.Does dental classⅡdivision 2 predispose to temporomandibular disorders?[J].Orthod Fr,2013,84(3):277-285.
[28]Klaus B,Mieszko W,Anna PS,et al.Temporomandibular Disorders and Oral Parafunctions:Mechanism,Diagnostics,and Therapy[J].Biomed Res Int,2015,2015:1-2.
[29]Toshio MI.ClassⅡDivision 2 subdivision left malocclusion associated with anterior deep overbite in an adult patient with temporomandibular disorder[J].Dental Press J Orthod,2017,22(4):102-112.
[30]王瑜,杜跃华,秦朴.运用锥束CT对安氏Ⅱ类2分类错颞下颌关节位置的研究[J].重庆医学,2014,43(17):2119-2120,2123.
[31]李齐宏.颞下颌关节开口运动的生物力学研究[D].西安:第四军医大学,2014.
[32]顾永佳,陆胜男,高美琴,等.青少年安氏Ⅰ、Ⅱ类错畸形患者髁突位置的比较[J].上海口腔医学,2016,25(6):694-696.
[33]张斌,张桂荣,白云龙.应用锥形束CT观察安氏Ⅱ类2分类患者正畸前后髁突位置变化[J].临床军医杂志,2017,45(11):1178-1179.
[34]Koide D,Yamada K,Yamaguchi A,et al.Morphological changes in the temporomandibular joint after orthodontic treatment for Angle ClassⅡmalocclusion[J].Cranio,2017,36(1):1-9.
[35]Vanarsdall RL.Orthodontics and periodontal therapy[J].Periodontol,2000,1995,9(1):18.
[36]Tani T,Bla6ej Z,Miti V.Analysis of soft tissue thickness in persons with malocclusions of ClassⅡdivision 1 and ClassⅡdivision 2[J].Srp Arh Celok Lek,2012,140(7/8):412-418.
[37]Naini FB,Cobourne MT,Mcdonald F,et al.The aesthetic impact of upper lip inclination in orthodontics and orthognathic surgery[J].Eur J Orthod,2015,37(1):81-86.
[38]韦佳黛,刘建英,莫水学.非拔牙矫治成人安氏Ⅱ类2分类颏唇美学分析[J].口腔医学研究,2015,31(7):695-698.
[39]Petrovi D,Vujkov S,Petronijevi B,et al.Examination of the bioelectrical activity of the masticatory muscles during Angle's ClassⅡdivision 2 therapy with an activator[J].Vojnosanit Pregl,2014,71(12):1116-1122.
[40]南澜.安氏Ⅱ类2分类患者正畸干预前后MIC-CR位髁突位移变化的研究[C]//中华口腔医学会口腔正畸专业委员会.2016中国国际正畸大会暨第十五次全国口腔正畸学术会议论文汇编.西安,2016.北京:中华口腔医学会,2016:2.
[41]王婧,徐培成,金蕾.成人安氏Ⅱ类2分类颌间Ⅱ类牵引治疗前后的硬组织变化[J].临床口腔医学杂志,2015,31(4):234-236.
[42]陈科名.应用Forsus治疗安氏Ⅱ类2分类伴关节盘可复性前移位成人患者的疗效评价[C]//中华口腔医学会口腔正畸专业委员会、中国国际科技交流中心.2017年国际正畸大会暨第十六次全国口腔正畸学术会议论文汇编.上海,2017.北京:中华口腔医学会,2017:1.
[43]刘晓君,姚霜,周治,等.CT测量分析低角型安氏Ⅱ类错成年患者矫治后颞下颌关节的变化[J].华西口腔医学杂志,2012,30(1):45-48.
[44]洪洋,朱辛奕,季海宁.采用CBCT观察自锁托槽矫治器对儿童安氏Ⅱ类2分类患者下颌骨形态位置变化的研究[J].当代医学,2018,24(26):141-143.
[45]陈兰,程学晖,张鹏.2×4技术矫正替牙期安氏Ⅱ类2分类错的临床应用体会[J].中国美容医学杂志,2013,22(6):677-678.
[2]陈玉萍,厉松.自锁托槽与传统托槽非减数矫治安氏Ⅱ类2分类错机制初探[J].中华口腔医学杂志,2012,47(3):139-143.
[3]Carey JC.Introduction to growth and development in craniofacial anomalies symposium and society of craniofacial genetics abstracts[J].Am J Med Genet A,2011,155A(2):269.
[4]Tatjana P.The Influence of ClassⅡDivision 2 Malocclusions on the Harmony of the Human Face Profile[J].Med Sci Monit,2017,23:5589-5598.
[5]Bratu DC,Blan RA,Szuhanek CA,et al.Craniofacial morphology in patients with Angle ClassⅡdivision 2 malocclusion[J].Rom J Morphol Embryol,2014,55(3):909-913.
[6]李朝晖,邹晖,刘远林.4~6岁幼儿乳前牙重度内倾型深覆颌骨生长发育特征的研究[J].口腔医学研究,2010,26(3):414-415.
[7]邵菊萍,李朝晖.4~6岁幼儿乳前牙重度内倾型深覆矫治后下颌骨生长发育状态观察[J].临床口腔医学杂志,2011,27(12):729-730.
[8]何杨.分析儿童青少年骨性Ⅱ类错畸形患儿拔牙与非拔牙矫治前后的软组织侧貌变化差异[J/CD].全科口腔医学电子杂志,2018,5(1):31-32.
[9]柏思羽.颏部位置对面部侧貌唇突度的影响[C]//中华口腔医学会口腔正畸专业委员会.2016中国国际正畸大会暨第十五次全国口腔正畸学术会议论文汇编.西安,2016.北京:中华口腔医学会,2016:2.
[10]Stamenkovic Z,Raickovic V,Ristic V.Changes in soft tissue profile using functional appliances in the treatment of skeletal classⅡmalocclusion[J].Srp Arh Celok Lek,2015,143(1/2):12-15.
[11]范丰燕,王旭霞,张君.安氏Ⅱ类2分类错畸形非拔牙矫治前后颏部形态的变化[J].上海口腔医学,2011,20(6):653-657.
[12]Greene CS,Galangboquiren M,Bartilotta BY.Orthodontics and the temporomandibular joint:What orthodontic providers need to know[J].Quintessence Int,2017,48(10):799-808.
[13]Srebrzyńska-Witek A,Koszowski R,Róyo-Kalinowska I.Relationship between anterior mandibular bone thickness and the angulation of incisors and canines-a CBCT study[J].Clin Oral Investig,2018,22(3):1567-1578.
[14]Larheim TA,Abrahamsson AK,Kristensen M,et al.Temporomandibular joint diagnostics using CBCT[J].Dentomaxillofac Radiol,2015,44(1):20140235.
[15]Forsberg CM,Hellsing E.The effect of a lingual arch appliance with anterior bite plane in deep overbite correction[J].Eur JOrthod,1984,6(2):107-115.
[16]Barbosa LAG,Araujo E,Behrents RG,et al.Longitudinal cephalometric growth of untreated subjects with ClassⅡDivision 2malocclusion[J].Am J Orthod Dentofacial Orthop,2017,151(5):914-920.
[17]孙阳,孙志涛,刘杰,等.直丝弓矫治安氏Ⅱ类2分类错青少年患者的侧貌分析[J].牙体牙髓牙周病学杂志,2017,27(8):475-478.
[18]Bock NC,Ruf S.ClassⅡdivision 2 treatment-does skeletal maturity influence success and stability?[J].J Orofac Orthop,2013,74(3):187-204.
[19]Alnimri K,Abozomor M,Alomari S.Changes in mandibular position in treated ClassⅡdivision 2 malocclusions in growing and non-growing subjects[J].Aust Orthod J,2016,32(1):73-81.
[20]王婧,徐培成,金蕾.青少年安氏Ⅱ类2分类错患者正畸治疗前后颅颌面结构的变化[J].中国临床医学,2015,22(2):234-236.
[21]张燎,刘莹.安氏Ⅱ类2分类患者矫治前后前面高及双平面变化的临床研究[J].口腔疾病防治,2016,24(7):411-415.
[22]Brezniak N,Arad A,Heller M,et al.Pathognomonic cephalometric characteristics of Angle ClassⅡDivision 2 malocclusion[J].Angle Orthod,2002,72(3):251-257.
[23]Simpson E,Henneberg M.Variation in soft-tissue thicknesses on the human face and their relation to craniometric dimensions[J].Am J Phys Anthropol,2002,118(2):121-133.
[24]秦勤,杨燕方,秦德川,等.安氏Ⅱ~2分类错畸形拔牙矫治前后软硬组织变化的临床研究[J].现代口腔医学杂志,2018,32(3):129-133.
[25]Haralur SB,Mohamed Khaled A,Othman HI,et al.Prevalence of malocclusion,its association with occlusal interferences and temporomandibular disorders among the Saudi sub-population[J].Oral Health Dent Manag,2014,13(2):164-169.
[26]秦金炜,张静露,秦妍,等.安氏Ⅱ类2分类错伴颞下颌关节紊乱病患者的平面导板矫治器临床治疗效果分析[J].口腔医学,2015,35(9):744-746.
[27]Zuaiter S,Robin O,Gebeile-Chauty S,et al.Does dental classⅡdivision 2 predispose to temporomandibular disorders?[J].Orthod Fr,2013,84(3):277-285.
[28]Klaus B,Mieszko W,Anna PS,et al.Temporomandibular Disorders and Oral Parafunctions:Mechanism,Diagnostics,and Therapy[J].Biomed Res Int,2015,2015:1-2.
[29]Toshio MI.ClassⅡDivision 2 subdivision left malocclusion associated with anterior deep overbite in an adult patient with temporomandibular disorder[J].Dental Press J Orthod,2017,22(4):102-112.
[30]王瑜,杜跃华,秦朴.运用锥束CT对安氏Ⅱ类2分类错颞下颌关节位置的研究[J].重庆医学,2014,43(17):2119-2120,2123.
[31]李齐宏.颞下颌关节开口运动的生物力学研究[D].西安:第四军医大学,2014.
[32]顾永佳,陆胜男,高美琴,等.青少年安氏Ⅰ、Ⅱ类错畸形患者髁突位置的比较[J].上海口腔医学,2016,25(6):694-696.
[33]张斌,张桂荣,白云龙.应用锥形束CT观察安氏Ⅱ类2分类患者正畸前后髁突位置变化[J].临床军医杂志,2017,45(11):1178-1179.
[34]Koide D,Yamada K,Yamaguchi A,et al.Morphological changes in the temporomandibular joint after orthodontic treatment for Angle ClassⅡmalocclusion[J].Cranio,2017,36(1):1-9.
[35]Vanarsdall RL.Orthodontics and periodontal therapy[J].Periodontol,2000,1995,9(1):18.
[36]Tani T,Bla6ej Z,Miti V.Analysis of soft tissue thickness in persons with malocclusions of ClassⅡdivision 1 and ClassⅡdivision 2[J].Srp Arh Celok Lek,2012,140(7/8):412-418.
[37]Naini FB,Cobourne MT,Mcdonald F,et al.The aesthetic impact of upper lip inclination in orthodontics and orthognathic surgery[J].Eur J Orthod,2015,37(1):81-86.
[38]韦佳黛,刘建英,莫水学.非拔牙矫治成人安氏Ⅱ类2分类颏唇美学分析[J].口腔医学研究,2015,31(7):695-698.
[39]Petrovi D,Vujkov S,Petronijevi B,et al.Examination of the bioelectrical activity of the masticatory muscles during Angle's ClassⅡdivision 2 therapy with an activator[J].Vojnosanit Pregl,2014,71(12):1116-1122.
[40]南澜.安氏Ⅱ类2分类患者正畸干预前后MIC-CR位髁突位移变化的研究[C]//中华口腔医学会口腔正畸专业委员会.2016中国国际正畸大会暨第十五次全国口腔正畸学术会议论文汇编.西安,2016.北京:中华口腔医学会,2016:2.
[41]王婧,徐培成,金蕾.成人安氏Ⅱ类2分类颌间Ⅱ类牵引治疗前后的硬组织变化[J].临床口腔医学杂志,2015,31(4):234-236.
[42]陈科名.应用Forsus治疗安氏Ⅱ类2分类伴关节盘可复性前移位成人患者的疗效评价[C]//中华口腔医学会口腔正畸专业委员会、中国国际科技交流中心.2017年国际正畸大会暨第十六次全国口腔正畸学术会议论文汇编.上海,2017.北京:中华口腔医学会,2017:1.
[43]刘晓君,姚霜,周治,等.CT测量分析低角型安氏Ⅱ类错成年患者矫治后颞下颌关节的变化[J].华西口腔医学杂志,2012,30(1):45-48.
[44]洪洋,朱辛奕,季海宁.采用CBCT观察自锁托槽矫治器对儿童安氏Ⅱ类2分类患者下颌骨形态位置变化的研究[J].当代医学,2018,24(26):141-143.
[45]陈兰,程学晖,张鹏.2×4技术矫正替牙期安氏Ⅱ类2分类错的临床应用体会[J].中国美容医学杂志,2013,22(6):677-678.