Begg矫治器和直丝弓矫治器联合治疗安氏Ⅱ类1分类错颌畸形的临床疗效分析
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摘要
目的:探讨Begg矫治器和直丝弓矫治器联合治疗安氏Ⅱ类1分类错颌畸形的临床疗效。方法:采取回顾性分析方法,调阅2010-2013年徐州矿务集团总医院安氏Ⅱ类1分类错颌畸形患者病历资料,选择病历资料完整且符合本研究要求的正畸病人病历44例进行分析,实验组22例为Begg矫治器和直丝弓矫治器联合治疗组,对照组22例为单纯直丝弓治疗组。对治疗前后的头影测量片进行扫描分析,对治疗时间及辅助支抗应用情况进行统计分析。结果:治疗完成时,Begg矫治器和直丝弓矫治器联合治疗组和单纯直丝弓治疗组的前牙覆合覆盖均减少,上切牙切缘均向远中移动,上下磨牙均伸长,前下面高度均增加,两组治疗结束后硬组织的变化无统计学差异(P>0.05)。Begg矫治器和直丝弓矫治器联合治疗组与单纯直丝弓治疗组相比,治疗时间短,使用辅助支抗少,差异具有统计学意义(P<0.05)。结论:Begg矫治器和直丝弓矫治器联合矫治安氏Ⅱ类1分类错颌畸形是临床上一种速度快,费用低,效果优的治疗方法。
Objective: To investigate the clinical effect of Begg appliance and straight wire appliance combination therapy on class II Division 1 malocclusion jaw deformity. Methods: A retrospective analysis was performed on 44 cases of Angle Class II Division 1 malocclusion deformity patients who admitted in Xuzhou Mining Group General Hospital from 2010 to 2013. All the patients were divided into two groups with 22 cases in each group. 22 cases in the experimental group were treated by Begg appliance and straight wire appliance, 22 cases in the control group were treated with straight wire alone. The scanning analysis of cephalometry was performed before and after treatment, the treatment time and application of auxiliary anchorage were compared between two groups. Results: After treatment, the Begg appliance and straight wire appliance in the combination therapy group and simple straight wire appliance in the treatment group of anterior teeth overbite or overjet were reduced. The upper incisors moved far, and the upper and lower molars were stretched, and the height of top and lower incisors were increased. There was no significant difference between the two groups after treatment(P>0.05). The treatment time of combination therapy group was significantly shorter than that of the control group, and the use of auxiliary anchorage was less(P<0.05). Conclusion: Begg appliance and straight wire appliance combined treatment was one kind of treatments which had fast speed, low cost, good effect on class II Division 1 malocclusion deformity.
Objective: To investigate the clinical effect of Begg appliance and straight wire appliance combination therapy on class II Division 1 malocclusion jaw deformity. Methods: A retrospective analysis was performed on 44 cases of Angle Class II Division 1 malocclusion deformity patients who admitted in Xuzhou Mining Group General Hospital from 2010 to 2013. All the patients were divided into two groups with 22 cases in each group. 22 cases in the experimental group were treated by Begg appliance and straight wire appliance, 22 cases in the control group were treated with straight wire alone. The scanning analysis of cephalometry was performed before and after treatment, the treatment time and application of auxiliary anchorage were compared between two groups. Results: After treatment, the Begg appliance and straight wire appliance in the combination therapy group and simple straight wire appliance in the treatment group of anterior teeth overbite or overjet were reduced. The upper incisors moved far, and the upper and lower molars were stretched, and the height of top and lower incisors were increased. There was no significant difference between the two groups after treatment(P>0.05). The treatment time of combination therapy group was significantly shorter than that of the control group, and the use of auxiliary anchorage was less(P<0.05). Conclusion: Begg appliance and straight wire appliance combined treatment was one kind of treatments which had fast speed, low cost, good effect on class II Division 1 malocclusion deformity.
引文
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[4]Petes C K.Begg theory and technique past present and future new vistas in orthodentics[M].St Louis,WB Saunders Company,1983:209-237
[5]张国兴,谢芳英,王芳芳,等.Begg技术原理应用于直丝弓矫治器打开前牙咬合阶段的疗效评价[J].口腔医学,2011,31(1):51-53Zhang Guo-xing,Xie Fang-ying,Wang Fang-fang,et al.The therapeutic evaluation of Begg technology using on opening anterior teeth occlusion with straight wire appliance[J].Stomatology,2011,31(1):51-53
[6]秦燕军,顾月光,刘可,等.控根辅弓对上颌切牙转矩疗效的临床研究[J].实用口腔医学杂志,2014,30(6):787-791Qin Yan-jun,Gu Yue-guang,Liu Ke,et al.A clinical study on the effect of maxillary incisor torque with controlling root auxiliary arch[J].Journal of Practical Stomatology,2014,30(6):787-791
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[8]杨敏志,许天民,林久祥.不同垂直骨面型错颌矫治后牙的补偿[J].实用口腔医学杂志,2005,21(6):742-745Yang Min-zhi,Xu Tian-min,Lin Jiu-xiang.Dentoalveolar compensation for vertical craniofacial pattern after orthodontic treatment[J].Journal of Practical Stomatology,2005,21(6):742-745
[9]Bishara SE,Cummins DM,Zaher AR.Treatment and posttreatment changes in patients with ClassⅡ,division 1 malocclusion after extraction and nonextraction treatment[J].Am J Orthod Dentofacial Orthop,1997,111(1):18-27
[10]张子扬,李玉如,黄统.拔除磨牙矫治安氏Ⅱ类错(牙合)畸形患者的临床回顾性研究[J].国际口腔医学杂志,2010,37(2):141-145Zhang Zi-yang,Li Yu-ru,Hong Tong.The clinical study on Angle classⅡmalocclusion with molar's extraction[J].International Journal of Stomatology,2010,37(2):141-145
[11]刘梅洁,潘静华,李艳,等.左归丸对糖皮质激素所致骨质疏松大鼠血清中BGP,IGF-I含量的影响[J].中国实验方剂学杂志,2011,17(16):133-136Liu Mei-jie,Pan Jing-hua,Li Yan,et al.Effects of Zuoguiwan on BGP and IGF-I in Serum of Glucocorticoid-induced Osteoporosis Rats[J].Chinese Journal of Experimental Traditional Medical Formulae,2011,17(16):133-136
[12]廖进民,陈艳,黄连芳,等.仙珍骨宝胶囊对去卵巢大鼠股骨颈骨代谢的影响[J].中国组织工程研究与临床康复,2011,15(11):2022-2025Liao Jin-min,Chen Yan,Huang Lian-fang,et al.Effects of Xianzhen Gubao capsules on bone metabolism of the femoral neck in ovariectomized rats[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(11):2022-2025
[13]Nanda RS.Growth changes in skeletal-facial profile and their significance in orthodontic diagnosis[J].Am J Orthod,1971,59(5):501-513
[14]陈晖,李强荣,张玉峰,等.口腔科疾病治疗及口腔正畸[M].吉林,吉林科学技术出版社,2015:531Chen Hui,Li Qiang-rong,Zhang Yu-feng,et al.Treatment of oral disease and orthodontics[M].Ji Lin,Jilin science&technology press,2015:531
[15]陶民生.方丝弓联合Begg技术应用于错牙合畸形矫治的临床效果[J].实用医技杂志,2012,19(12):1327Tao Min-sheng.Clinical efficacy of Edgewise Technique com bined with Begg technique on malocclusion[J].Journal of Practical Medical Techniques,2012,19(12):1327
[16]Desai AL,Hegde M,Dinesh MR,et al.Integration of the Herbst and Begg appliance in the management of severe Class II malocclusion[J].Contemp Clin Dent,2014,5(4):528-531
[17]胡熹,李志华.利用差动力原理和方丝弓矫治器矫治安氏Ⅱ类Ⅰ分类错牙合一例[J].现代口腔医学杂志,2013,27(3):182-183Hu Jia,Li Zhi-hua.Using of differential kinetic principle and Edgewise Technique on 1 patient with Angle Class II division 1[J].Journal of Modern Stomatology,2013,27(3):182-183
[18]Chhibber A,Upadhyay M,Shetty VS,et al.Cephalometric comparison of vertical changes between Begg and preadjusted edgewise appliances[J].Eur J Orthod,2011,33(6):712-720
[19]Kumar V,Sundareswaran S.The Begg's uprighting spring-Revisited[J].J Orthod Sci,2015,4(1):30-32
[20]魏洁,朱荷英.固定矫治器对牙周组织健康影响的临床研究[J].口腔医学,2011,31(3):191-192Wei Jie,Zhu He-ying.Clinical research of fixed orthodontic appliances on periodontal tissue health[J].Stomatology,2011,31(3):191-192
[2]马永平,田跃,张红.不同矫治正畸作用下牙周骨组织张力侧的形态差异[J].中国组织工程研究,2012,16(50):9337-9342Ma Yong-ping,Tian Yao,Zhang Hong.Histomorphometric difference in periodontal tension side under different orthodontic appliances[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2012,16(50):9337-9342
[3]王大为.改良Begg器矫正技术[J].中华口腔正畸学杂志,1996,3(3):113-115Wang Da-wei.Improved Begg apparatus correction technique[J].Chinese journal of orthodontics,1996,3(3):113-115
[4]Petes C K.Begg theory and technique past present and future new vistas in orthodentics[M].St Louis,WB Saunders Company,1983:209-237
[5]张国兴,谢芳英,王芳芳,等.Begg技术原理应用于直丝弓矫治器打开前牙咬合阶段的疗效评价[J].口腔医学,2011,31(1):51-53Zhang Guo-xing,Xie Fang-ying,Wang Fang-fang,et al.The therapeutic evaluation of Begg technology using on opening anterior teeth occlusion with straight wire appliance[J].Stomatology,2011,31(1):51-53
[6]秦燕军,顾月光,刘可,等.控根辅弓对上颌切牙转矩疗效的临床研究[J].实用口腔医学杂志,2014,30(6):787-791Qin Yan-jun,Gu Yue-guang,Liu Ke,et al.A clinical study on the effect of maxillary incisor torque with controlling root auxiliary arch[J].Journal of Practical Stomatology,2014,30(6):787-791
[7]林久祥,许天民.现代口腔正畸学[M].北京,北京大学医学出版社,2010:371-372Lin Jiu-xiang,Xu Tian-min.Modern orthodontics[M]Bei Jing,Peking University Medical Press,2010:371-372
[8]杨敏志,许天民,林久祥.不同垂直骨面型错颌矫治后牙的补偿[J].实用口腔医学杂志,2005,21(6):742-745Yang Min-zhi,Xu Tian-min,Lin Jiu-xiang.Dentoalveolar compensation for vertical craniofacial pattern after orthodontic treatment[J].Journal of Practical Stomatology,2005,21(6):742-745
[9]Bishara SE,Cummins DM,Zaher AR.Treatment and posttreatment changes in patients with ClassⅡ,division 1 malocclusion after extraction and nonextraction treatment[J].Am J Orthod Dentofacial Orthop,1997,111(1):18-27
[10]张子扬,李玉如,黄统.拔除磨牙矫治安氏Ⅱ类错(牙合)畸形患者的临床回顾性研究[J].国际口腔医学杂志,2010,37(2):141-145Zhang Zi-yang,Li Yu-ru,Hong Tong.The clinical study on Angle classⅡmalocclusion with molar's extraction[J].International Journal of Stomatology,2010,37(2):141-145
[11]刘梅洁,潘静华,李艳,等.左归丸对糖皮质激素所致骨质疏松大鼠血清中BGP,IGF-I含量的影响[J].中国实验方剂学杂志,2011,17(16):133-136Liu Mei-jie,Pan Jing-hua,Li Yan,et al.Effects of Zuoguiwan on BGP and IGF-I in Serum of Glucocorticoid-induced Osteoporosis Rats[J].Chinese Journal of Experimental Traditional Medical Formulae,2011,17(16):133-136
[12]廖进民,陈艳,黄连芳,等.仙珍骨宝胶囊对去卵巢大鼠股骨颈骨代谢的影响[J].中国组织工程研究与临床康复,2011,15(11):2022-2025Liao Jin-min,Chen Yan,Huang Lian-fang,et al.Effects of Xianzhen Gubao capsules on bone metabolism of the femoral neck in ovariectomized rats[J].Journal of Clinical Rehabilitative Tissue Engineering Research,2011,15(11):2022-2025
[13]Nanda RS.Growth changes in skeletal-facial profile and their significance in orthodontic diagnosis[J].Am J Orthod,1971,59(5):501-513
[14]陈晖,李强荣,张玉峰,等.口腔科疾病治疗及口腔正畸[M].吉林,吉林科学技术出版社,2015:531Chen Hui,Li Qiang-rong,Zhang Yu-feng,et al.Treatment of oral disease and orthodontics[M].Ji Lin,Jilin science&technology press,2015:531
[15]陶民生.方丝弓联合Begg技术应用于错牙合畸形矫治的临床效果[J].实用医技杂志,2012,19(12):1327Tao Min-sheng.Clinical efficacy of Edgewise Technique com bined with Begg technique on malocclusion[J].Journal of Practical Medical Techniques,2012,19(12):1327
[16]Desai AL,Hegde M,Dinesh MR,et al.Integration of the Herbst and Begg appliance in the management of severe Class II malocclusion[J].Contemp Clin Dent,2014,5(4):528-531
[17]胡熹,李志华.利用差动力原理和方丝弓矫治器矫治安氏Ⅱ类Ⅰ分类错牙合一例[J].现代口腔医学杂志,2013,27(3):182-183Hu Jia,Li Zhi-hua.Using of differential kinetic principle and Edgewise Technique on 1 patient with Angle Class II division 1[J].Journal of Modern Stomatology,2013,27(3):182-183
[18]Chhibber A,Upadhyay M,Shetty VS,et al.Cephalometric comparison of vertical changes between Begg and preadjusted edgewise appliances[J].Eur J Orthod,2011,33(6):712-720
[19]Kumar V,Sundareswaran S.The Begg's uprighting spring-Revisited[J].J Orthod Sci,2015,4(1):30-32
[20]魏洁,朱荷英.固定矫治器对牙周组织健康影响的临床研究[J].口腔医学,2011,31(3):191-192Wei Jie,Zhu He-ying.Clinical research of fixed orthodontic appliances on periodontal tissue health[J].Stomatology,2011,31(3):191-192