微型鈦板骨支抗聯合Ⅲ類頜間牽引矯治AngleⅢ類骨性錯畸形療效觀察

姚麗霞，劉杰，李君，陳保興

(聊城市人民醫院，山東聊城252000)

1 資料與方法

1.3 觀察指標 治療前和治療結束均常規拍攝X線頭顱定位側位片，所有頭影測量片的定點和測量均由作者完成，每個測量點均定點2次，每次相隔2周，然后取其平均值。比較矯治前后蝶鞍點鼻根點上頜骨基點角(SNA，代表上頜骨相對于前顱底的位置關系)、蝶鞍點鼻根點下頜骨基點角(SNB，代表下頜骨相對于前顱底的位置關系)、ANB(代表上、下頜基骨相互間的位置關系)、前后鼻棘點的連線與前顱底平面的角(PP-SN，代表腭平面相對于前顱底的位置關系)、前鼻棘點與翼上頜裂點的連線(ANS-Ptm，代表上頜骨的長度)、下頜平面與前顱底平面的角(MP-SN，代表下頜骨的陡度)及前鼻棘點、頦下點的連線與鼻根點、頦下點連線的比值、(ANS-Me/N-Me，代表上面高與下面高的比值)、面凸角(Ns-Sn-Pos，代表上下唇的凸面)和上唇突點至審美平面的距離(UL-E，代表上唇突度)、下唇突點至審美平面的距離(LL-E，代表上唇突度)。

2 結果

治療前后SNA、SNB、ANB、SN-PP、MP-SN、ANS-Ptm、U1-SN、L1-MP、ANS-Me/N-Me、Ns-Sn-Pos、UL-E、LL-E比較見表1。

表1 兩組治療前后SNA、SNB、ANB、SN-PP、MP-SN、ANS-Ptm、U1-SN、L1-MP、ANS-Me/N-Me、Ns-Sn-Pos、UL-E、LL-E比較

注：與本組治療前比較，﹡P<0.05;﹡﹡P<0.01；與對照組治療后比較，cP<0.05。

3 討論

參考文獻：

[1] 徐寶華.骨性前牙反HE的前方牽引治療[J].口腔正畸學,2001,8(3):133.

[2] Kaya D, Kocadereli I, Kan B. Effects of facemask treatment anchored with miniplates after alternate rapid maxillary expansions and constrictions; a pilot study[J]. Angle Orthod, 2011,81(4):639-646.

[3] Nguyen T, Cevidanes L, Cornelis MA. Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2011,140(6):790-800.

[4] Sar C, Arman-ozclrplcl A, Uckan S. Comparative evaluation of maxillary protraction with or without skeletal anchorage[J]. Am J Orthod Dentofacial Orthop, 2011,139(5):636-649.

[5] De Clerck EE, Swennen GR. Success rate of miniplate anchorage for bone anchored maxillary protraction[J]. Angle Orthod, 2011,81(6):1010-1013.

[6] Nguyen T, Cevidanes L, Cornelis MA. Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2011,140(6):790-798.

[7] Solano-Mendoza B, Iglesias-Linares A, Yanez-Vico RM. Maxillary protraction at early ages. The revolution of new bone anchorage appliances[J]. Clin Pediatr Dent, 2012,37(2):219-229.

[8] Lee NK, Baek SH. Stress and displacement between maxillary protraction with miniplates placed at the infrazygomatic crest and the lateral nasal wall: a 3-dimensional finite element analysis[J]. Am J Orthod Dentofacial Orthop, 2012,141(3):345-351.

[9] Coscia G, Addabbo F, Peluso V. Use of intermaxillary forces in early treatment of maxillary deficient class III patients: results of a case series[J]. J Craniomaxillofac Surg, 2012,40(8):350-354.

[10] Sar C, Sahinoglu Z, Ozcirpici AA. Dentofacial effects of skeletal anchored treatment modalities for the correction of maxillaryretrognathia[J]. Am J Orthod Dentofacial Orthop, 2014,145(5):553-554.

[11] Prcger TM, Brochhagen HG, Mischkowski R. Assessing bone volume for orthodontic miniplate fixation belo the maxillary frontal process[J]. J Orofac Orthop, 2014,75(5):399-408.

[12] Zhang YW, Shen G. The effects of maxillary protraction treatment with rapid maxillary expansion for skeletal Ⅲ [J].Shanghai Kou Qiang Yi Xue, 2016,25(3):327-333.

[13] 羅俊,何平華,劉翔,等.上頜前牽引治療恒牙早期骨性Ⅲ類畸形前后的三維測量對比[J].南昌大學學報(醫學版),2017,57(4):32-35,39.

[14] 王曉譽,賀佳.骨種植釘上頜前牽引和支架上頜牽引的比較研究[J].齊齊哈爾醫學院學報,2014,35(24):3600-3601.