种植钉辅助二次矫治高角患者上牙列远移的临床研究

Clinical study of the maxillary dentition distalization in orthodontic retreatment patients with hyperdivergent malocclusion by mini screw

  • 摘要: 目的:探讨二次矫治高角患者使用种植钉远移上牙列的牙齿与后平面位置变化。方法:回顾性分析14例二次矫治的安氏Ⅱ类一分类高角患者,收集治疗前、后的头颅侧位片进行测量分析。结果:治疗后患者SN-MP角、OP-P角、U1-SN角、U1-NA距、U6C-Y距、U1C-Y距、U1A-Y距、U6-PP距、UL-EP距、LL-EP距均减小(P<0.05)。矫治后上牙列整体远移,磨牙压低,后平面逆时针旋转,上下唇突度减小。所有患者均达到预期矫治目标。结论:种植钉不仅能够有效远移上牙列,而且能使后平面发生逆时针旋转,有利于改善二次矫治高角患者侧貌。

     

    Abstract: Objective: To analyze the teeth and posterior occlusal plane changes in retreatment patients with hyperdivergent malocclusion by mini screw.Methods: 14 Angle class Ⅱdivision 1 orthodontic retreatment patients with hyperdivergent malocclusion were retrospectively studied.Lateral cranial radiographs before and after treatment were collected for measurement and analysis.Results: After treatment, SN-MP, OP-P, U1-SN, U1-NA, U6C-Y, U1C-Y, U1A-Y, U6-PP, UL-EP, LL-EP decreased (P< 0.05); the maxillary dentition was distalized, the molar was depressed, the posterior occlusion plane rotated counterclockwise, and the upper and lower lip prominence was reduced.All patients achieved the expected orthodontic goals.Conclusion: The mini screw can not only effectively distalize the maxillary dentition, but also make the posterior occlusion plane rotate counterclockwise, which is conducive to improving the profile of orthodontic retreatment patients with hyperdivergent malocclusion.

     

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