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活动腭杆适配下颌牙合垫矫治单侧后牙反牙合的临床研究
作者:张静1  陈彬1  段银钟2  孟箭1 
单位:1. 徐州市中心医院 口腔科,江苏 徐州 221009;
2. 第四军医大学口腔医学院 正畸科,陕西 西安 710032
关键词:活动腭杆 下颌牙合垫 单侧后牙反牙合 扩弓 
分类号:R783.5
出版年·卷·期(页码):2014·33·第二期(192-194)
摘要:

目的:利用模型测量分析活动腭杆适配下颌牙合垫矫治单侧后牙反牙合的临床效果。方法:应用活动腭杆适配下颌牙合垫矫治11例上颌单侧后牙反牙合病例,测量矫治前后第一双尖牙、第二双尖牙、第一磨牙间宽度变化及上颌第一磨牙倾斜度,用统计软件处理数据。结果:扩弓后,反牙合侧牙弓宽度及上颌第一磨牙倾斜度增加,而正常侧变化不明显。结论:活动腭杆适配下颌牙合垫是矫治单侧后牙反牙合简单而有效的方法。

Objective: The aim of this study was to assess the clinical effect of removable transpalatal arch combined with mandibular occlusal pad for correction of unilateral posterior crossbite by means of model analysis. Methods: 11 patients with maxillary posterior crossbite were treated by removable transpalatal arch combined with mandibular occlusal pad. The widths between frist premolars, second premolars, first molars and the inclination of first molars were measured at pretreatment and posttreatment. All data was analysed by SPSS statistical software. Results: After maxillary expansion, the widths of posterior crossbite lateral and inclination of first molars increased evidently. While, the normal lateral widths didn't not significantly change. Conclusion: According to this study, removable transpalatal arch combined with mandibular occlusal pad is a simple and effective method for correcting unilateral posterior crossbite.

参考文献:

[1] LIPPOLD C,STAMM T,MEYER U,et al.Early treatment of posterior crossbite—a randomised clinical trial[J].Trials,2013,14(1):20.
[2] TALAPANENI A K,NUVVULA S.The association between posterior unilateral crossbite and craniomandibular asymmetry:a systematic review[J].J Orthod,2012,39(4):279-291.
[3] 段银钟.口腔正畸临床矫治技艺的探索[M].西安:世界图书出版公司西安公司,2008:7-16.
[4] 王海燕,曾光,段银钟.正畸非对称性扩大上颌牙弓[J].临床口腔医学杂志,2012,28(2):120-121.
[5] 段银钟,孙应明,王峰,等.单侧后牙反牙合的正畸治疗[J].华西口腔医学杂志,2001,19(2):107-108.
[6] PRIMOZIC J,BACCETTI T,FRANCHI L,et al.Three-dimensional assessment of palatal change in a controlled study of unilateral posterior crossbite correction in the primary dentition[J].Eur J Orthod,2013,35(2):199-204.
[7] CIAVARELLA D,MONSURRO A,PADRICELLI G,et al.Unilateral posterior crossbite in adolescents:surface electromyographic evaluation[J].Eur J Paediatr Dent,2012,13(1):25-28.

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