[1]余赛男,李文慧,杨 攀.颧牙槽嵴区高位种植钉与高位头帽口外弓联合横腭杆矫治骨性Ⅱ类高角突型错牙合畸形疗效观察[J].中国美容医学,2020,(9):130-134.
　YU Sai-Nan,LI Wen-hui,YANG Pan.Appearance Efficacy of High-position Miniscrew in Zygomatic Alveolar Ridgeand High-position Headgear Facebow Combined with Transpalatal Arch in theCorrection and Treatment of Osseous Class Ⅱ High-angle Protrusion of Malocclusion[J].Medical Aesthetics and Beauty,2020,(9):130-134.
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颧牙槽嵴区高位种植钉与高位头帽口外弓联合横腭杆矫治骨性Ⅱ类高角
突型错牙合畸形疗效观察
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年9期
页码:
130-134
栏目:
出版日期:
2020-09-10

文章信息/Info

Title:
Appearance Efficacy of High-position Miniscrew in Zygomatic Alveolar Ridge
and High-position Headgear Facebow Combined with Transpalatal Arch in the
Correction and Treatment of Osseous Class Ⅱ High-angle Protrusion of Malocclusion
文章编号:
1008-6455（2020）09-0130-04
作者:
余赛男; 李文慧; 杨 攀
Author(s):
YU Sai-Nan; LI Wen-hui; YANG Pan
关键词:
[关键词]颧牙槽嵴区高位种植钉; 高位头帽口外弓; 横腭杆; 骨性Ⅱ类高角前突型错牙合畸形; 美容效果
Keywords:
Key words:high-position miniscrew in zygomatic alveolar ridge;  high-position headgear facebow; transpalatal arch; osseousClassⅡhigh-angle protrusion of malocclusion; cosmetic result
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]目的：探讨颧牙槽嵴区高位种植钉与高位头帽口外弓联合横腭杆矫治骨性Ⅱ类高角前突型错牙合畸形的外观疗效。方
法：选取2017年5月-2019年5月笔者医院收治的骨性Ⅱ类高角前突型错牙合畸形患者86例，用随机信封法分为观察组和对照
组，每组43例。观察组患者采取颧牙槽嵴区高位种植钉+横腭杆直丝弓矫治术，对照组患者予以高位头帽口外弓+横腭杆直
丝弓矫治术。观察治疗前后骨组织指标[上下齿槽座角（ANB）、上齿槽座角（SNA）、下齿槽座角（SNB）、牙合平面与SN平
面夹角（OP-SN）、下颌角颏顶点连线与SN平面夹角（GoGn-SN）、眼耳平面与下颌平面夹角（FMA）]、软组织指标[上唇突
度（ULP）、下唇突度（LLP）、上唇到E线距离（ULEP）、下唇到E线距离（LLEP）、侧貌线与眼耳平面夹角（Z角）]、牙
齿相关指标[上中切牙长轴与SN平面夹角（U1-SN）、上中切牙切缘至NA连线距离（U1-NA）、翼上颌裂后缘至上颌磨牙远中邻面
垂直距离（Ptm-U6）、Apg线至上中切牙切缘距离（Apg-U1）]、前面高（N-Me）等变化情况，比较两组患者平均矫治时间、疼痛
程度[视觉模拟评分法（VAS）]、不良情绪[焦虑自评量表（SAS）、抑郁自评量表（SDS）]和美容效果满意度。结果：两组患者
治疗后ANB、OP-SN、FMA均较治疗前变小，观察组OP-SN、FMA小于对照组（P＜0.05），ULP、LLP、ULEP、LLEP、U1-SN、U1-NA、Ptm-U6、
Apg-U1、N-Me均较治疗前降低，且观察组低于对照组（P＜0.05），Z角与治疗前相比变大，且观察组大于对照组（P ＜0.05）；
观察组患者平均矫治时间短于对照组，VAS评分、SAS评分及SDS评分均低于对照组，美容效果满意度高于对照组（P＜0.05）。结
论：与高位头帽口外弓联合横腭杆矫治骨性Ⅱ类高角前突型错牙合畸形比较，颧牙槽嵴区高位种植钉矫治可获得更好的临床效果，
建立更为良好的咬合关系，面部外观更符合美学标准，且能缩短矫治时间，减轻患者疼痛和负性情绪。

Abstract:
Abstract:Objective To investigate the appearance efficacy of high-position miniscrew in zygomatic alveolar ridge and highposition
headgear facebow combined with transpalatal arch in the correction and treatment of osseous ClassⅡ high-angle
protrusion of malocclusion. Methods Eighty-six patients with osseous ClassⅡ high-angle protrusion of malocclusion from
May 2017 to May 2019 in our hospital were selected and divided into observation group and control group by random envelope
method, with 43 cases in each group. Observation group was treated with high-position miniscrew in zygomatic alveolar ridge
+ transpalatal arch straight wire arch surgery, and control group was treated with high-position headgear facebow+ transpalatal
arch straight wire arch surgery. The bone tissues indexes[ AB plane angle (ANB), sella-nasion-A point (SNA), sella-nasion-B
point (SNB), included angle between malocclusion plane and SN plane (OP-SN), included angle between GoGn and SN plane
(GoGn-SN), included angle between eye-ear plane and mandibular plane (FMA)], soft tissues indexes [upper lip protrusion
(ULP), lower lip protrusion (LLP), distance from upper lip to E line) (ULEP), distance from lower lip to E-line (LLEP),
included angle between facial profile and eye-ear plane (Z-angle)],tooth-related indicators [included angle between long axis of
upper central incisor and SN plane (U1-SN), distance from upper central incisor to NA connection (U1-NA), vertical distance
from posterior margin of pterygomaxillary fissure to distal proximal surface of maxillary molar (Ptm-U6), and distance from
Apg line to upper central incisor (Apg-U1)] and anterior face height (N-Me) were observed before and after treatment, and the
average correlation and treatment time, pain level [visual analogue scale (VAS)], adverse emotions [self-rating anxiety scale
(SAS), self-rating depression scale (SDS)] and cosmetic effect satisfaction were compared between the two groups. Results
The ANB, OP-SN and FMA in the two groups after treatment were smaller than those before treatment, and the OP-SN and
FMA in observation group were smaller than those in control group (P ＜0.05). The ULP, LLP, ULEP, LLEP, U1-SN, U1-NA,
Ptm-U6, Apg-U1 and N-Me were lower than those before treatment, and the indexes in observation group were lower than those
in control group (P ＜0.05), and the Z angle was larger than that before treatment, and the angle in observation group was larger
than that in control group (P ＜0.05). The average correction and treatment time in observation group was shorter than that in
control group, and the VAS score, SAS score and SDS score were lower than those in control group while the cosmetic effect
satisfaction was higher than that in control group (P ＜0.05). Conclusion Compared with high-position headgear facebow
combined with transpalatal arch in the correction and treatment of osseous ClassⅡhigh-angle protrusion of malocclusion, highposition
miniscrew in zygomatic alveolar ridge can obtain better clinical effects and establish a better occlusion relationship,
and its facial appearance is more in line with aesthetic standards, and can shorten the correlation and treatment time and reduce
the pain and negative emotions of patients.

相似文献/References:

[1]谢 琦,陈 宇,史克佳.颧牙槽嵴区微种植体支抗矫治安氏Ⅱ类错牙合畸形的疗效及美学效果分析[J].中国美容医学,2023,(10):127.[doi:10.15909/j.cnki.cn61-1347/r.005949]
　XIE Qi,CHEN Yu,SHI Kejia.Analysis of the Functional and Aesthetic Effects of Zygomatic Alveolar Ridge Microimplant Anchorage for Class Malocclusion[J].Medical Aesthetics and Beauty,2023,(9):127.[doi:10.15909/j.cnki.cn61-1347/r.005949]

更新日期/Last Update: 2020-09-28