[1]王 兰,谢永林.骨皮质切开术联合滑动直丝弓矫治技术在成人双颌前突矫治中的应用[J].中国美容医学,2023,(4):115-118.
WANG Lan,XIE Yonglin.Application of Cortical Osteotomy Combined with Sliding Straight Wire Arch in the Correction of Bimaxillary Protrusion in Adults[J].Medical Aesthetics and Beauty,2023,(4):115-118.
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骨皮质切开术联合滑动直丝弓矫治技术在成人双颌前突矫治中的应用(
)
《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]
- 卷:
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- 期数:
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2023年4期
- 页码:
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115-118
- 栏目:
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- 出版日期:
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2023-04-10
文章信息/Info
- Title:
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Application of Cortical Osteotomy Combined with Sliding Straight Wire Arch in the Correction of Bimaxillary Protrusion in Adults
- 文章编号:
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1008-6455（2023）04-0115-04
- 作者:
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王 兰; 谢永林
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(南充市中心医院口腔科 四川 南充 637000 )
- Author(s):
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WANG Lan; XIE Yonglin
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(Department of Stomatology,Nanchong Central Hospital,Nanchong 637000,Sichuan,China)
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- 关键词:
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骨皮质切开; 滑动直丝弓; 双颌前突; 矫治; 微创手术
- Keywords:
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cortical osteotomy; sliding straight wire arch; bimaxillary protrusion; correction; orthodontics
- 分类号:
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R753.5
- 文献标志码:
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A
- 摘要:
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目的：探究骨皮质切开术联合滑动直丝弓矫治技术矫治成人双颌前突的效果。方法：选取2019年5月-2021年5月笔者医 院就诊的85例成年双颌前突患者为研究对象，根据矫治方式不同分为对照组（49例）和观察组（36例）。对照组采用滑动直丝 弓矫治技术进行治疗，观察组采用骨皮质切开术联合滑动直丝弓矫治技术进行治疗。比较两组矫治时间，统计两组治疗前与 治疗结束后的软硬组织相关指标。结果：治疗结束后，观察组矫治时间短于对照组，差异有统计学意义（P＜0.05）；治疗结束 后，两组的SNA角、SNB角及ANB角与治疗前比较差异均无统计学意义（P＞0.05）。治疗结束后，两组的Z角、鼻唇角、U1/L1、 L6-PTV 、U6-PTV较治疗前增加，差异有统计学意义（P＜0.05），U1-NA、UI/NA、U1/SN、L1-NB、L1/NB、L1-AP、U1-AP、ULEP、LL-EP均较治疗前减小，差异有统计学意义（P＜0.05）；两组间SNA角、SNB角与ANB角、Z角、鼻唇角、MP/SN、U1-NA、 UI/NA 、U1/L1、U1/SN、L1-NB、L1/NB、L1-AP、U1-AP、L6-PTV、U6-PTV、UL-EP、LL-EP比较，差异无统计学意义（P＞0.05）。结论：骨皮 质切开术联合滑动直丝弓矫治技术对成人双颌前突的矫治与仅采用滑动直丝弓矫治的效果相当，但前者能明显缩短治疗时间。
- Abstract:
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Objective To investigate the eff ect of cortical osteotomy combined with sliding straight wire arch in the correction of bimaxillary protrusion in adults. Methods Eighty-fi ve adult patients with bimaxillary protrusion treated in author’s hospital from May 2019 to May 2021 were selected as the research object. According to the treatment methods, they were divided into control group (49 cases) and observation group (36 cases). The control group was treated with sliding straight wire appliance technology, and the observation group was treated with osteotomy combined with sliding straight wire appliance technology. The treatment time of the two groups was compared, and the hard tissue related indexes and soft tissue related indexes before and after treatment were counted. Results The treatment time of the observation group was shorter than that of the control group (P ＜0.05). After treatment, there was no signifi cant diff erence in SNA angle, SNB angle and ANB angle between the observation group and the control group (P ＞0.05). After treatment, the Z angle, nasolabial angle, U1/L1, l6-ptv and u6-ptv of the observation group and the control group increased compared with those before treatment (P＜0.05). After treatment, u1-na, UI/Na, U1/Sn, l1-nb, L1/Nb, l1-ap, u1-ap, ul-ep and ll-ep in the observation group and the control group decreased compared with those before treatment（P＜0.05）.There were no signifi cant diff erences in SNA Angle, SNB Angle and ANB Angle, Z Angle, nasolabical Angle, MP/SN, U1-NA, UI/NA, U1/L1, U1/SN, L1-NB, L1/NB, L1-AP, U1-AP, L6-PTV, U6-PTV, UL-EP and LL-EP between the two groups (P ＞0.05). Conclusion Compared with only using sliding straight wire bow technique, corticotomy combined with sliding straight wire bow technique has the same effect in the treatment of adult bimaxillary protrusion, but can signifi cantly shorten the treatment time.
更新日期/Last Update:
2023-05-15