[1]黄敏华,李 击,张 玲.微种植体支抗在双颌前突矫治中的应用效果及对软组织侧貌和鼻唇颏协调性的影响[J].中国美容医学,2024,(5):62-66.
　HUANG Minhua,LI Ji,ZHANG Ling.Effects of Micro-implant Anchorage Correction on Soft Tissue Profi le and Nasolabial Chin Coordination in Patients with Bimaxillary Protrusion[J].Medical Aesthetics and Beauty,2024,(5):62-66.
点击复制

微种植体支抗在双颌前突矫治中的应用效果及对软组织侧貌和鼻唇颏协调性的影响()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年5期
页码:
62-66
栏目:
出版日期:
2024-05-10

文章信息/Info

Title:
Effects of Micro-implant Anchorage Correction on Soft Tissue Profi le and Nasolabial Chin Coordination in Patients with Bimaxillary Protrusion
文章编号:
1008-6455（2024）05-0062-05
作者:
黄敏华1 ; 李 击1 ; 张 玲2
(长江大学附属黄冈市中心医院 1. 口腔科;2.肾病学科 湖北 黄冈 438000 )
Author(s):
HUANG Minhua 1 ;  LI Ji1 ;  ZHANG Ling2
( 1.Department of Stomatology, 2.Department of Nephropathy, Huanggang Central Hospital Affi liated to Yangtze University, Huanggang 438000, Hubei, China )
关键词:
双颌前突; 微种植体支抗; 矫治效果; 软组织侧貌; 鼻唇颏协调性
Keywords:
bimaxillary protrusion;  micro-implant anchorage;  correction eff ect;  soft tissue profi le;  nasolabial chin coordination
分类号:
R783.9
文献标志码:
A
摘要:
目的：探讨微种植体支抗矫治双颌前突的临床疗效及对患者软组织侧貌和鼻唇颏协调性的影响。方法：回顾性分析 2017 年4月-2020年11月笔者医院就诊的60例双颌前突患者的临床资料，将采用传统口外加强支抗的30例患者纳入B组，将采 用微种植体支抗的31例患者纳入A组，比较两组矫治时间、头影测量项目及牙周炎性微环境变化。结果：A组拔牙间隙关闭时 间、矫治时间均短于B组（P＜0.05）；治疗后，A组U1-Ll角大于B组，U1-NA角小于B组（P＜0.05）。治疗后，A组上、下唇 突距（UL-E线、LL-E线）大于B组（P＜0.05）；A组颏唇沟深度、鼻唇角、颏沟倾角大于B组（P＜0.05）。治疗后6个月，A 组龈沟出血指数、牙龈指数、牙菌斑指数水平低于B组（P＜0.05）；A组牙周组织白介素-6、基质金属蛋白酶-2/-9、肿瘤坏 死因子-α水平低于B组（P＜0.05）。结论：微种植体支抗对双颌前突具有明显正畸作用，和传统口外加强支抗比较，患者 颜面部外侧貌与美学标准更相符，对牙周环境的刺激较小，同时可在一定程度上缩短矫治时间。
Abstract:
Objective To explore the eff ects of micro-implant anchorage correction on soft tissue profi le and nasolabial chin coordination in patients with bimaxillary protrusion. Methods A retrospective analysis was performed on the clinical data of 60 patients with bimaxillary protrusion in the hospital between April 2017 and November 2020, including 30 cases given traditional extraoral reinforcement anchorage in group B and 31 cases given microscrew implant anchorage in group A. The correction time, cephalometric measurement items and changes of periodontal infl ammatory microenvironment in the two groups were compared. Results The turn-off time of extraction space and correction time in group A were shorter than those in group B (P ＜0.05). After treatment, angle of U1-Ll in group A was greater than that in group B, while angle of U1-NA was smaller than that in group B (P＜0.05). After treatment, protruding distance of upper and lower lip (UL-E line and LL-E line) in group A was longer than that in group B (P＜0.05). After treatment, depth of mentolabial sulcus, nasolabial angle and inclination of chin sulcus in group A were greater than those in group B (P ＜0.05). At 6 months after treatment, sulcus bleeding index, gingival index and plaque index in group A were lower than those in group B (P＜0.05), and levels of interleukin-6 (IL-6), matrix metalloproteinase-2/-9 and tumor necrosis factor-α in periodontal tissues were lower than those in group B (P＜0.05). Conclusion Microscrew implant anchorage has obvious orthodontic eff ect on bimaxillary protrusion. Compared with traditional extraoral reinforcement anchorage, it has more consistent facial profi le with aesthetic standards and less stimulation to periodontal environment, which can shorten correction time to a certain extent.

相似文献/References:

[1]封颖丽,任亚男,高锦瑜,等. 无托槽隐形联合固定矫治成人骨性Ⅲ类错牙合一例[J].中国美容医学,2018,(11):75.
　FENG Ying-li,REN Ya-nan,GAO Jin-yu,et al. Treatment for Adult Skeletal Class Ⅲ Malocclusion Combined Invisible Aligner and Fixed Appliance[J].Medical Aesthetics and Beauty,2018,(5):75.
[2] 郭爱军,管 玮,周 渊,等. 种植钉强支抗内收上下颌前牙软组织侧貌研究[J].中国美容医学,2020,(12):123.
　 GUO Ai-jun,GUAN Wei,ZHOU Yuan,et al. A study on the Profile of Soft Tissue after Using Implant to Retract Upper and LowerAnterior Teeth[J].Medical Aesthetics and Beauty,2020,(5):123.
[3] 滕芸霞,刘一凡,罗亚丽,等. 微种植体支抗辅助治疗双颌前突的临床效果分析[J].中国美容医学,2021,(8):115.
　 TENG Yun-xia,LIU Yi-fan,LUO Ya-li,et al. Analysis of Clinical Effects of Micro-implant Anchorage in Adjuvant Treatment ofBimaxillary Protrusion[J].Medical Aesthetics and Beauty,2021,(5):115.
[4] 高玉丽,郝学丽. 微种植体支抗治疗对正畸患者牙周状况及美观程度的影响[J].中国美容医学,2021,(9):132.
　GAO Yu-li,HAO Xue-li. Effects of Micro-screw Implant Anchorage on Root Resorption Status, ChewingFunction and Aesthetic Degree of Patients with Orthodontics[J].Medical Aesthetics and Beauty,2021,(5):132.
[5] 陈绪道. 微种植体支抗推磨牙远中移动的临床研究[J].中国美容医学,2021,(10):157.
　 CHEN Xu-dao. Clinical Study on Micro-Implant Anchorage for Molar Distalization[J].Medical Aesthetics and Beauty,2021,(5):157.
[6]李世彦,鲁晓红,梁建晖.两种正畸矫治器联合微种植体支抗对先天性缺牙患者美观及咬合功能恢复的比较[J].中国美容医学,2022,(2):138.
　LI Shiyan,LU Xiaohong,LIANG Jianhui.Comparison of Two Orthodontic Appliances Combined with Micro-implant Anchorage in the Recovery of Aesthetics and Occlusal Function in Patients with Congenital Missing Teeth[J].Medical Aesthetics and Beauty,2022,(5):138.
[7]张依鸣 综述,张 勤 审校.微种植体支抗压低上前牙的研究进展[J].中国美容医学,2022,(3):185.
　ZHANG Yiming,ZHANG Qin.Research Progress of Mini-implant Anchorage in the Maxillary Anterior Teeth Intrusion[J].Medical Aesthetics and Beauty,2022,(5):185.
[8]吴绍旋,赵云霞,沈家安,等.微种植体支抗在口腔正畸应用中的临床效果研究[J].中国美容医学,2022,(4):137.
　WU Shaoxuan,ZHAO Yunxia,SHEN Jiaan,et al.Study on the Application of Microscrew Implant Anchorage and External Arch Reinforcement Anchorage in Orthodontic Treatment[J].Medical Aesthetics and Beauty,2022,(5):137.
[9]徐卫华,臧 悦,王洪伟.微种植体支抗与口外弓支抗在口腔正畸治疗中的疗效对比研究[J].中国美容医学,2022,(5):126.
　XU Weihua,ZANG Yue,WANG Hongwei.Comparative Study of Micro-implant Anchorage and External Arch Anchorage in Orthodontic Treatment[J].Medical Aesthetics and Beauty,2022,(5):126.
[10]郑雅心,何 洁,张俊杰,等.微种植体支抗整体远移上牙列对上气道影响的三维分析[J].中国美容医学,2022,(8):125.
　ZHENG Yaxin,HE Jie,ZHANG Junjie,et al.Three-dimensional Analysis of Upper Airway before and after the Maxillary Dentition Distalization with Microimplant[J].Medical Aesthetics and Beauty,2022,(5):125.
[11]卿 凤,郑宇祥.微种植体支抗与J钩支抗在双颌前突患者系统矫治中的效果比较[J].中国美容医学,2024,(1):63.[doi:10.15909/j.cnki.cn61-1347/r.006095]
　QING Feng,ZHENG Yuxiang.Comparison of the Effi cacy of Micrograft Anchorage and J-hook Anchorage in Systematic Correction of Patients with Bimaxillary Protrusion[J].Medical Aesthetics and Beauty,2024,(5):63.[doi:10.15909/j.cnki.cn61-1347/r.006095]
[12]易文静,曹安怡,蓝善稀,等.微种植体支抗联合正畸治疗成人双颌前突疗效分析[J].中国美容医学,2024,(9):118.
　YI Wenjing,CAO Anyi,LAN Shanxi,et al.Clinical Analysis of Micro-implant Anchorage Combined with Orthodontics in the Treatment of Bimaxillary Protrusion in Adults[J].Medical Aesthetics and Beauty,2024,(5):118.

更新日期/Last Update: 2024-05-11