医学研究与教育 ›› 2021, Vol. 38 ›› Issue (3): 12-17.DOI: 10.3969/j.issn.1674-490X.2021.03.003

• 临床医学 • 上一篇    下一篇

Twin-block矫治生长高峰期伴口呼吸的骨性 Ⅱ 类疗效分析

陈菁菁,赵虎   

  1. 保定市第一中心医院口腔二科, 河北 保定 071000
  • 收稿日期:2020-12-31 出版日期:2021-06-25 发布日期:2021-06-26
  • 作者简介:陈菁菁(1986—),女,河北保定人,主治医师,硕士,主要从事口腔正畸的诊疗工作。 E-mail: 290591007@qq.com
  • 基金资助:
    保定市科学技术研究与发展计划项目(18ZF190)

  • Received:2020-12-31 Online:2021-06-25 Published:2021-06-26

摘要: 目的 分析Twin-block矫治器对生长发育高峰期且存在口呼吸的骨性II类青少年的纠正效果和颌面部软硬组织的变化。方法 选择生长发育高峰期且伴有口呼吸的骨性II类青少年30例,采用Twin-block矫治器治疗,治疗时间12个月,分别在治疗的3个月、6个月、9个月、12个月时统计口呼吸的有效纠正率,治疗结束后6个月复查。对治疗前、治疗结束、治疗结束6个月这3个时期的头颅侧位片或模型进行测量,利用SPSS 26.0软件分析。结果 口呼吸的有效纠正率随治疗时间呈递增趋势,下齿槽座角(SNB)、面角(NP-FH)、下中切牙角(L1-MP)增大,上下齿槽座角(ANB)、Y轴角(Y axis)、上中切牙角(U1-SN)减小,下唇倾角(B'Li-FH )、颏唇沟角(LiB'Pg')、软组织面角(NsPg'-FH)、面突角(GSnPg')增大,上唇突角(NsLs-FH)、下唇突角(NsLi-FH)减小,差异均具有统计学意义(P<0.05)。治疗结束6个月前牙覆GF9A3覆盖保持稳定。结论 Twin-block矫治器在生长发育高峰期能有效纠正口呼吸,促进下颌骨发育的同时改善软组织面型。

关键词: Twin-block, 口呼吸, II类错GF9A3, 生长高峰期

Abstract: Objective To analyze the effect of correcting mouth breathing and the variation of facial hard and soft tissue of class II malocclusion with mouth breathing by Twin-block in the growth peak.Methods 30 cases in growth peak with class II malocclusion and mouth breathing were selected.They were treated with Twin-block appliance, the treatment lasted for 12 months.The correction rate of mouth breathing was counted at 3, 6, 9 and 12 months after treatment respectively,the re-examination was conducted 6 months after treatment.Lateral cranial radiographs or models were measured before treatment, after treatment and 6 months after treatment.The results were analyzed with SPSS 26.0.Results The effective correction rate of mouth breathing increased with time, SNB, NP-FH, L1-MP increased, ANB, Y axis, U1-SN decreased, B'Li-FH, LiB'Pg', NsPg'-FH, GSnPg' increased, NsLs-FH, NsLi-FH decreased, these differences were statistically significant(P<0.05).After treatment for 6 months, the anterior overbite overjet remained stable.Conclusion The mouth breathing were corrected effectively, the growth of the mandible was stimulated, and the soft tissue profile was improved in growth peak by Twin-block appliance.

Key words: Twin-block, mouth breathing, class Ⅱ malocclusion, growth peak

中图分类号: