多曲方丝弓与直丝弓矫治技术用于安氏Ⅲ类错颌畸形临床效果探究
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郑州植得口腔医院

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R783.5???

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Clinical effect of multiloop edgewise arch wire and straight arch wire orthodontic technique on Angle Class III malocclusion
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    摘要:

    目的:对安氏Ⅲ类错颌畸形患者采取多曲方丝弓(MEAW)与直丝弓矫治技术,并观察其临床效果。方法:选取2021年11月-2024年1月我院植想来院区和我院经开院区接诊的64例安氏Ⅲ类错颌畸形患者,按照随机掷硬币法将其分为对照组(32例,给予直丝弓矫治技术联合支抗钉治疗)和研究组(32例,在对照组基础上联合MEAW治疗),对比两组患者治疗前后的头影测量指标SNA[由蝶鞍中心(S点)、鼻根点(N点)及上齿槽座点(A点)构成的夹角]、SNB[由S、N点及下齿槽座点(B点)构成的夹角]、ANB[由A、N点及B点构成的夹角]、U1-SN(上颌中切牙长轴与颅底平面相交形成的下内侧角)、OB(上下前牙切缘水平距离),对比两组患者治疗前后齿排列对称性[UI-LI(上下切牙倾斜度)、?FH-MP(下颌平面角)],并观察比较治疗期间的临床指标(前牙正常覆盖时间、总疗程)及不良反应发生情况。结果:两组患者治疗1年后的头影测量指标(ANB、U1-SN、OB)均高于同组治疗前,且研究组高于对照组(P<0.05),但比较两组患者的头影测量指标(SNA、SNB)参数水平,差异无统计学意义(P>0.05);对比同组治疗前,两组患者治疗1年后的UI-LI、?FH-MP参数水平均更高,且研究组高于对照组(P<0.05);对比对照组,研究组患者的前牙正常覆盖时间及总疗程均更短(P<0.05);研究组患者的不良反应(牙齿松动、牙根吸收、牙龈刺激、口腔溃疡)总发生率与对照组对比,差异无统计学意义(P>0.05)。结论:对安氏Ⅲ类错颌畸形患者采取MEAW与直丝弓矫治技术治疗,能促进患者牙内结构正常化,缩短患者前牙正常覆盖时间及总疗程,且具备安全性。

    Abstract:

    Objective: To perform multiloop edgewise arch wire (MEAW) and straight arch wire orthodontic technique for patients with Angle Class III malocclusion, and observe the clinical effect. Methods: From November 2021 to January 2024, 64 patients with Angle Class III malocclusion were selected from Zhixianglai Oral Clinic and Jingkai Zhide Oral Clinic of the hospital, and were divided into control group (32 cases, straight arch wire orthodontic technique combined with anchorage nail therapy) and study group (32 cases, MEAW on the basis of control group) according to the random coin tossing method. The cephalometric indicators such as SNA [angle composed of sella center (S point), nasal root point (N point) and upper alveolar seat point (A point)], SNB [angle composed of S, N point and lower alveolar seat point (B point)], ANB [angle composed of A, N point and B point], U1-SN (lower medial angle formed by the intersection of long axis of the maxillary central incisor and the skull base plane) and OB (horizontal distance between the upper and lower anterior incisors) before and after treatment and symmetry of tooth arrangement [UI-LI (inclination of upper and lower incisors), FH-MP (mandibular plane angle)] before and after treatment were compared between groups. The clinical indicators (normal coverage time of anterior teeth, total course of treatment) and occurrence of adverse reactions during treatment were observed and compared. Results: After 1 year of treatment, the cephalometric indicators (ANB, U1-SN, OB) in both groups were higher than those before treatment, and the indicators in study group were higher than those in control group (P<0.05), but there were no statistical differences in the cephalometric indicators (SNA, SNB) between groups (P>0.05). Compared with before treatment, the UI-LI and FH-MP in the two groups were higher after 1 year of treatment, and the indicators in study group were higher than those in control group (P<0.05). Compared with control group, the normal coverage time of anterior teeth and total course of treatment in study group were shorter (P<0.05). There was no statistical difference in the total incidence rate of adverse reactions (tooth loosening, root resorption, gingival irritation, oral ulcer) between study group and control group (P>0.05). Conclusion: MEAW and straight arch wire orthodontic technique can promote the normalization of dental structure, and shorten the normal coverage time of anterior teeth and total course of treatment in patients with Angle Class III malocclusion, and it has safety.

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马芳芳.多曲方丝弓与直丝弓矫治技术用于安氏Ⅲ类错颌畸形临床效果探究[J].四川生理科学杂志,2025,47(12):

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  • 收稿日期:2025-04-03
  • 最后修改日期:2025-04-25
  • 录用日期:2025-05-07
  • 在线发布日期: 2026-01-04
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