肌功能训练联合咬合诱导矫治器对安氏Ⅱ类错合畸形儿童颌骨发育、咀嚼效率及肌功能的影响研究
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周口口腔医院

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Study on the Effects of Muscle Function Training Combined with Occlusal Induction Orthodontic Appliances on Jawbone Development, Masticatory Efficiency and Muscle Function in Children with Anschisis Class II Malocclusion
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    摘要:

    目的:分析咬合诱导联合肌功能训练对安氏Ⅱ类错合畸形儿童颌骨发育及咀嚼效率的影响。方法:选取2022年2月至2023年12月期间于本院就诊的112例安氏Ⅱ类错合畸形儿童作为研究对象。按随机数字法将患者分为对照组和研究组,每组各56例。对照组采用咬合诱导矫治器开展矫正治疗。研究组采用咬合诱导矫治器联合肌功能训练。分析比较两组的颌骨发育[上牙槽座角(SNA)、下牙槽座角(SNB)、ANB角、下颌平面角(MP-FH)、面角(FH-NPo);上中切牙倾斜度(U1-SN)、上中切牙突度(U1-NA)、下中切牙倾斜度(IMPA)、下中切牙突度(FMIA);全面高(N-Me)、上面高(N-ANS)、下面高(ANS-Me);覆盖、覆颌] 、咀嚼效率及肌功能[静息和最大紧咬状态下的患侧颞肌前束(anteriortemporal muscles,TA)、咬肌(masseter muscles,MM)的肌电活动]。结果:矫正12个月后,两组的SNA、SNB、ANB、MP-FH、FH-NPo、U1-NA及N-ANS角均无显著差异(P>0.05);但研究组矫正12个月后的U1-SN、N-Me、ANS-Me、IMPA、FMIA、覆盖、覆颌角均显著高于对照组(P<0.05)。矫正12个月后,,两组的咀嚼效率均比矫正前显著升高(P<0.05),且研究组矫正后的咀嚼效率显著高于对照组(P<0.05)。矫正12个月后,两组静息状态下的TA、MM肌电均比矫正前显著降低,最大紧咬状态下的TA、MM肌电均比矫正前显著提高,且研究组静息状态下的TA、MM肌电,最大紧咬状态下的TA、MM肌电的改善幅度均显著大于对照组(P<0.05)。结论:咬合诱导联合肌功能训练可促进安氏Ⅱ类错合畸形儿童颌骨发育,提高咀嚼效率、改善肌功能。

    Abstract:

    Objective: To analyze the effects of occlusal induction combined with muscle function training on jawbone development and masticatory efficiency in children with type II malocclusion of An"s. Methods: 112 children with type II dislocation malformations of Ann"s who visited our hospital from February 2022 to December 2023 were selected as the research subjects. The patients were divided into the control group and the study group according to the random number method, with 56 cases in each group. The control group received corrective treatment using occlusion-induced orthodontic appliances. The research group adopted occlusion-induced orthodontics combined with muscle function training. The jawbone development [superior alveolar seat Angle (SNA), inferior alveolar seat Angle (SNB), ANB Angle, mandibular plane Angle (MP-FH), face Angle (FH-NPo); superior central incisor inclination (U1-SN), superior central incisor protrusion (U1-NA), inferior central incisor inclination (IMPA), inferior central incisor protrusion (FMIA); Overall high (N-Me), upper high (N-ANS), lower high (ANS-Me) Coverage, overbite], masticatory efficiency and muscle function [electromyographic activities of the anteriortemporal muscles (TA) and masseter muscles (MM) on the affected side at rest and in the maximum occlusal state]of the two groups were analyzed and compared. Results: After 12 months of correction, there were no significant differences in the angles of SNA, SNB, ANB, MP-FH, FH-NPo, U1-NA and N-ANS between the two groups (P > 0.05); However, the U1-SN, N-Me, ANS-Me, IMPA, FMIA, coverage and overbite Angle of the study group after 12 months of correction were significantly higher than those of the control group (P<0.05). After 12 months of correction, the chewing efficiency of both groups was significantly increased compared with that before correction (P < 0.05), and the chewing efficiency of the study group after correction was significantly higher than that of the control group (P < 0.05). After 12 months of correction, the electromyography of TA and MM in the resting state in both groups was significantly lower than that before correction, and the electromyography of TA and MM in the maximum occlusal state was significantly higher than that before correction. Moreover, the improvement amplitudes of TA and MM electromyography in the resting state and the maximum occlusal state in the study group were significantly greater than those in the control group (P<0.05). Conclusion: Occlusal induction combined with muscle function training can promote the development of the jawbone in children with type II Amnestic malocclusion, improve chewing efficiency and enhance muscle function.

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  • 收稿日期:2025-08-26
  • 最后修改日期:2025-11-05
  • 录用日期:2025-11-11
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