Abstract:Objective: To investigate the effect of maxillary protrusion appliance on the treatment of patients with maxillary retraction deformity during the mixed dentition period with the crowding of the posterior segment of the dental arch. Methods: The modified maxillary protrusion appliances were used to treat 40 cases of skeletal class III malocclusion with maxillary retraction during mixed dentition period. A facemask was used on the face to pull maxillary forward, palatal appliance was used to push molars back and palatal expansion in the mouth. For each patient, the lateral cephalogram was taken before and after treatment. Hard and soft tissue changes were analyzed to evaluate the effects of maxillary protrusion. Results: The anterior teeth overjet increased by 3.6mm, the average forward movement of point A subspinale was 2.1mm, mandibular plane angle was increased by 1.9° on the average, maxillary first molar average 2.5mm backwards. The position relation between maxillary and mandible was improved obviously, and the lateral appearance of soft tissue was improved obviously. Conclusion: The modified maxillary protrusion appliance could effectively treat skeletal class III malocclusion relationship and lateral appearance of the patients with maxillary retraction deformity, and made the first molars moving backward and relieve the dental arch crowding of the posterior segment.
王鹏,苏哲君,张兴乐,尹雪莲,赵婵媛,霍峰. 改良前方牵引矫治器治疗上颌后缩畸形患者的疗效观察[J]. 河北医学, 2018, 24(12): 2029-2031.
WANG Peng, SU Zhejun, Zhang Xingle, et al. A Clinical Study on the Treatment of Maxillary Retraction Deformity with Modified Maxillary Protrusion Appliance. HeBei Med, 2018, 24(12): 2029-2031.
[1] Cha KS.Skeletal changes of maxillary protraction in patients exhibiting skeletal class llI malocclusion:a comparison of three skeletal maturation groups[J].Angle Orthod,2003,73(1):26~35. [2] 谢永建,麦理想,卢新华.上颌前牵引中两种口内固位装置的临床对比研究[J].中华口腔医学研究杂志(电子版),2015,10(5):48~51. [3] 刘浩,张婷,张良.双颌垫结合前方牵引及Ⅲ类颌间牵引治疗替牙期安氏Ⅲ类错牙合畸形疗效分析[J].中国实用口腔科杂志,2017(12):736~739. [4] 谢春,郭丰源,李小双,等.安氏Ⅲ类错牙合患者前方牵引美容修复的效果分析[J].中国美容医学,2017,26(11):94~97. [5] Yagci A,Uysal T,Uamez S,et a1. Effects of modified and conventional facemask therapies with expansion on dynamic measurement of natural head position in Class Ⅲ patients[J].Am Orthod Dentofacial Orthop,2011,140(5):e223~e231. [6] 何昌平,喻凤,张向凤,等.种植体支抗推磨牙向后矫正骨性II类二次矫治病例[J].中华口腔正畸学杂志,2016,23(4):232~234. [7] 司新芹,张彩娣,李湘琳,等.Frog磨牙远移器和Cetlin推磨牙方法的临床对比研究[J].陕西医学杂志,2014,43(6):683~685. [8] Chen L, Chen R,Yang Y, et a1.The effects of maxillary protraction and its long-term stability:a clinical trial in Chinese adolescents[J].Eur Orthod,2012,34(1):88~95. [9] Masueei C,Franehi L, Defraia E,et a1.Stability of rapid maxillary expansion and facemask therapy:a long-term controlled study[J].Am Orthod Dentofacial Orthop,2011,140(4):493~500.