骨性Ⅱ类错牙合双期治疗1例

doi:10.13701/j.cnki.kqyxyj.2026.08.016

口腔医学研究 ›› 2026, Vol. 42 ›› Issue (8): 723-728.DOI: 10.13701/j.cnki.kqyxyj.2026.08.016

• 研究生病例精粹——口腔正畸学系列(8) • 上一篇

骨性Ⅱ类错牙合双期治疗1例

张艳^1,2, 张晨^1,3,4*

1.武汉大学口腔医院口腔正畸一科湖北武汉 430079 ;
2.湖北省宜昌市五峰土家族自治县人民医院湖北宜昌 443400;
3.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院湖北武汉 430079;
4.湖北省儿童牙颌面畸形临床医学研究中心湖北武汉 430079

收稿日期:2026-07-14 出版日期:2026-08-28 发布日期:2026-08-17
通讯作者: ^*张晨,E-mail:milesz@whu.edu.cn
作者简介:张艳(1986~ ),女,湖北宜昌人,本科,主治医师,研究方向:口腔正畸学。

Two-phase Therapy for Skeletal Class Ⅱ Malocclusion: A Case Report

ZHANG Yan^1,2, ZHANG Chen^1,3,4*

1. Department of Orthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. People's Hospital of Wufeng Tujia Autonomous County, Yichang 443400, China;
3. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
4. Hubei Provincial Clinical Research Center for Dentofacial Deformities in Children, School& Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2026-07-14 Online:2026-08-28 Published:2026-08-17

摘要/Abstract

摘要： 本病例报告系统介绍了1例恒牙列早期骨性Ⅱ类错牙合患者经历Ⅰ期功能矫治及Ⅱ期固定矫治的完整治疗过程。该患者通过Ⅰ期矫形治疗解决三维方向上的骨性不调,继而行固定矫治完善咬合并将牙列排齐内收。通过双期治疗,患者的面部美学,牙齿排列及咬合状态均得到了显著改善。

关键词: 骨性Ⅱ类错牙合, 双期治疗

Abstract: This article outlines the complete management process of a patient with skeletal class Ⅱ malocclusion in early permanent dentition, involving phase Ⅰ orthopedic treatment followed by phase Ⅱ fixed orthodontic treatment. The patient underwent phase Ⅰ orthopedic therapy to address three-dimensional skeletal discrepancy, followed by fixed orthodontics to correct malocclusion. As a result, significant improvements were observed in facial aesthetics, alignment, and occlusion.

Key words: skeletal class Ⅱ malocclusion, two-phase therapy

张艳, 张晨. 骨性Ⅱ类错牙合双期治疗1例[J]. 口腔医学研究, 2026, 42(8): 723-728.

ZHANG Yan, ZHANG Chen. Two-phase Therapy for Skeletal Class Ⅱ Malocclusion: A Case Report[J]. Journal of Oral Science Research, 2026, 42(8): 723-728.

参考文献

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[2] Baccetti T, Franchi L, McNamara JA Jr, et al. Early dentofacial features of Class Ⅱ malocclusion: a longitudinal study from the deciduous through the mixed dentition [J]. Am J Orthod Dentofacial Orthop, 1997, 111(5):502-509.
[3] Batista KB, Thiruvenkatachari B, Harrison JE, et al. Orthodontic treatment for prominent upper front teeth (Class Ⅱ malocclusion) in children and adolescents [J]. Cochrane Database Syst Rev, 2018, 3(3):CD003452.
[4] DiBiase AT, Lucchesi L, Qureshi U, et al. Post-treatment cephalometric changes in adolescent patients with Class Ⅱ malocclusion treated using two different functional appliance systems for an extended time period: a randomized clinical trial [J]. Eur J Orthod, 2020, 42(2):135-143.
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[7] Marinelli A, Mariotti M, Defraia E. Transverse dimensions of dental arches in subjects with Class Ⅱ malocclusion in the early mixed dentition [J]. Prog Orthod, 2011, 12(1):31-37.
[8] Feres MF, Raza H, Alhadlaq A, et al. Rapid maxillary expansion effects in Class Ⅱ malocclusion: a systematic review [J]. Angle Orthod, 2015, 85(6):1070-1079.
[9] elar A, Tafaj E, Graf A, et al. Association of anterior and posterior occlusal planes with different Angle and skeletal classes in permanent dentitions : A lateral cephalometric radiograph study [J]. J Orofac Orthop, 2018, 79(4):267-276.
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骨性Ⅱ类错牙合双期治疗1例

Two-phase Therapy for Skeletal Class Ⅱ Malocclusion: A Case Report

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