口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 550-553.DOI: 10.13701/j.cnki.kqyxyj.2017.05.021

• 临床研究论著 • 上一篇    下一篇

改良Twin-block治疗非生长发育期关节盘可复性前移位的骨性变化

胡欣欣,朱耀旻*,何柳婷,顾颖,梁志刚,郑苍尚   

  1. 深圳市第二人民医院,深圳大学第一附属医院口腔科 广东 深圳 518000
  • 收稿日期:2016-11-09 出版日期:2017-05-20 发布日期:2017-05-26
  • 通讯作者: 朱耀旻,E-mail:zymin555@hotmail.com
  • 作者简介:胡欣欣(1985~ ),女,硕士,主治医师,主要从事口腔正畸、颞下颌关节病的研究工作。
  • 基金资助:
    深圳市卫生和计划生育系统科研项目(编号:201501017)
    深圳市科技创新项目(编号:JCYJ20150330102401098)

Skeletal Effects of Modified Twin-block on Patients in Non-growth Period with Disc Displacement with Reduction.

HU Xin-xin, ZHU Yao-min*, HE Liu-ting, GU Ying, LIANG Zhi-gang, ZHENG Cang-shang.   

  1. Department of Stomatology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen 518000, China.
  • Received:2016-11-09 Online:2017-05-20 Published:2017-05-26

摘要: 目的:探讨改良Twin-block在治疗非生长发育期关节盘可复性前移位的同时对颌骨生长发育的影响。方法:收集2016年1月~2016年6月就诊于深圳市第二人民医院口腔科,被诊断为颞下颌关节盘可复性前移位,并采取改良Twin-block 矫治成功的20~40岁患者26例,分别于治疗前、治疗结束后2个月拍摄头颅定位侧位片,测量治疗前后SNA、SNB、ANB、SN-PP、PP-MP、N-ANS、ANS-Me的变化。使用SPSS19.0软件以配对t检验方法对测量结果进行分析。结果:矫治后ANS-Me增加,且有统计学差异;SNA、SNB、ANB、SN-PP、PP-MP、N-ANS治疗前后未见统计学差异。结论:改良Twin-block 矫治器在治疗非生长发育期颞下颌关节盘可复性前移位的同时,会少量增加下面高,未见对颌骨生长发育产生其它影响。

关键词: 改良Twin-block, 关节盘可复性前移位, 头影测量

Abstract: Objective: To assess the skeletal changes of patients with disc displacement with reduction not in pubertal or pre pubertal stage treated with modified Twin-block by means of lateral cephalometric radiographs. Methods: Twenty-six patients with disc displacement with reduction over 20 years were included in the study. All patients were successfully treated with modified Twin-block. Lateral cephalometric radiographs were taken before and 2 months after treatment. Measurements of SNA, SNB, ANB, SN-PP, PP-MP, N-ANS, ANS-Me pre and post were taken. Results: ANS-Me values significantly increased after treatment. There were no significant differences for the indices of SNA, SNB, ANB, SN-PP, PP-MP, N-ANS before and after treatments. Conclusion: Modified Twin-block slightly increases lower facial height of patients over 20 years hisoldy with disc displacement with reduction. No other skeletal changes were found in this study.

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