颧牙槽嵴下微种植体对骨性Ⅱ类错牙合畸形患者微笑美学效果的影响

doi:10.13701/j.cnki.kqyxyj.2024.11.005

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (11): 967-971.DOI: 10.13701/j.cnki.kqyxyj.2024.11.005

颧牙槽嵴下微种植体对骨性Ⅱ类错牙合畸形患者微笑美学效果的影响

赵健¹, 史舒雅¹, 李超群², 李昕¹, 侯德强^1*

1.江南大学附属医院口腔科江苏无锡 214122;
2.江南大学附属医院肿瘤研究所江苏无锡 214122

收稿日期:2024-01-19 出版日期:2024-11-28 发布日期:2024-11-27
通讯作者: *侯德强,E-mail:wan13114@163.com
作者简介:赵健(1979~ ),男,陕西咸阳人,硕士,副主任医师,主要从事口腔科临床治疗工作。
基金资助:
无锡市卫生健康委科研项目(编号:Q202123)

Smile Aesthetic Outcomes of Infrazygomatic Crest Miniscrews in Patients with Skeletal Class Ⅱ Malocclusions

ZHAO Jian¹, SHI Shuya¹, LI Chaoqun², LI Xin¹, HOU Deqiang^1*

1. Department of Stomatology,Affiliated Hospital of Jiangnan University, Wuxi 214122, China;
2. Institute of Oncology,Affiliated Hospital of Jiangnan University, Wuxi 214122, China

Received:2024-01-19 Online:2024-11-28 Published:2024-11-27

摘要/Abstract

摘要： 目的: 探究颧牙槽嵴下微种植体对骨性Ⅱ类错牙合畸形患者微笑美学效果的影响。方法: 选择2017年1月~2021年1月我院收治的103例骨性Ⅱ类错牙合畸形患者,按照随机数字表法分为研究组(n=52,颧牙槽嵴下微种植体+直丝弓矫治)和对照组(n=51,头帽口外弓+直丝弓矫治),比较两组总体疗效、矫治时间、治疗后6个月头影测量指标、微笑美学效果及并发症情况。结果: 两组矫治成功率比较并无差异(P＞0.05),而研究组矫治时间[(14.3±3.6)月]低于对照组[(20.1±4.2)月,P<0.05];两组矫治后切牙唇倾度(U1-L1,L1-MP,U1-SN)、ANB、上颌中切牙内收量(U1-Ptm)、上颌磨牙远中移动量(U6-SP)、覆盖(OJ)、覆颌(OB)均明显改善,且研究组矫治前后U6-SP变化量低于对照组,U1-L1、U1-SN、U1-Ptm、L1-MP变化量高于对照组(P<0.05);两组发生牙根吸收、上颌窦底感染、创伤性溃疡、种植体周围炎等并发症比较无明显差异(P>0.05)。结论: 颧牙槽嵴下微种植体矫治骨性Ⅱ类错牙合能缩短矫治时间,前牙内收效果更佳,微笑美观明显提高,值得临床推广。

关键词: 颧牙槽嵴, 微种植体, 骨性Ⅱ类错牙合畸形, 微笑美学

Abstract: Objective: To explore the smile aesthetic outcomes of infrazygomatic crest miniscrews in patients with skeletal Class Ⅱ malocclusions. Methods: One hundred and three patients with skeletal Class Ⅱ malocclusions admitted to our hospital from January 2017 to January 2021 were selected and assigned into two groups according to the orthodontic treatment plans. Study group (n=52) received infrazygomatic crest miniscrews plus straight-wire appliance, while control group (n=51) was given facebow headgear plus straight-wire appliance. The overall therapeutic efficacy, treatment duration, cephalometric indices six months post-treatment, smile aesthetic effects, and complication rates were compared between the two groups. Results: There was no difference in the success rate of treatment between the two groups (P>0.05),and the treatment time of the study group (14.3±3.6) was lower than that of the control group (20.1±4.2) (P<0.05). There was a notable improvement in the angle formed between the long axis of upper central incisor and the lower central incisor (U1-L1), angle formed between the long axis of lower central incisor and the mandibular plane (L1-MP), angle between the long axis of the upper central incisor and the plane of the anterior skull base (U1-SN), point A-Nasion-point B (ANB) angle, maxillary central incisor adduction (U1-Ptm), maxillary molar distal movement (U6-SP), overjet (OJ), and overbite (OB) in both group after treatment. The amount of change in U6-SP was smaller and the amount of change in U1-L1, U1-SN, U1-Ptm and L1-MP was larger in study group than that in control group before and after orthodontic treatment (P<0.05). There was no statistical difference between two groups in the comparison of the complications such as root resorption, maxillary sinus floor infection, traumatic ulceration, and peri-implantitis (P>0.05). Conclusion: Application of infrazygomatic crest miniscrews in patients with skeletal Class Ⅱ malocclusions can effectively shorten the orthodontic time, improve the maxillary retraction of anterior teeth, and ameliorate the smile aesthetics.

Key words: infrazygomatic crest, miniscrews, skeletal Class Ⅱ malocclusions, smile aesthetics

赵健, 史舒雅, 李超群, 李昕, 侯德强. 颧牙槽嵴下微种植体对骨性Ⅱ类错牙合畸形患者微笑美学效果的影响[J]. 口腔医学研究, 2024, 40(11): 967-971.

ZHAO Jian, SHI Shuya, LI Chaoqun, LI Xin, HOU Deqiang. Smile Aesthetic Outcomes of Infrazygomatic Crest Miniscrews in Patients with Skeletal Class Ⅱ Malocclusions[J]. Journal of Oral Science Research, 2024, 40(11): 967-971.

参考文献

[1] 张昆,邹维娜,蒲玉梅,等.三维重建技术评价双颌手术影响骨性Ⅱ类错牙合畸形患者上气道的初步研究[J].口腔医学研究,2021,37(11):1048-1053.
[2] 徐静,胡敏.正畸微种植体定位方法研究进展[J].口腔医学研究,2023,39(2):101-104.
[3] 谢尔婷,黄白兰,李文龙,等.错牙合畸形患者采用微型种植体支抗治疗的有效性与安全性分析[J]. 临床口腔医学杂志,2021,37(9):564-567.
[4] 杨珍,肖亦芳,廖健强.微型种植体支抗对错牙合畸形患者的临床疗效[J].中南医学科学杂志,2023,51(1):107-109.
[5] Masucci C, Oueiss A, Maniere-Ezvan A, et al. What is a malocclusion? [J]. Orthod Fr, 2020, 91(1-2):57-67.
[6] 曹熔锴, 陈孛蓓, 李琼,等. 应用3D数字化面部重建评估上颌尖牙垂直位置对微笑美学的影响[J]. 上海口腔医学,2020,29(6):611-616.
[7] Shi X, Chen H, Lobbezoo F, et al. Effects of miniscrew-assisted orthodontic treatment with premolar extractions on upper airway dimensions in adult patients with Class Ⅱ high-angle malocclusion [J]. Am J Orthod Dentofacial Orthop, 2021, 159(6):724-732.
[8] Ruslin M, Hajrah Yusuf AS, Forouzanfar T, et al. One-year stability of the mandibular advancement and counterclockwise rotation for correction of the skeletal class Ⅱ malocclusion and high mandibular plane angle: Dental and skeletal aspect [J]. Biomed J, 2022, 45(1):206-214.
[9] 丁丹丹,朱芹英,黄学莲,等.SanderⅢ矫治器与FRⅢ矫治器矫治早期骨性Ⅲ类错牙合的临床比较[J].临床和实验医学杂志,2020,19(12):1331-1334.
[10] De Gabriele O, Dallatana G, Vasudavan S, et al. CAD/CAM-guided microscrew insertion for horseshoe distalization appliances [J]. J Clin Orthod, 2021, 55(7):384-397.
[11] Galluccio G, Guarnieri R, Jamshir D, et al. Comparative evaluation of esthetic and structural aspects in class Ⅱ functional therapy. A case-control retrospective study [J]. Int J Environ Res Public Health, 2021, 18(13):6978.
[12] Guo H, Jiang X, Di P, et al. A novel method to achieve preferable bone-to-implant contact area of zygomatic implants in rehabilitation of severely atrophied maxilla [J]. Int J Oral Maxillofac Implants, 2023, 38(1):111-119.
[13] 陈旭, 李博晟, 张京剧.上颌种植支抗结合颌间牵引在青少年骨性Ⅲ类错牙合患者中的应用及疗效评价[J].口腔医学,2021,41(3):231-236.
[14] 经海永,高健文,周弘.锥形束CT显像分析支抗种植体患者颧牙槽嵴区软硬结构的价值观察[J].中国CT和MRI杂志,2021,19(2):47-49.
[15] 瞿然奕, 汪席均, 江凌勇. 垂直向控制在矫正成人骨性Ⅱ类高角错牙合畸形应用中的研究进展[J]. 中国口腔颌面外科杂志,2021,19(3):284-288.
[16] 冯哲, 田炳欣, 马涛,等.对比微种植体支抗和改良横腭杆配合PASS矫治器在儿童安氏Ⅰ~Ⅱ类错牙合高角拔牙矫治中的应用[J].生物医学工程与临床,2022,26(4):459-464.
[17] 付玉, 胡鑫浓, 崔圣洁, 等.骨性Ⅱ类高角错牙合患者术前正畸下前牙去代偿效果及牙槽骨改建分析[J].北京大学学报:医学版,2023,55(1):62-69.
[18] 雒琪玥, 柳叶语, 罗依麟,等.以正中关系为中心,面部美学及修复为导向的数字化无牙颌种植修复1例[J].国际口腔医学杂志,2022,49(4):426-431.
[19] Choo SH, Glickman RS, Wiedemann TG. Esthetic considerations in minimally invasive orthognathic surgery [J]. Compend Contin Educ Dent, 2023, 44(3):136-140.
[20] 王正芳. 微种植体远移磨牙矫治安氏Ⅱ类错牙合畸形与上颌第一磨牙牙根长度变化相关性分析[J].大连医科大学学报,2021,43(4):327-333.

颧牙槽嵴下微种植体对骨性Ⅱ类错牙合畸形患者微笑美学效果的影响

Smile Aesthetic Outcomes of Infrazygomatic Crest Miniscrews in Patients with Skeletal Class Ⅱ Malocclusions

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 13

编辑推荐

Metrics

[1]	徐静, 胡敏. 正畸微种植体定位方法研究进展[J]. 口腔医学研究, 2023, 39(2): 101-104.
[2]	张昆, 邹维娜, 蒲玉梅, 胡小蓓, 王育新. 三维重建技术评价双颌手术影响骨性Ⅱ类错牙合畸形患者上气道的初步研究[J]. 口腔医学研究, 2021, 37(11): 1048-1053.
[3]	丘雨蓓, 郭伟忠, 陈江. 较大载荷下加载时机对正畸微种植钉骨结合的影响[J]. 口腔医学研究, 2019, 35(5): 480-482.
[4]	吴也可,赵立星,郜然然. 植入角度对微种植体稳定性的影响[J]. 口腔医学研究, 2019, 35(2): 172-175.
[5]	刘海燕,荆璇,李冰,HEE-Moon,Kyung,李世锋,武秀萍. 直丝化舌侧矫治不同微种植体高度内收上前牙的生物力学分析[J]. 口腔医学研究, 2019, 35(2): 180-184.
[6]	韦回, 韦佳黛, 邓端耀, 朱思婷, 陈库, 莫水学. 微种植体支抗下成人安氏Ⅱ¹类高角患者后牙合平面的变化研究[J]. 口腔医学研究, 2019, 35(11): 1062-1065.
[7]	陈明珠, 尹康. Ⅱ类功能矫形治疗对颞下颌关节影响的研究进展[J]. 口腔医学研究, 2018, 34(3): 223-225.
[8]	陈立艳, 刘志杰, 苑芳连, 张苗苗, 王兰珠. 颧牙槽嵴区骨宽度及皮质骨厚度的CBCT测量分析[J]. 口腔医学研究, 2017, 33(6): 637-641.
[9]	马国武,郑胜. rhTNFR:Fc对兔正畸微种植体周围炎骨结合影响的研究[J]. 口腔医学研究, 2016, 32(9): 916-919.
[10]	吴也可,赵立星. 持续或间断应力加载下正畸微种植体稳定性的组织形态学和生物力学分析[J]. 口腔医学研究, 2016, 32(4): 326-330.
[11]	刘承灵, 王军, 任卫萍, 周瑞, 栗震亚. 腭骨厚度CBCT与头颅定位测量值的相关性研究[J]. 口腔医学研究, 2016, 32(3): 297-300.
[12]	邵雯婷, 王学金. 正畸微种植体支抗稳定性研究方法现状[J]. 口腔医学研究, 2016, 32(10): 1106-1109.
[13]	吴欣,刘国元,蒋勇联,季玉花,杨沛蕾,叶彩. 微种植体支抗矫治高角开牙合病例的临床研究[J]. 口腔医学研究, 2015, 31(9): 923-925.