多学科联合诊疗背景下上颌快速扩弓的作用

doi:10.13701/j.cnki.kqyxyj.2022.05.001

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (5): 391-395.DOI: 10.13701/j.cnki.kqyxyj.2022.05.001

• 特约述评 • 下一篇

多学科联合诊疗背景下上颌快速扩弓的作用

胡敏^*, 宋东升

吉林大学口腔医院,吉林大学口腔医院正畸科吉林长春 130021

收稿日期:2021-12-30 出版日期:2022-05-28 发布日期:2022-05-20
通讯作者: *胡敏,E-mail:humin@jlu.edu.cn
作者简介:胡敏,女,教授,主任医师,博士生导师,吉林大学口腔医院院长,吉林大学白求恩口腔医学院院长;中华口腔医学会理事会理事,中华口腔医学会口腔正畸专委会副主任委员,中华口腔医学会口腔科研管理分会常委,中华口腔医学会口腔医学教育专委会常委,吉林省口腔正畸专业委员会主任委员;国际牙医师学院(ICD)院士,美国正畸医师协会(AAO)会员,世界正畸医师联盟(WFO)会员,国际牙科研究协会(IADR)会员;参编全国统编本科生教材《口腔正畸学》第七版,全国统编研究生教材《口腔正畸学》第一、二版;国家自然科学基金评审专家,主持国家自然科学基金项目4项,教育部博士点基金1项,省级科研项目20余项,发表科研论文140余篇,其中SCI收录30余篇,获批国家实用新型专利授权2项,获吉林省科技进步二、三等奖6项。

Effect of Rapid Maxillary Expansion under the Background of Multidisciplinary Treatment

HU Min^*, SONG Dongsheng

Department of Orthodontics, Hospital of Stomatology, Jilin University, Changchun 130021, China

Received:2021-12-30 Online:2022-05-28 Published:2022-05-20

摘要/Abstract

摘要： 上颌快速扩弓技术(rapid maxillary expansion,RME)是正畸学中解决上牙弓狭窄、上颌横向发育不足的常用方法。近年来,随着对RME 作用机制的研究逐渐深入,其广泛的生物学效应引起了学界关注。通过调节咽部、鼻腔的生理功能,RME对分泌性中耳炎、鼻阻塞等耳、鼻疾病的治疗有积极作用;通过改善气道及呼吸功能,可减轻阻塞性睡眠呼吸暂停综合征、睡眠磨牙症及儿童夜遗尿等睡眠障碍症状;通过匹配颌骨宽度、改善后牙咬合关系,可缓解部分颞下颌关节疾病的症状。此外,RME对咀嚼肌功能、头颈姿势、发音等生理功能具有潜在影响。利用RME广泛的生物学效应,发挥综合治疗作用,将为多学科疾病的治疗提供帮助。本文将结合国内外最新研究成果对RME治疗在多学科联合诊疗中的作用进行综述,为临床RME的跨学科、综合性应用提供参考。

关键词: 多学科联合诊疗, 上颌快速扩弓, 颌面畸形

Abstract: Rapid maxillary expansion (RME) is a common method to solve the problem of maxillary arch stenosis and transverse maxillary deficiency in orthodontics. In recent years, with the in-depth study of the mechanism of RME, its extensive biological effects have attracted attention. By adjusting the physiological function of pharyngeal and nasal cavity, RME plays a positive role in the treatment of diseases such as otitis media with effusion and nasal obstruction; by improving airway and respiratory function, it can reduce sleep disorders such as obstructive sleep apnea syndrome, sleep bruxism, and nocturnal enuresis in children; by matching jaws width and improving the occlusal relationship of posterior teeth, it may relieve the symptoms of temporomandibular joint disorders. In addition, RME has potential effects on physiological functions such as masticatory muscle function, pronunciation, and head and neck posture. Making use of the extensive biological effects of RME and giving full play to the comprehensive therapeutic effect of RME will provide help for the treatment of multidisciplinary diseases. This article will summarize the role of RME in multidisciplinary diagnosis and treatment combined with the latest research results at home and abroad, so as to provide reference for the interdisciplinary and comprehensive application of RME.

Key words: multidisciplinary treatment, rapid maxillary expansion, maxillofacial deformity

胡敏, 宋东升. 多学科联合诊疗背景下上颌快速扩弓的作用[J]. 口腔医学研究, 2022, 38(5): 391-395.

HU Min, SONG Dongsheng. Effect of Rapid Maxillary Expansion under the Background of Multidisciplinary Treatment[J]. Journal of Oral Science Research, 2022, 38(5): 391-395.

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多学科联合诊疗背景下上颌快速扩弓的作用

Effect of Rapid Maxillary Expansion under the Background of Multidisciplinary Treatment

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