Acta Metallurgica Sinica

Previous Articles     Next Articles

  

  • Online:2018-06-15 Published:2018-07-10

前牙反牙合的早期矫治

杨雪汪俊   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院儿童口腔科,上海 200011
  • 作者简介:汪俊,教授、主任医师、博士研究生导师。现任上海交通大学医学院附属第九人民医院儿童口腔科主任、儿童口腔医学教研室主任。兼任中华口腔医学会儿童口腔医学专业委员会副主任委员,上海市口腔医学会理事、儿童口腔医学专业委员会前任主任委员,上海儿童口腔专科医师规范化培训基地主任、专家组组长,中华医学会医疗鉴定专家、国家科技奖励专家库专家及上海科技奖励专家库专家,全国统编教材《儿童口腔医学》编委,人民卫生出版社慕课口腔规划课程《儿童口腔医学》讲师,多本杂志编委及审稿专家。临床擅长儿童龋病、牙髓病、根尖周病、牙外伤的诊治及错牙合畸形的早期矫治。

Abstract:

Anterior crossbite is a common problem in the primary and mixed dentition.  Early correction of anterior crossbite not only resolves esthetic problems,but also improves function,and consequently prevents or decreases structural damage to the teeth or periodontal tissue and adverse effects on the growth of the dentition and basal bones.The key to its treatment is to distinguish whether anterior crossbite is dental,skeletal,or functional crossbite. Comprehensive clinical evaluation in static conditions and during functional movement,along with radiographic examinations,is required for the  differentiation of anterior crossbites,and then it should be treated accordingly.

Key words: anterior crossbite, Class Ⅲ malocclusion, early intervention

摘要:

前牙反牙合是乳牙列及混合牙列时期的常见问题,对其早期矫治不但能改善患儿美观,也能提升牙牙合功能,并可防止或降低前牙反牙合对牙、牙周组织及骨生长发育产生的不良影响,而其治疗的关键在于区分反牙合是牙源性、功能性还是骨性。临床上应首先在下颌静止及功能性运动状态下对其进行全面检查,并结合X线影像结果进行鉴别诊断,然后采取相应治疗。

关键词: 前牙反牙合, Ⅲ类错牙合, 早期矫治