中国实用口腔科杂志

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乳替牙期前牙反牙合的早期矫治原则

章晶晶刘鹤   

  1. 北京大学口腔医院儿童口腔科,北京  100081
  • 出版日期:2018-06-15 发布日期:2018-07-10
  • 作者简介:刘鹤,教授、主任医师、博士研究生导师。现任北京大学口腔医院儿童口腔科副主任。兼任中华口腔医学会儿童口腔医学专业委员会常务委员,全国统编教材《儿童口腔医学》(第4版)和北京大学口腔医学长学制教材《儿童口腔医学》(第2版)编委。近年来在国内外杂志发表论文50余篇,多次参加国际、国内学术会议进行交流。

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

摘要:

前牙反牙合是乳替牙期常见的错牙合畸形,是安氏Ⅲ类错牙合畸形的主要症状之一,也是儿童口腔医生常常需要面对的临床问题。安氏Ⅲ类错牙合前牙反牙合有骨性和非骨性之分,其鉴别诊断对前牙反牙合的治疗及预后判断具有重要意义。乳牙期常用的前牙反牙合治疗技术包括乳尖牙调牙合、咬翘法、下颌联冠斜面导板、上颌牙合垫舌簧矫治器及不良习惯去除。上颌前方牵引治疗是替牙期最为常用的前牙反牙合矫治技术。随着上下颌骨生长发育的不断进行,前牙反牙合可能会出现加重或复发。

关键词: 前牙反牙合, 安氏Ⅲ类, 骨性与非骨性, 上颌前方牵引

Abstract:

Anterior cross-bite is a common malocclusion in the primary and mixed dentition. It is one of the major symptoms of Class Ⅲ malocclusion. Anterior cross-bite in the Class Ⅲ malocclusion is classified as skeletal or non-skeletal,for which differential diagnosis is of vital importance for the treatment selection and prognosis judgment. The treatment techniques for anterior cross-bite in the primary dentition include occlusal adjustment of primary canines,mandibular inclined plate,maxillary appliance with bite palate and lingual spring,and correction of bad habit. The maxillary protraction therapy is the most common treatment selection for anterior cross-bite in the mixed dentition. Anterior cross-bite can sometimes worsen or relapse because of the continuing growth of the mandible.

Key words: Anterior cross-bite, Class Ⅲ malocclusion, Skeletal or non-skeletal, Maxillary protraction therapy