中国实用口腔科杂志

中国实用口腔科杂志 ›› 2010, Vol. 3 ›› Issue (10): 613-616.

• 论著 • 上一篇    下一篇

肌功能训练结合多曲方丝弓技术矫治高角骨性反牙合15例临床分析

  

  1. 大连市口腔医院·大连大学附属口腔医院正畸科，辽宁  大连  116021
  • 收稿日期:2010-07-24 修回日期:2010-09-27 出版日期:2010-10-15 发布日期:2010-11-03

  • Received:2010-07-24 Revised:2010-09-27 Online:2010-10-15 Published:2010-11-03

摘要：

目的    探讨肌功能训练结合多曲方丝弓（MEAW）技术矫治恒牙期高角骨性反牙合的疗效。方法    对2004—2008年于大连市口腔医院治疗的15例高角骨性反牙合患者，采用肌功能训练结合MEAW技术进行矫治，疗程1.5 ~ 2.5年，观察矫治后的临床效果。结果    15例患者中14例达到预期治疗效果，Ⅲ类软组织凹面形得到明显改善，前牙反牙合解除，达到正常覆牙合覆盖，磨牙及尖牙获得Ⅰ类关系或Ⅲ类关系得到明显改善。只有1例13岁男性患者，因配合原因，提前中断治疗，待成年后考虑做正颌手术矫治。结论    只要能把握好适应证，对于依从性良好的患者，运用肌功能训练结合MEAW技术可成功矫治高角骨性反牙合畸形。

关键词: 肌功能训练, 多曲方丝弓技术, 高角, 骨性Ⅲ类错牙合

Abstract:

Objective    To study clinical effects of myofunctional training combined with MEAW technique in the treatment of skeletal Class Ⅲ malocclusion with high mandibular plane angle. Methods    Fifteen patients with high angle skeletal Class Ⅲ malocclusion were treated by myofunctional training combined with MEAW technique. Results                Among the 15 patients，14 achieved prospective goals：concave profile were improved greatly；normal OB and OJ were established；Class I molar and canine relationship were obtained or Class Ⅲ molar relationship were improved markedly. Only one 13-year boy ceased treatment because of poor cooperation. Conclusion    Myofunctional training combined with MEAW technique can treat skeletal Class Ⅲ high angle cases successfully if good compliance is ensured.

Key words: myofunctional training；MEAW；high mandibular plane angle；skeletal Class Ⅲ malocclusion