上海口腔医学 ›› 2017, Vol. 26 ›› Issue (6): 658-661.doi: 10.19439/j.sjos.2017.06.019

• 论著 • 上一篇    下一篇

FRⅢ矫治功能性和早期骨性安氏Ⅲ类错▉的软组织变化

张楠1, 汪隼2*, 樊林峰3*, 成晓敏4, 李小新5   

  1. 1.新疆石河子大学医学院第一附属医院 口腔科,新疆 石河子 832008;
    2.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,上海市口腔医学重点实验室, 国家口腔疾病临床研究中心,上海 200011;
    3.上海交通大学医学院附属第九人民医院 放射科,上海 200011;
    4.金华口腔医院,浙江 金华 313000;
    5.温州医科大学附属第三医院·瑞安市人民医院,浙江 瑞安 325200;
  • 收稿日期:2017-05-18 修回日期:2017-09-17 出版日期:2017-12-20 发布日期:2018-01-09
  • 通讯作者: 汪隼,E-mail:wangsun9h@sina.com;樊林峰,E-mail:847472535qq.com。 *共同通信作者
  • 作者简介:张楠(1983-),女,硕士,主治医师,E-mail:58031401@qq.com

Changes of soft tissues in patients with functional and skeletal Angel Class Ⅲ malocclusion after FRⅢ appliance therapy

ZHANG Nan1, WANG Sun2, FAN Lin-feng3, CHEN Xiao-min4, LI Xiao-xin5   

  1. 1. Department of Stomatology, First Affiliated Hospital of Medical School, Shihezi University. Shihezi 832008, Xinjiang Uygur Autonomous Region;
    2. Department of Pediatric Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, National Clinical Research Center of Stomatology.Shanghai 200011;
    3. Department of Radiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    4.Jinhua Stomatological Hospital. Jinhua 313000, Zhejiang Province;
    5. Ruian Peoples's Hospital, Third Affiliated Hospital of Wenzhou University. Ruian 325200, Zhejiang Province,China
  • Received:2017-05-18 Revised:2017-09-17 Online:2017-12-20 Published:2018-01-09

摘要: 目的: 比较FRⅢ型矫治器矫治功能性和早期骨性安氏Ⅲ类错前、后软组织的变化。方法: 选择30例功能性和早期骨性安氏Ⅲ类错患者,利用FRⅢ型矫治器矫治,采用SPSS22.0软件包对矫治前、后的X线头影测量项目进行t检验。结果: FRⅢ型矫治器矫治前、后,面型角、鼻唇角、颏唇角、上唇-E线距离均显著增大(P<0.05),Z角显著减小(P<0.05),下唇-E线距离显著减少(P<0.01);H角、上唇沟深、颏唇沟深、上唇基厚度、上唇紧张度均无显著改变(P>0.05)。结论: 经FRⅢ型矫治器矫治后的安氏Ⅲ类错患者,侧貌突度增大,Ⅲ类凹面型趋于平直,面部侧貌趋于美观;上唇近中移动,下唇远中移动,上唇突度增加。

关键词: FR&#x02162, 型矫治器, 安氏&#x02162, 类错▉畸形, 反▉, X线头影测量

Abstract: PURPOSE: To compare the changes of soft tissues before and after treatment of functional and skeletal Angle class Ⅲ malocclusion with FRⅢ appliance. METHODS: Thirty patients with functional and skeletal Angel Class Ⅲ malocclusion were selected and treated with FRⅢ appliance,SPSS 22 software package was used to analyzed soft tissue changes before and after treatment. RESULTS: After treatment, FCA,NLA, Pog labial angle,upper lip to E line were increased significantly (P<0.05). Z angle was decreased significantly (P<0.05). Lower lip to E line was decreased significantly (P<0.01). There was no significant difference in H angle, superior sulcus depth, inferior sulcus to H-line, basic upper lip thickness, upper lip strain measurement (P>0.05). CONCLUSIONS: After FRⅢ appliance treatment of Angel Class Ⅲ malocclusion, the convexity of facial profile was increased, type Ⅲ concave profile tends to be flat, the facial profile of patient become more attractive; the protrusion of upper lip was found, the retrusion of lower lip was also present, the convexity of upper lip was increased.

Key words: FR&#x02162, appliance, Angle Class &#x02162, malocclusion, Crossbite, Cephalometric analysis

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