上海口腔医学 ›› 2014, Vol. 23 ›› Issue (2): 192-195.

• 临床研究 • 上一篇    下一篇

固定正畸结合开窗导萌矫正下颌第一磨牙阻生

蒋建江1, 彭春梅2   

  1. 1.浙江省绍兴市口腔医院 正畸科, 浙江 绍兴 312000;
    2.浙江大学医学院附属口腔医院 综合科, 浙江 杭州 310006
  • 收稿日期:2013-10-09 出版日期:2014-04-20 发布日期:2014-05-21
  • 通讯作者: 蒋建江, E-mail:kqysjjj@163.com
  • 作者简介:蒋建江(1975-), 男, 本科, 主治医师
  • 基金资助:
    浙江省自然科学基金(Y2080253)

Fixed orthodontic treatment combined with surgical fenestration in the treatment of impacted mandibular first molars

JIANG Jian-jiang1, PENG Chun-mei2   

  1. 1.Department of Orthodontics, Shaoxing Stomatological Hospital. Shaoxing 312000;
    2. Department of General Dentistry, Stomatological Hospital Affiliated to Medical College of Zhejiang University. Hangzhou 310006, Zhejiang Province, China
  • Received:2013-10-09 Online:2014-04-20 Published:2014-05-21

摘要: 目的: 探讨采用正畸直丝弓矫治技术矫正下颌第一磨牙阻生的治疗方法, 评估其疗效。方法: 选择8例下颌第一磨牙阻生患者, 采用MBT直丝弓矫治技术治疗。阻生牙开拓足够间隙后, 结合外科开窗导萌牵引第一磨牙萌出。采用SPSS12.0软件包对治疗前、后磨牙升高的距离进行配对t检验。结果: 8例埋伏阻生的第一磨牙全部萌出到正常平面, 平均升高(3.94±0.49) mm, 覆、覆盖正常, 咬合关系良好。X 线片显示阻生磨牙周围牙槽骨生长良好。结论: 正畸治疗结合外科开窗导萌可有效治疗下颌第一磨牙埋伏阻生。

关键词: 第一磨牙, 阻生牙, 开窗导萌, 正畸治疗

Abstract: PURPOSE: To investigate the treatment of impacted mandibular first molars by straight wire appliance technique, and evaluate the effectiveness of treatment. METHODS: Eight patients with first mandibular impacted molars were treated with MBT straight wire appliance. Surgical fenestration was done after sufficient space created. Statistical comparisons were carried out using t test by SPSS 12.0 software package. RESULTS: Eight mandibular impacted molars were brought into occlusal plane (3.94±0.49 mm), and the overbite and overjet were normal. Good occlusion was achieved. X-ray film showed that alveolar bone growth around the molars was good. CONCLUSIONS: Orthodontic treatment combined with surgical fenestration can effectively correct the impacted mandibular first molars.

Key words: First molar, Impacted teeth, Surgical fenestration, Orthodontic treatment

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