摘要
目的用PAR指数评价骨性Ⅲ类错畸形非拔牙矫治及不同拔牙方式的治疗效果,探讨影响正畸治疗效果的相关因素。方法收集治疗完成的骨性Ⅲ类错畸形的患者152例,通过PAR指数的评价分析非拔牙矫治、拔前磨牙矫治、拔磨牙矫治、拔下切牙矫治对治疗效果的影响。结果拔前磨牙组和拔磨牙组极大改善程度分别为95.92%和93.75%,非拔牙组和拔下切牙组极大改善程度分别82.98%和75.00%。结论 (1)拔前磨牙矫治比非拔牙矫治取得了更大的改善程度,尤其在牙齿排列和中线调整方面显示了充分的优势。(2)减数下切牙的拔牙模式应慎重使用,在确认拔除一个下切牙可以使Bolton指数接近或达到正常范围时,可选择该治疗模式。
Objective The treatment effect is evaluated by PAR index about the bone malocclusion of the class Ⅲ by nonextraction treatment and different extraction ways. The orthodontic result affected by the related factors will be discussed. Methods: 152 orthodontic cases already finished are collected. The treatment effect is evaluated and analyzed by PAR index about different ways by non-extraction, premolars extracted, molars extracted, and mandibular incisors extracted. Results The each group data is 95.92% and 93.75%. The percentage improved by nonextracting group and mandibular incisors extracted group is respectively 82.98% and 75.00%. Conclusion:(1) Orthodontic treatment by premolars extracted has better improvement degree than by non-extraction, particularly demonstrating a full advantage in teeth array and midline adjustment. (2)The model by extracting mandibular incisors should be used cautiously. It shouldn't be chosen unless it can be confirmed that extracting a mandibular incisor will make Bolton index reach or near the normal range.
出处
《医学研究与教育》
CAS
2012年第1期31-35,共5页
Medical Research and Education
基金
保定市科技局2007年保定市科学技术与发展指导计划项目(07ZF030)