错畸形矫治器治疗对颌骨生长发育的影响

Effect of malocclusion appliance therapy on maxillary growth

背景:口腔常用的矫治器对早期错畸形治疗效果近年来研究较为深入,其中对矫治器分类、作用机制、适应证等方面研究都有很大进展。目的:对国内外早期治疗安氏Ⅲ类错畸形的常用矫治器及新进展作一综述。方法:应用计算机检索CNKI和Pubmed数据库中2003-01/2011-10关于矫治器治疗错畸形的文章,在标题和摘要中以"安氏Ⅲ类,早期治疗,矫治器"或"Class Ⅲ malocclusion,early treatment,orthodontic device"为检索词进行检索。最终选择安氏Ⅲ类错畸形早期治疗的36篇文献进行综述。结果与结论:临床常用的矫治器主要有功能性矫治器,矫形矫治器以及广泛应用的机械性活动矫治器,经大量临床实践和研究证实,其矫治器治疗早期错畸形有很好的临床效果,但仍存在一些不足。临床上应根据患者的年龄及错畸形的程度选择合适的矫治器尤为重要。

BACKGROUND： For the past few years, the studies on effect of common oral appliance device have been down, in which the appliance classification, mechanism, indications and others are in great developments. OBJECTIVE： To summarize the situation and progression about common oral appliance in the early treatment of class Ill malocclusion at home and abroad. METHODS： A computer based search of CNKI and PubMed （2003-01/2011-10） was perform to retrieve the related articles about the treatment of malocclusion. The keywords were ＂class II｜ malocclusion, early treatment, orthodontic device＂ in Chinese and English. Then 36 articles related to early treatment of class I]I malocclusion were selected to write this review. RESULTS AND CONCLUSION： Common appliances include functional appliances, orthopedic appliances, and widely used removable appliances. The oral appliances have better effects on the early treatment of class Ill malocclusion, but there are still some shortcomings. It is very important to select appliances based on patient＇s age and degree of malocclusion.