姚麗霞,劉杰,李君,陳保興
(聊城市人民醫(yī)院,山東聊城252000)
1.3 觀察指標(biāo) 治療前和治療結(jié)束均常規(guī)拍攝X線頭顱定位側(cè)位片,所有頭影測量片的定點(diǎn)和測量均由作者完成,每個測量點(diǎn)均定點(diǎn)2次,每次相隔2周,然后取其平均值。比較矯治前后蝶鞍點(diǎn)鼻根點(diǎn)上頜骨基點(diǎn)角(SNA,代表上頜骨相對于前顱底的位置關(guān)系)、蝶鞍點(diǎn)鼻根點(diǎn)下頜骨基點(diǎn)角(SNB,代表下頜骨相對于前顱底的位置關(guān)系)、ANB(代表上、下頜基骨相互間的位置關(guān)系)、前后鼻棘點(diǎn)的連線與前顱底平面的角(PP-SN,代表腭平面相對于前顱底的位置關(guān)系)、前鼻棘點(diǎn)與翼上頜裂點(diǎn)的連線(ANS-Ptm,代表上頜骨的長度)、下頜平面與前顱底平面的角(MP-SN,代表下頜骨的陡度)及前鼻棘點(diǎn)、頦下點(diǎn)的連線與鼻根點(diǎn)、頦下點(diǎn)連線的比值、(ANS-Me/N-Me,代表上面高與下面高的比值)、面凸角(Ns-Sn-Pos,代表上下唇的凸面)和上唇突點(diǎn)至審美平面的距離(UL-E,代表上唇突度)、下唇突點(diǎn)至審美平面的距離(LL-E,代表上唇突度)。
治療前后SNA、SNB、ANB、SN-PP、MP-SN、ANS-Ptm、U1-SN、L1-MP、ANS-Me/N-Me、Ns-Sn-Pos、UL-E、LL-E比較見表1。
表1 兩組治療前后SNA、SNB、ANB、SN-PP、MP-SN、ANS-Ptm、U1-SN、L1-MP、ANS-Me/N-Me、Ns-Sn-Pos、UL-E、LL-E比較
注:與本組治療前比較,﹡P<0.05;﹡﹡P<0.01;與對照組治療后比較,cP<0.05。
參考文獻(xiàn):
[1] 徐寶華.骨性前牙反HE的前方牽引治療[J].口腔正畸學(xué),2001,8(3):133.
[2] Kaya D, Kocadereli I, Kan B. Effects of facemask treatment anchored with miniplates after alternate rapid maxillary expansions and constrictions; a pilot study[J]. Angle Orthod, 2011,81(4):639-646.
[3] Nguyen T, Cevidanes L, Cornelis MA. Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2011,140(6):790-800.
[4] Sar C, Arman-ozclrplcl A, Uckan S. Comparative evaluation of maxillary protraction with or without skeletal anchorage[J]. Am J Orthod Dentofacial Orthop, 2011,139(5):636-649.
[5] De Clerck EE, Swennen GR. Success rate of miniplate anchorage for bone anchored maxillary protraction[J]. Angle Orthod, 2011,81(6):1010-1013.
[6] Nguyen T, Cevidanes L, Cornelis MA. Three-dimensional assessment of maxillary changes associated with bone anchored maxillary protraction[J]. Am J Orthod Dentofacial Orthop, 2011,140(6):790-798.
[7] Solano-Mendoza B, Iglesias-Linares A, Yanez-Vico RM. Maxillary protraction at early ages. The revolution of new bone anchorage appliances[J]. Clin Pediatr Dent, 2012,37(2):219-229.
[8] Lee NK, Baek SH. Stress and displacement between maxillary protraction with miniplates placed at the infrazygomatic crest and the lateral nasal wall: a 3-dimensional finite element analysis[J]. Am J Orthod Dentofacial Orthop, 2012,141(3):345-351.
[9] Coscia G, Addabbo F, Peluso V. Use of intermaxillary forces in early treatment of maxillary deficient class III patients: results of a case series[J]. J Craniomaxillofac Surg, 2012,40(8):350-354.
[10] Sar C, Sahinoglu Z, Ozcirpici AA. Dentofacial effects of skeletal anchored treatment modalities for the correction of maxillaryretrognathia[J]. Am J Orthod Dentofacial Orthop, 2014,145(5):553-554.
[11] Prcger TM, Brochhagen HG, Mischkowski R. Assessing bone volume for orthodontic miniplate fixation belo the maxillary frontal process[J]. J Orofac Orthop, 2014,75(5):399-408.
[12] Zhang YW, Shen G. The effects of maxillary protraction treatment with rapid maxillary expansion for skeletal Ⅲ [J].Shanghai Kou Qiang Yi Xue, 2016,25(3):327-333.
[13] 羅俊,何平華,劉翔,等.上頜前牽引治療恒牙早期骨性Ⅲ類畸形前后的三維測量對比[J].南昌大學(xué)學(xué)報(醫(yī)學(xué)版),2017,57(4):32-35,39.
[14] 王曉譽(yù),賀佳.骨種植釘上頜前牽引和支架上頜牽引的比較研究[J].齊齊哈爾醫(yī)學(xué)院學(xué)報,2014,35(24):3600-3601.