PASS技术治疗非拔牙安氏II1类临界病例的疗效分析
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赛地热娅?阿不力米提(1989.1-),女,新疆托克逊县人,硕士研究生,主治医师,主要从事口腔正畸方面工作

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R783.5


Analysis of the Efficacy of PASS Orthodontic Technique in the Treatment of Borderline Cases of Angle Class Ⅱ Division 1 Malocclusion
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    摘要:

    目的 探究生理性支抗(PASS)矫治技术在安氏Ⅱ1类临界病例中的应用效果。方法 选择2020年 1月-2023年12月新疆医科大学第二附属医院口腔科收治的29例安氏Ⅱ1分类临界患者为研究对象,随机分 为拔牙组(n =14)和非拔牙组(n =15)。拔牙组拔除4颗第一双尖牙后进行矫治,非拔牙组不进行拔牙操 作直接进行矫治,两组均采用PASS矫治技术,观察矫治效果,并比较两组颌面部软硬组织指标及上颌前 牙唇/舌侧牙槽骨厚度。结果 29例患者矫治后上下牙列排齐整平,前牙覆牙合、覆盖均在正常范围内,后牙 咬合关系良好,CBCT显示上下前牙牙根移动控制在牙槽骨内,无骨开裂、骨开窗等现象。拔牙组矫治后 UL-EP、LL-EP高于非拔牙组,差异有统计学意义(P<0.05);两组SNA、SNB、ANB、Wits值、FMA、 U1-NA、L1-NB、NLA、H角比较,差异无统计学意义(P >0.05);拔牙组矫治后上颌前牙唇侧根尖 处、唇侧3/5处牙槽骨厚度均高于非拔牙组,差异有统计学意义(P <0.05);两组上颌前牙舌侧根尖处、 舌侧3/5处牙槽骨厚度比较,差异无统计学意义(P >0.05)。结论 PASS矫治技术治疗安氏Ⅱ1类临界病例 的效果确切,通过拔牙或非拔牙方式均可获得良好的矫治效果,并将牙根控制在牙槽骨内,达到前牙正常 覆牙合、覆盖,但拔牙矫治后患者上下唇突度的改变较非拔牙矫治更为理想。

    Abstract:

    Objective To explore the effect of physiologic anchorage Spee-wire system (PASS) orthodontic technique in the treatment of borderline cases of Angle class Ⅱ division 1 malocclusion. Methods From January 2020 to December 2023, 29 borderline patients with Angle class Ⅱ division 1 malocclusion admitted to the Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University were selected as the research subjects, and they were randomly divided into extraction group (n =14) and non-extraction group (n =15). The extraction group was given orthodontic treatment after extracting 4 first bicuspids, and the non-extraction group was directly given orthodontic treatment without extraction operation. Both groups were given PASS orthodontic technique, and the orthodontic effects were observed, while the soft and hard tissue indexes of maxillofacial region and the labial/lingual side alveolar bone thicknesses of maxillary anterior teeth were compared between the two groups. Results After orthodontic treatment, the upper and lower dentitions of 29 patients were aligned and leveled, the overbite and overjet of anterior teeth were within the normal range, the occlusal relationship of posterior teeth was good, and CBCT showed that the root movement of the upper and lower anterior teeth was controlled in the alveolar bone, without bone dehiscence,bone fenestration and other phenomena. After orthodontic treatment, the UL-EP and LL-EP of the extraction group were higher than those of the non-extraction group, and the differences were statistically significant (P <0.05). There was no significant difference in the SNA, SNB, ANB, Wits value, FMA, U1-NA, L1-NB, NLA and H-angle between the two groups (P >0.05). After orthodontic treatment, the labial side root apices of maxillary anterior teeth and the labial side 3/5 alveolar bone thickness in the extraction group were higher than those in the non-extraction group, and the differences were statistically significant (P <0.05). There was no significant difference in the lingual side root apices and lingual side 3/5 alveolar bone thickness between the two groups (P >0.05). Conclusion The effect of PASS orthodontic technique in the treatment of borderline cases of Angle class Ⅱ division 1 malocclusion is exact, and it can obtain good orthodontic effect by either extraction or non-extraction method, which can control the teeth roots in the alveolar bone, and achieve the normal the overbite and overjet of anterior teeth, but the change of the upper and lower lip position after extraction orthodontic treatment is more ideal than that after non-extraction orthodontic treatment.

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赛地热娅?阿不力米提,妮呄热?西尔买买提,吾斯曼江?依明,等. PASS技术治疗非拔牙安氏II1类临界病例的疗效分析[J].医学美学美容,2025,34(2):26-32.

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  • 在线发布日期: 2025-02-18