靴形横腭杆在上颌第二磨牙正锁牙合矫正中的应用
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韩洪华(1995.7-),女,吉林延吉人,硕士,医师,主要从事口腔正畸方面研究

通讯作者:

车锋哲(1970.10-),男,吉林延吉人,硕士,主任医师,主要从事口腔正畸方面研究

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R783.5

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Application of Boot-shaped Transverse Palatal Bar in the Correction of Scissors Crossbite of the Maxillary Second Molar
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    摘要:

    目的 分析在上颌第二磨牙正锁牙合矫正中应用靴形横腭杆的效果。方法 选取2019年9月-2023年12月在延边大学附属医院口腔科接受正畸治疗的40例单侧上颌第二磨牙正锁牙合患者,按随机数字表法分为对照组和干预组,各20例。对照组采用传统交互牵引矫治,干预组采用靴形横腭杆矫治,比较两组模型测量结果、头影测量结果、矫治时间。结果 两组治疗前后WU6、WU6’、LU6比较,差异无统计学意义(P>0.05);干预组ΔWU6小于对照组(P<0.05);两组ΔWU6’、ΔLU6比较,差异无统计学意义(P>0.05);干预组治疗后WU7高于对照组,WU7’低于对照组(P<0.05);干预组ΔWU7、ΔWU7’高于对照组(P<0.05);两组治疗前后SN-MP角、PP-MP角及U6-PP距比较,差异无统计学意义(P>0.05);干预组ΔSN-MP角低于对照组(P<0.05);两组ΔPP-MP角、ΔU6-PP距比较,差异无统计学意义(P>0.05);干预组矫治时间短于对照组(P<0.05)。结论 靴形横腭杆矫治上颌第二磨牙正锁牙合的效果良好,与传统交互牵引相比,矫治时间更短,支抗控制稳定。

    Abstract:

    Objective To analyze the effect of boot-shaped transverse palatal bar in the correction of scissors bite of the maxillary second molar. Methods A total of 40 patients with unilateral scissors bite of the maxillary second molar who received orthodontics treatment in the Department of Stomatology, Affiliated Hospital of Yanbian University from September 2019 to December 2023 were selected. According to the random number table method, they were divided into the control group and the intervention group, with 20 patients in each group. The control group was treated with traditional cross-elastics traction, and the intervention group was treated with boot-shaped transverse palatal bar. The model measurements, cephalometric measurements and treatment duration were compared between the two groups. Results There were no statistically significant differences in WU6, WU6’ and LU6 between the two groups before and after treatment (P>0.05). The ΔWU6 in the intervention group was smaller than that in the control group (P<0.05). There were no statistically significant differences in ΔWU6’ and ΔLU6 between the two groups (P>0.05). After treatment, the WU7 in the intervention group was higher than that in the control group, while the WU7’ was lower than that in the control group (P<0.05). The ΔWU7 and ΔWU7’ in the intervention group were higher than those in the control group (P<0.05). There were no statistically significant differences in SN-MP angle, PP-MP angle and U6-PP distance between the two groups before and after treatment (P>0.05). The ΔSN-MP angle in the intervention group was lower than that in the control group (P<0.05). There were no statistically significant differences in ΔPP-MP angle and ΔU6-PP distance between the two groups (P>0.05). The treatment duration in the intervention group was shorter than that in the control group (P<0.05). Conclusion Boot-shaped transverse palatal bar has a good effect in the correction of scissors crossbite of the maxillary second molar. Compared with traditional cross-elastics traction, it has shorter treatment duration and stable anchorage control.

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韩洪华 ,仲绍奇,等.靴形横腭杆在上颌第二磨牙正锁牙合矫正中的应用[J].医学美学美容,2025,34(24):50-53.

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  • 在线发布日期: 2026-01-22
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