首页|MSE骨性扩弓对成人上颌横向发育不足扩弓效应的CBCT测量分析

MSE骨性扩弓对成人上颌横向发育不足扩弓效应的CBCT测量分析

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目的:利用CBCT测量分析上颌骨性扩弓(maxillary skeletal expander,MSE)治疗前后在腭中缝扩开以及牙齿倾斜的改变,评估成人MSE的疗效以及对牙性效应的影响.方法:选择 10 例上颌骨横向发育不足成人病例(男性 4 例,女性 6 例),平均年龄(27.11±4.93)岁,均采用MSE扩弓器治疗,治疗后使上颌牙弓宽度与下颌牙弓宽度匹配,分别于术前、术后拍摄CBCT,测量相关骨性和牙性指标.结果:10 例患者MSE骨性扩弓后牙弓宽度均明显增加(P<0.05);当左右第一磨牙中央窝宽度增加超过 4.33 mm时,其扩弓前、后颊向倾斜角度改变明显(P<0.05).结论:当上颌第一磨牙宽度不调在 0~4.33 mm范围时,MSE扩弓骨性效应显著.
The effect of CBCT analysis in MSE expansion on adult maxillary transverse deficiency
Objective:To evaluate the effect of maxillary skeletal expander(MSE)on palatine suture extension and teeth axis inclination before and after treatment via CBCT analysis.Method:A total of 10 adult patients(4 males and 6 fe-males)suffer from maxillary transverse deficiency with an average age of(27.11±4.93)years were treated with MSE appli-ance to matching the arch width between maxillary and mandibular.CBCT was applied to measure the related bone and dental indexes respectively.Results:The width of maxilla arch was increased significantly when treated with MSE compared to the initiate condition(P<0.05).When the width of the central fossa of maxillary first molar increased more than 4.33 mm,the buccal inclination of first molar axis changed significantly(P<0.05).Conclusion:The effect of MSE is significant when the transverse discrepancy of widths of maxillary first molar and mandibular first molar in the range of 0~4.33 mm.

AdultMaxillary transverse deficiencyMaxillary skeletal expanderCone-beam computed tomography(CBCT)

晏瑞、刘冬梅、郭长刚、曹猛、卢晓琳

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口颌系统重建与再生全国重点实验室,国家口腔疾病临床医学研究中心,陕西省口腔疾病临床医学研究中心,第四军医大学口腔医院正畸科 陕西 西安 710032

成人 上颌骨横向发育不足 骨性扩弓(MSE) 锥形束计算机断层扫描(CBCT)

第四军医大学口腔医院

LX2021-329

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(10)