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固定拔牙矫治对成人安氏Ⅱ类2分类患者上气道的影响

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目的 探讨成人安氏Ⅱ类2分类固定拔牙矫治对上气道的影响.方法 选取安氏Ⅱ类2分类患者32例,分为对照组18例,实验组14例,测量矫治前后牙弓宽度、下颌位置及上气道矢状径.结果 术后2组患者各段牙弓宽度增大,对照组上颌尖牙间宽度(UCC)、上颌第一前磨牙间宽度(UPP)、下颌尖牙间宽度(LCC)、下颌第一前磨牙间宽度(LPP)、Pog-N'和Li-PP的差异有统计学意义(P<0.05).2组患者OB、OJ差异有统计学意义(P<0.05).对照组SPP-SPPW与OJ负相关,U-MPW与B-Sv正相关(P<0.05).结论 安氏Ⅱ类2分类在固定拔牙矫治后上气道矢状径增大,上气道与牙弓宽度相关性不大,与下颌位置关系较为密切.
Effects of fixed orthodontic extraction on upper airway in adult of class Ⅱ division 2 malocclusion
Objective To explore the effects of fixed tooth extraction on upper airway in adults of class Ⅱ division 2 malocclu-sion.Methods 32 patients with class Ⅱ division 2 malocclusion were selected and divided into the non-extraction group(18 cases)and the extraction group(14 cases).The arch width,mandibular position and sagittal diameter of upper airway were measured.Results The width of the upper and lower arch of the two groups increased after treatment.There were significant differences in UCC、UPP、LCC、LPP、Pog-N'and Li-PP between the two groups(P<0.05).There was a significant difference in OB and OJ between the two groups(P<0.05).SPP-SPPW was negatively correlated with OJ,and U-MPW and B-S'were positively correlated in non-ex-traction group(P<0.05).Conclusion The sagittal diameter of the upper airway increased in Class Ⅱ division 2 malocclusion patients after fixed extraction correction.The correlation between the upper airway and the width of the dental arch is not significant,but it is closely related to the position of the lower jaw.

Class Ⅱ division 2 malocclusionFixed orthodontic extractionUpper airway

梁蓉、乔虎、张佐、樊永杰

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西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室,陕西西安,710004

西安交通大学口腔医院正畸科,陕西西安 710004

宁夏回族自治区人民医院,宁夏银川 750002

内蒙古医科大学第四附属医院,内蒙古包头 014000

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安氏Ⅱ类2分类 固定拔牙矫治 上气道

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(12)