口内支抗组合在安氏Ⅰ类错矫治中的应用研究
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A CLINIC STUDY OF COMPREHENSIVE INTRA-ORAL ANCHORAGE AND ITS EFFECTS ON THE CORRECTION OF CLASS I MALOCCLUSION
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    目的 评价口内支抗组合在安氏Ⅰ类错矫正治疗中的支抗控制效果。方法 选择1 8岁 5个月至 2 3岁 7个月的安氏Ⅰ类错患者 1 5例 ,均采用横腭弓 ,上颌第二恒磨牙治疗一开始就纳入支抗范畴 ,以及尖牙向后结扎三种组合来增强支抗。通过治疗前后X线头影片分析其支抗控制效果。结果 Ptm -6与So -6AP虽有增大 ,但磨牙前移不到拔牙间隙的 1 /6,而且冠根移动量几乎相等 ,支抗磨牙无近中倾斜 ;6-PP、MP -FH及ANS -Me治疗前后均无显著性改变。结论 三种口内支抗组合能高效地稳定支抗磨牙

    Abstract:

    Objective To assess the efficiency of intra oral comprehensive anchorage on the reinforcement of stability of molar segments. Methods 15 adolescents with Class I severe anterior crowding were included for the trial. The comprehensive anchorage package, which consisted of the transpalatal arch(TPA), banding of second molars and the canine laceback, was adopted simultaneously to maintain the integrity of molar relations. Quantitative cephalometric analysis was conducted for the evaluation of the anchorage efficacy. Results Minimal mesialization of anchorage molars was verified by evaluation measurements of Ptm 6, So 6 AP ; 6 PP,MP FH and ANS Me, indicating a strong consolidation of molar anchorage.Conclusion A comprehensive employment of intra oral anchorage reinforcement comprised by TPA, second molar banding and canine laceback might lead to a sufficient resource for anchorage control.

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陈荣敬,沈刚.口内支抗组合在安氏Ⅰ类错矫治中的应用研究[J].医用生物力学,2003,18(3):168-172

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