单颌和双颌拔牙矫治安氏Ⅱ类1分类错■的疗效比较

郭德胜

DOI：10.16662/j.cnki.1674-0742.2017.23.056

[摘要] 目的 對单颌和双颌拔牙矫治安氏Ⅱ类1分类错■的疗效进行比较。方法 方便选取该院2010年2月—2017年3月收治的50例安氏Ⅱ类1分类错牙合患者，按照患者矫治意愿分为观察组与参考组各25例，其中观察组接受上颌单牙合拔牙矫治方案，参考组接受双颌拔除4个前磨牙矫治方案，分别在治疗前、后观察两组患者X线头影测量结果。 结果 矫治前两组患者U1-FH、U1-AP、H角、UL-E、 LL-E 距离、Z角、SNA、SNB、ANB比较差异无统计学意义（P>0.05）；治疗后两组患者U1-FH、U1-AP、H角、UL-E、 LL-E 距离、Z角指标均出现明显变化（P<0.05），两组患者治疗前、后SNA、SNB、ANB指标均未出现明显变化（P>0.05），观察组患者U1-FH、U1-AP、H角减小程度明显大于参考组（P<0.05），两组患者UL-E距离、H角、Z角治疗后比较差异无统计学意义（P>0.05）；观察组矫治疗程为（22.13±4.53）个月，与参考组的（22.65±5.01）个月比较差异无统计学意义（P>0.05）。 结论 单颌与双颌拔牙矫治安氏Ⅱ类1分类错牙合能够使上前牙内收，使软组织侧貌很大程度改善，然而单颌拔牙矫治方案效果更佳，可在临床推广使用。

[关键词] 单颌拔牙矫治；双颌拔牙矫治；安氏Ⅱ类Ⅰ分类错■

[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）08（b）-0056-03

Comparison of the Efficacy of Single Jaw and Bimaxillary Extraction in the Treatment of Class Ⅱ Division 1 Malocclusion

GUO De-sheng

Department of Stomatology， Donghai Peoples Hospital， Lianyungang， Jiangsu Province， 222300 China

[Abstracts] Objective This paper tries to compare the effects of single and double jaw extraction treatment of class II Division 1 malocclusion. Methods 50 cases of class II division 1 malocclusion from Febuary 2010 to march 2017 were convenient selected and divided into the observation group and the reference group， with 25 cases in each group， according to the treatment methods. The observation group received single maxillary tooth extraction treatment scheme， the reference group received bimaxillary extraction of four premolars， cephalometric results before and after treatment of the two groups respectively were observed. Results U1-FH， U1-AP， UL-E， H angle， Z angle， LL-E distance， SNA， SNB， ANB of patients in the two groups before treatment had no significant difference（P>0.05）； U1-FH， U1-AP， UL-E， H angle， LL-E distance， Z angle index were significantly changed of the two groups after treatment （P<0.05）， SNA， SNB， ANB index were not changed significantly of patients in the two groups before treatment（P>0.05）， U1-FH， U1-AP， H angle of the patients in the observation group were decreased significantly than the reference group（P<0.05）， UL-E distance， H angle， Z angle after treatment of patients in the two groups had no significant difference（P>0.05）； the treatment time for the observation group was（22.13±4.53）months， and the reference group was （22.65±5.01） months， and there was no significant difference （P>0.05）. Conclusion The single and double jaw extraction treatment of class II division 1 malocclusion can make the anterior teeth retraction， the soft tissue profile can be greatly improved， but single maxillary extraction scheme of treatment effect is much better and can be applied in clinical practice.endprint

[Key words] Single jaw tooth extraction； Double jaw tooth extraction； ClassⅡdivision1 malocclusion

安氏Ⅱ类Ⅰ分类错■畸形为口腔正畸科常见病症，矫治难度较大。近年来随着医学技术与生物材料技术的不断发展，安氏Ⅱ类Ⅰ分类错■矫治方法明显增多，然而临床关于是否拔牙存在较大差异[1]。目前临床多采用双颌拔牙矫治方案，而关于单颌拔牙矫治研究尚不多见。为了探讨两种不同矫治方案的临床价值，该研究对该院2010年2月—2017年3月间收治的安氏Ⅱ类Ⅰ分类错■畸形且分别采用单、双颌拔牙矫治的50例患者临床资料进行分析比较，现报道如下。

1 资料与方法

1.1 一般资料

方便选取该院收……