论著 Original Article

正畸-正颌治疗骨性Ⅲ类错牙合畸形对软组织稳定性的影响探究

Published at: 2015年第35卷第6期

董欣 1 , 王宏伟 2 , 孟卫东 1 , 苑玉良 1 , 李巧磊 1 , 陈志岭 1
1 邢台市第三医院口腔科,河北 邢台 054001
2 河北省眼科医院口腔正畸科,河北 邢台 054001
通讯作者 宏伟 王 Email: hongwei840126@163.com
DOI: 10.3978/j.issn.2095-6959.10.3978/j.issn.2095-6959.2015.06.043
基金:
邢台市科技支撑项目 2014ZC073

摘要

目的:探讨正畸正颌联合治疗骨性Ⅲ类错牙合畸形对软组织的影响。方法:收集2012年1月至2014年1月来我院就诊的骨性Ⅲ类错牙合畸形患者68例,均给予正畸治疗和正颌外科手术,通过X线头颅定位侧位片检测患者矫正前、治疗后3个月、治疗后1年软组织变化。结果:治疗后3月与矫正前比较,除上下唇角外其余项目均有明显或显著的统计学意义(P<0.05);治疗后1年与治疗后3月比较,除下唇基角、面型角、Z角UL、软组织面角和面凸角外其余项目变化均无统计学意义(P>0.05)。结论:正畸正颌联合治疗骨性Ⅲ类错牙合畸形在术后3个月内具有显著疗效,治疗后1年存在轻微复发,但对手术效果无本质影响。


A comparison of soft tissues changes in patients with skeletal class Ⅲ malocclusion after orthodontic and surgical treatments

Abstract

Objective: Investigate the effect of orthodontic treatment combined with orthognathic surgery operation in treatment of skeletal class III malocclusion deformity on bone and soft tissue in patients. Methods: Collected 68 cases of patients accepted treatment in our hospital from January 2012 to January 2014 were given orthodontic treatment and orthognathic surgery operation. Through the X-ray cephalometric detected changes of skeletal and soft tissue before treatment, 3 months and 1 year after operation. Results: Compared with the prior correction, in addition to the angle of up and under lip other projects changed obviously 3 months after operation (P<0.05). Compared with 3 months after treatment, other projects in addition to lower lip base angle, Z angle, UL angle, soft tissue facial angle and facial angle were no significant change (P>0.05). Conclusion: Orthodontic treatment combined with orthognathic surgery operation in treatment of skeletal class III malocclusion deformity have significant curative effect after 3 months after operation, and there is a slight relapse one year after the operation, but no essential influence on the operation effect.


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引用

引用本文: 欣 董, 宏伟 王, 卫东 孟, 玉良 苑, 巧磊 李, 志岭 陈. 正畸-正颌治疗骨性Ⅲ类错牙合畸形对软组织稳定性的影响探究[J]. 临床与病理杂志, 2015, 35(6): 1092-1095.
Cite this article as: DONG Xin, WANG Hongwei, MENG Weidong, YUAN Yuliang, LI Qiaolei, CHEN Zhiling . A comparison of soft tissues changes in patients with skeletal class Ⅲ malocclusion after orthodontic and surgical treatments[J]. Journal of Clinical and Pathological Research, 2015, 35(6): 1092-1095.