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
| 作者: |
1董欣,
2王宏伟,
1孟卫东,
1苑玉良,
1李巧磊,
1陈志岭
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: |
王宏伟
Email: hongwei840126@163.com |
| DOI: | 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。
关键词：
骨性Ⅲ类错牙合畸形
正畸治疗
正颌治疗
软组织
A comparison of soft tissues changes in patients with skeletal class Ⅲ malocclusion after orthodontic and surgical treatments
CorrespondingAuthor: WANG Hongwei Email: hongwei840126@163.com
DOI: 10.3978/j.issn.2095-6959.2015.06.043
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.