黃海燕

425000湖南省永州市中心醫(yī)院

黃海燕

425000湖南省永州市中心醫(yī)院

目的：分析治療因吐舌習(xí)慣造成的患者前牙開合并牙齦縱裂的臨床有效措施。方法：收治前牙開合并牙齦縱裂患者12例，在相應(yīng)的檢查后制定針對性的矯形方案，然后應(yīng)用直絲弓矯治器進行矯正，分析治療效果。結(jié)果：患者經(jīng)矯正治療后，牙開消失，咬合關(guān)系恢復(fù)正常，治療時長(21.98±7.92)個月，同時患者的牙周疾病得到改善9例。結(jié)論：經(jīng)全面地診斷與針對性的矯形措施能有效地治療前牙開疾病，恢復(fù)牙齒的正常咬合，同時經(jīng)矯正過程中的正畸力可逐漸調(diào)整上頜骨與下頜骨的相對位置。

前牙開；直絲弓矯治器；咬合關(guān)系

資料與方法

方法：對全部患者均在相應(yīng)的模型、X線檢查關(guān)節(jié)、測量頭影后制定針對性的矯形方案，然后應(yīng)用直絲弓矯治器進行矯正。首先，如患者存在后牙反，可應(yīng)用活動擴弓器調(diào)節(jié)，對吐舌習(xí)慣應(yīng)加舌屏糾正；如患者牙齒存在擁擠現(xiàn)象，可適當拔除中后位置的牙齒，對于患者的下頜牙弓則用固定矯齊。然后，對患者的上頜牙弓實施固定性地矯正，糾正偏離的頜中線位置，可將種植釘安于患者的頜骨頰棚部位進行適當輔助措施。對弓絲可選用適當規(guī)格的鎳鈦絲以及不銹鋼絲。治療結(jié)束，分析患者的治療效果與治療時長和顳下頜關(guān)節(jié)紊亂病情況。

結(jié)果

討論

綜上所述，全面地診斷與采用直絲弓矯治器的針對性的矯形措施能有效地治療前牙開疾病，恢復(fù)牙齒的正常咬合，同時矯正過程中的正畸力可逐漸調(diào)整上頜骨與下頜骨的相對位置，值得臨床廣泛應(yīng)用。

[1]Koczorowski M,Gedrange T,Koczorowski R, et al.Changes of oral sensibility in subjects with partial anterior open bite and the incorrect position of the tongue[J].Annals of anatomy:Anatomischer Anzeiger:official organ of the Anatomische Gesellschaft,2012,194(2): 220-223.

[2]尋春雷,曾祥龍.微螺釘種植體支抗壓低磨牙矯治前牙開(牙合)[J].中華口腔正畸學(xué)雜志,2010,17(3):163-167.

[3]Adelina MF,Donald RJ,Dale SB.Long-term stability of anterior open-bite closure with bilateral sagittal split osteotomy[J].American Journal of Orthodontics and Dentofacial Orthopedics,2012,142(6):792-800.

[4]Hamdan AM,Singh V,Rock W,et al.Perceptions of dental aesthetics of ClassⅢand anterior open bite malocclusions:A comparison between 10-to 11-year-old schoolchildren and orthodontists[J].Angle Orthodontist, 2012,82(2):202-208.

[5]劉建英,韋佳黛,莫水學(xué),等.骨性Ⅱ類前牙開牙合不同垂直骨面型磨牙高度與切牙代償?shù)难芯縖J].臨床口腔醫(yī)學(xué)雜志,2015, (4):227-228.

[6]袁旭,顏雨春,韓曉蘭,等.微種植體支抗和多曲方絲弓技術(shù)治療成人前牙開(牙合) [J].安徽醫(yī)科大學(xué)學(xué)報,2011,46(5):490-493.

[7]曾琳,費曉東.前牙開(牙合)伴牙齦縱裂病例的治療體會[J].廣東牙病防治,2013,21 (10):551-555.

Study on the treatment of patients with anterior open bite and longitudinal crack on the gum caused by long-term tongue thrusting

Huang Haiyan
Yongzhou Central Hospital of Hunan Province 425000

Objective:To analyze clinical effective treatment measures of patients with anterior open bite and longitudinal crack on the gum caused by long-term tongue thrusting.Methods:12 patients with anterior open bite and longitudinal crack on the gum were selected.We made targeted corrective action after appropriate inspection,and then used straight wire appliance to correct, then analyzed the therapeutic effect.Results:After orthodontic treatment,the anterior open bite disappeared and the occlusal relationship returned to normal,and the duration of treatment were(21.98±7.92)months;at the same time,periodontal disease was improved in 9 cases.Conclusion:A comprehensive diagnosis and targeted measures can be effective in the treatment of anterior open bite disease,restore the normal occlusion of the teeth,at the same time,the relative position of the maxilla and mandible can be adjusted by the orthodontic force.

Anterior open bite;Straight wire appliance;Occlusal relation

10.3969/j.issn.1007-614x.2017.12.22