骨支抗前方牵引矫治生长发育期骨性Ⅲ类错(牙合)畸形的研究进展OA
Development of bone-anchored maxillary protraction for the orthopedic treatment of class Ⅲ malocclusion in growing patients
面罩前方牵引装置是矫治生长发育期伴上颌发育不足的骨性Ⅲ类错(牙合)畸形的常用矫治器.近年来,骨支抗前方牵引技术包括骨支抗联合面罩前方牵引和骨支抗联合Ⅲ类颌间牵引的应用显著提高了上颌骨前移的骨性效应,减少了牙齿代偿,能够有效改善面中部凹陷,在替牙列晚期和恒牙列早期的患者中表现出良好的临床效果.此外骨支抗联合Ⅲ类颌间牵引还对控制垂直向高度表现出一定优势.本文对骨支抗前方牵引的类型选择、是否需要联合横向扩弓、治疗时机以及长期疗效等方面的研究进展进行综述,并探讨其未来的发展方向.
The facemask is the common appliance for the treatment of skeletal class Ⅲ patients with maxillary retru-sion.Bone-anchored maxillary protraction(BAMP)appliances have recently been used to overcome the limitations of tooth-borne appliances in the interceptive treatment of class Ⅲ malocclusions.BAMP has demonstrated promising initial results,attributed to its potential to offer great skeletal changes with less unwanted displacement of dentition during the late mixed dentition and early permanent dentition stages.BAMP therapy techniques significantly improve the soft tissue profile,which leads to an improvement of the concave profile.Moreover,BAMP protocol with class Ⅲ elastics has shown certain advantages in controlling vertical skeletal pattern.This work aims to review the research progress in the se-lection of BAMP protocol,necessity of combining transverse arch expansion,optimal treatment timing,and long-term treatment outcomes and explore its future development.
于澳;韩光丽
口颌系统重建与再生全国重点实验室 口腔生物医学教育部重点实验室 口腔医学湖北省重点实验室武汉大学口腔医学院 武汉大学口腔医院正畸二科 武汉 430079口颌系统重建与再生全国重点实验室 口腔生物医学教育部重点实验室 口腔医学湖北省重点实验室武汉大学口腔医学院 武汉大学口腔医院正畸二科 武汉 430079
医药卫生
骨支抗前方牵引上颌发育不足骨性Ⅲ类错(牙合)畸形
bone anchoragemaxillary protractionmaxillary hypoplasiaskeletal class Ⅲ malocclusion
《国际口腔医学杂志》 2026 (1)
19-25,7
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