FR-Ⅲ矫治功能性前牙反(牙合)的骨面型反应OA
Skeletal pattern responses to FR-Ⅲ appliance treatment in functional anterior crossbite patients
目的:比较 FR-Ⅲ型矫治器对不同垂直骨面型青少年功能性前牙反(牙合)的骨面型反应.方法:回顾性纳入功能性前牙反(牙合)患者 62 例,按垂直骨面型分为低角、均角、高角组,均行 FR-Ⅲ矫治;采用 Dolphin Imaging 测量治疗前(T1)和治疗后(T2)头影测量指标,分别评估各组的前后变化.结果:各组治疗后Ⅲ类关系均改善(P<0.05).低角组以上前牙代偿为主,垂直向及软组织变化较小;均角组矢状向改善显著,并见下颌顺时针旋转及侧貌指标改善;高角组以下颌后下旋转及面高增加为主,上前牙唇倾明显.结论:FR-Ⅲ型矫治器可改善青少年功能性Ⅲ类错(牙合)的颌骨关系,不同垂直骨面型的反应模式不同,可用于临床分型管理与疗效预判.
Objective:To compare vertical facial pattern-dependent responses to Fränkel III(FR-III)therapy in ado-lescents with functional anterior crossbite.Methods:Patients with functional anterior crossbite(n=62)were retrospectively categorized into low-,average-,or high-angle groups according to vertical skeletal pattern,and all received FR-III treatment.Pre-(T1)and post-treatment(T2)lateral cephalometric variables were measured using Dolphin Imaging,and T1-T2 changes were evaluated separately within each group.Results:Class III relationships improved in all groups(P<0.05).The low-angle group showed mainly maxillary incisor compensation with minimal vertical and soft-tissue changes.The average-angle group exhibited marked sagittal improvement with mandibular clockwise rotation and profile improvement.The high-angle group showed clockwise rotation with increased anterior lower facial height and pronounced maxillary incisor proclination.Conclu-sion:FR-III improves maxillomandibular relationships in functional Class III malocclusion,with distinct response patterns across vertical facial types.
YAN LINA;SHIM SANGBEOM;林沅佑;赵立星
口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正畸科 四川 成都 610041口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正畸科 四川 成都 610041口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正畸科 四川 成都 610041口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院正畸科 四川 成都 610041
医药卫生
FR-Ⅲ功能性前牙反(牙合)垂直骨面型
FR-ⅢFunctional anterior crossbiteVertical facial pattern
《临床口腔医学杂志》 2026 (5)
289-292,4
爱齐科研专项基金(AQKY22-2-2)
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