成人手术辅助快速扩弓与种植钉辅助快速扩弓效率的对比

doi:10.6040/j.issn.1671-7554.0.2018.1230

摘要/Abstract

摘要： 目的评估并比较成年人手术辅助快速扩弓(SARPE)和种植钉辅助快速扩弓(MARPE)的效率。方法选取上颌宽度不足成年人16例,按照扩弓方式分为SARPE 组(n=9)和MARPE组(n=7)。扩弓前及扩弓结束保持3个月后拍摄锥形束CT,数据导入Dolphin软件中行三维重建,并对扩弓前后骨性宽度、支抗牙倾斜度、牙槽高度及厚度进行评价。结果 SARPE组和MARPE组扩弓后骨性宽度明显增加,表现为腭中缝、鼻腔、鼻底、颧上颌缝处宽度增加(P<0.05)。与SARPE组相比,MARPE组上颌第一磨牙处鼻腔宽度变化量较大(P<0.05),其他差异无统计学意义(P>0.05)。SARPE组和MARPE组中支抗牙均发生颊倾(P<0.05)。SARPE组和MARPE组颊侧牙槽高度及厚度扩弓前后差异无统计学意义(P>0.05)。结论 SARPE和MARPE均有明显的骨性扩宽效应,MARPE较前者有一定优势。

关键词: 手术辅助快速扩弓, 腭中缝骨皮质切开, 种植钉辅助快速扩弓, 扩弓效率, 成人扩弓

Abstract: Objective To evaluate and compare the expansion effectiveness between surgically assisted rapid palatal expansion(SARPE)and miniscrew-assisted rapid palatal expansion(MARPE)in adults. Methods A total of 16 adult patients with transverse maxillary deficiency were selected and divided into 2 groups according to the expansion design: SARPE group(n=9)and MARPE group(n=7). CBCT scans were performed before treatment and 3 months after retention. The data obtained were analyzed with Dolphin 11.8. Skeletal expansion, tipping of the anchored teeth, and buccal alveolar thickness and height were measured before and after treatment. Results The skeletal expansion increased significantly after treatment in both groups. There were significant increases in the width of midpalatal suture, nasal cavity, nasal floor, and zygomaticomaxillary suture(P<0.05). Change of nasal cavity width in maxillary first molar area in MARPE group was more significant than that in SARPE group(P<0.05), but there were no significant differences in other changes between the two groups(P>0.05). Both SARPE and MARPE resulted in tipping of the anchored teeth(P<0.05). The differences of the buccal alveolar height and thickness were not statistically significant between the two 山东大学学报 (医学版)56卷12期 -王晓雅,等.成人手术辅助快速扩弓与种植钉辅助快速扩弓效率的对比 \=-groups(P>0.05). Conclusion Both SARPE and MARPE are effective treatment modalities for the correction of maxillary transverse deficiency in adults through separation of the midpalatal suture while MARPE shows certain superiority.

Key words: Surgically assisted rapid palatal expansion, Midpalatal osteotomy, Miniscrew-assisted rapid palatal expansion, Expansion effectiveness, Adult expansion

中图分类号:

R574

王晓雅,李佳谕,郭泾,张立红. 成人手术辅助快速扩弓与种植钉辅助快速扩弓效率的对比[J]. 山东大学学报 (医学版), 2018, 56(12): 55-61.

WANG Xiaoya, LI Jiayu, GUO Jing, ZHANG Lihong. A comparative study of the effectiveness between surgically assisted rapid palatal expansion and miniscrew-assisted rapid palatal expansion in adults[J]. Journal of Shandong University (Health Sciences), 2018, 56(12): 55-61.

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