种植支抗配合不同矫治器治疗安氏Ⅱ类错牙合畸形患者的临床效果比较

doi:10.3969/j.issn.1671-7171.2026.03.008

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摘要 【目的】比较种植支抗配合不同矫治器治疗安氏Ⅱ类错牙合畸形患者的临床效果。【方法】选取2020年1月至2025年1月在本院正畸科就诊的100例安氏Ⅱ类错牙合畸形患者,根据治疗方法不同分为A组(采用隐形矫治器+下颌种植支抗配合弹性牵引进行矫治,n=30)、B组(采用隐形矫治器+颌间牵引支抗进行矫治,n=30)、C组(采用固定矫治器+颧牙槽嵴支抗进行矫治,n=20)、D组(采用固定矫治器+上颌第二前磨牙及第一磨牙之间种植支抗进行矫治,n=20)。比较四组患者治疗后1 d、3 d和5 d的疼痛情况[视觉模拟评分法(VAS)评分],以及治疗6个月后的上颌第一磨牙、第二磨牙移位表达率及磨牙远移距离、移动速度和治疗前后下颌关节参数、牙周指标。【结果】治疗后1 d、3 d和5 d,B组患者术后VAS评分低于其他三组(P<0.05)。治疗6个月后,A组、C组磨牙移位表达率、磨牙远移距离大于B组、D组,C组、D组移动速度快于A组、B组(P<0.05)。治疗6个月后,A组、B组关节上间隙大于C组、D组,关节前间隙均小于C组、D组(P<0.05);A组菌斑指数(PLI)、探诊深度(SPD)、牙龈指数(GI)、龈沟出血指数(SBI)低于其他三组,差异均有统计学意义(P<0.05)。【结论】隐形矫治器配合下颌种植支抗与固定矫治器配合颧牙槽嵴支抗均能有效增加磨牙远移距离;隐形矫治器配合颌间牵引能更有效地减轻患者术后疼痛,隐形矫治器在改善牙周健康指标方面显示出优势。

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	梁姝恒
	冯慧

关键词 ：错牙合, 正畸学,矫正, 正畸保持器, 治疗结果

Abstract：【Objective】 To compare the clinical effects of implant anchorage combined with different appliances in the treatment of Angle Class Ⅱ malocclusion. 【Methods】 A total of 100 patients with Angle Class Ⅱ malocclusion who visited the Department of Orthodontics in our hospital from January 2020 to January 2025 were selected and divided into four groups according to different treatment methods: group A (treated with invisible appliance + mandibular implant anchorage combined with elastic traction, n=30), group B (treated with invisible appliance + intermaxillary traction anchorage, n=30), group C (treated with fixed appliance + zygomatic alveolar crest anchorage, n=20), and group D (treated with fixed appliance + implant anchorage between the maxillary second premolar and first molar, n=20). Pain levels [visual analogue scale (VAS) score] at 1 d, 3 d and 5 d after treatment, as well as the expression rate of maxillary first and second molar displacement, distal movement distance and movement speed of molars at 6 months after treatment, temporomandibular joint parameters and periodontal indexes before and after treatment were compared among the four groups. 【Results】 At 1 d, 3 d and 5 d after treatment, the VAS score in group B was lower than those in the other three groups. At 6 months after treatment, the molar displacement expression rate and distal movement distance in group A and group C were greater than those in group B and group D, and the movement speed in group C and group D was faster than that in group A and group B (P<0.05). At 6 months after treatment, the superior joint space in group A and group B was larger than that in group C and group D, while the anterior joint space was smaller than that in group C and group D. The plaque index (PLI), probing depth (SPD), gingival index (GI) and sulcus bleeding index (SBI) in group A were lower than those in the other three groups, with statistically significant differences (P<0.05). 【Conclusion】 Both invisible appliance combined with mandibular implant anchorage and fixed appliance combined with zygomatic alveolar crest anchorage can effectively increase the distal movement distance of molars. Invisible appliance combined with intermaxillary traction can more effectively relieve postoperative pain in patients, and invisible appliances show advantages in improving periodontal health indicators.

Key words： Malocclusion Orthodontics, Corrective Orthodontic Retainers Treatment Outcome

收稿日期: 2025-09-19

中图分类号:

R781.2

通讯作者: * E-mail:cindyfeng2024@163.com

引用本文:

梁姝恒, 冯慧. 种植支抗配合不同矫治器治疗安氏Ⅱ类错牙合畸形患者的临床效果比较[J]. 医学临床研究, 2026, 43(3): 379-382.
LIANG Shuheng, FENG Hui. Clinical Effect Comparison of Implant Anchorage Combined with Different Appliances in the Treatment of Angle Class Ⅱ Malocclusion. JOURNAL OF CLINICAL RESEARCH, 2026, 43(3): 379-382.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.03.008 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I3/379

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