吉林大学学报（医学版）2025，Vol.51Issue(1)：208-214,7.DOI:10.13481/j.1671-587X.20250125
隐形矫治器联合微种植钉治疗成年人骨性Ⅱ类错(牙合)1例报告及文献复习
Treatment of adult skeletal Class Ⅱ malocclusion with invisible orthodontic appliances combined with miniscrews:A case report and literature review
摘要
Abstract
Application of invisible orthodontic appliances in the treatment of adult skeletal malocclusions,especially in the cases requiring tooth extraction,has always been one of the challenges in invisible orthodontic technology.Our department received a 30-year-old female patient in March 2019;the patient presented with complaints of"crooked teeth and protruding mouth,"seeking orthodontic treatment to improve her facial profile.The patient had bilateral distal molar relationship,proclined maxillary and mandibular anterior teeth,and deep overjet;radiographic examination revealed an ANB angle of 6.2°,indicating a skeletal Class Ⅱ malocclusion.By extracting four first premolars and using four miniscrews,after 20 months of treatment,the extraction spaces were fully closed,the dental arch was aligned,and the occlusal relationship was favorable;the anterior teeth were retracted,the mandible showed a reverse rotation,and the soft tissue profile was significantly improved.Application of invisible orthodontic appliances in conjunction with miniscrews anchorage can achieve good three-dimensional control of tooth movement in adult extraction cases,providing a reference for clinical practitioners treating such patients.关键词
无托槽隐形矫治/骨性Ⅱ类错(牙合)/前磨牙/过山车效应/种植钉Key words
Trayless invisible orthodontics/Skeletal Class Ⅱ malocclusion/Premolars/Coaster effect/Miniscrews分类
医药卫生引用本文复制引用
张皓岩,李欣怡,石芯宁,李江阳,吴聿淼,朱宪春..隐形矫治器联合微种植钉治疗成年人骨性Ⅱ类错(牙合)1例报告及文献复习[J].吉林大学学报（医学版）,2025,51(1):208-214,7.基金项目
吉林省卫健委科研项目(DBXM076-2021) （DBXM076-2021）
