摘要
背景:上颌骨性扩弓器是一项上颌骨非手术扩弓技术,与传统的上颌快速扩弓器、微种植体辅助上颌快速扩弓和外科手术辅助上颌快速扩弓截然不同,为上颌骨横向发育不足的矫治提供了新思路、新方法,尤其为生长发育完成的成年患者提供了高效且微创的骨性扩弓效果。目的:通过检索、筛选和阅读大量文献的方法,对上颌骨性扩弓器在上颌骨横向发育不足中的应用及优势进行系统性综述,为该类患者临床治疗方案确定提供科学的参考依据。方法:对Cochrane图书馆、PubMed、Embase、WebofScience、中国学术期刊全文数据库(CNKI)、万方数据库(Wanfang)、中国生物医学文献数据库(CBM)等国内外常用数据库进行计算机检索,全面收集2019-05-31之前发表的与上颌骨性扩弓器相关的中英文文献。结果与结论:上颌骨性扩弓器是矫治上颌骨横向发育不足的一种有效方法,其扩弓不受年龄限制,对于成人依然有良好的骨性扩弓效果。上颌骨性扩弓器使整个面中部结构扩张,导致腭中缝接近平行扩大,翼腭缝裂开,颧骨间宽度增加,包括鼻骨上区在内的整个鼻腔变宽,且牙齿颊倾、牙槽骨高度降低等不良反应较小。
BACKGROUND:Maxillary skeletal expander is a non-surgical expansion technique of the maxilla.It is different from the traditional maxillary rapid expander,micro-implant assisted rapid palatal expansion,and surgically assisted rapid palatal expansion.It provides new ideas and methods for the correction of maxillary transverse deficiency,and especially for adult patients with the growth finished,provides an efficient and minimally invasive bone expansion.OBJECTIVE:To review the application and advantage of the maxillary skeletal expander in the treatment of maxillary transverse deficiency,providing scientific reference for the clinical therapeutic schedule in such patients.METHODS:A computer search for Cochrane Library,PubMed,Embase,Web of Science,CNKI,WanFang Database,and CBM databases was performed for Chinese and English literature related to the maxillary expansion device published before May 31 st,2019.RESULTS AND CONCLUSION:The maxillary skeletal expander is an effective method for correcting the maxillary transverse deficiency,and the expansion of the arch is not limited by age.This device also has a good outcome in bone expansion for adults.The maxillary skeletal expander expands the entire mid-face structure,causing the mid-sacral suture to be parallel,followed by ruptured palatine suture,increased width between the zygomatic bones,as well as the entire nasal cavity involving the upper nasal bone area is widened.This device also causes less adverse reactions,for example,the teeth are inclined buccally and the height of the alveolar bone is reduced.
作者
张肖雅
张荣和
Zhang Xiaoya;Zhang Ronghe(Orthodontic Department of Binzhou Medical University Hospital,Binzhou 256600,Shandong Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2020年第14期2250-2255,共6页
Chinese Journal of Tissue Engineering Research
关键词
上颌骨横向发育不足
上颌骨性扩弓器
上颌快速扩弓器
外科辅助上颌快速扩弓
微种植体辅助上颌快速扩弓
maxillary transverse deficiency
maxillary skeletal expander
rapid palatal expander
surgically assisted rapid palatal expansion
micro-implant assisted rapid palatal expansion
