深覆分类与治疗方法进展

doi:10.19438/j.cjoms.2018.03.019

摘要/Abstract

摘要： [提要] 深覆是临床常见错类型，然而其矫治确是临床一大难点。本文从深覆形成机制角度出发，根据国内外相关研究，针对牙性深覆和骨性深覆的特点、头影测量及治疗方法做一综述，以期为临床提供参考。

Abstract: [Summary] Deep overbite is prevalent nowadays, however the treatment is quite difficult. Deep overbite was represented by dental deep overbite and skeletal deep overbite according to the mechanisms. In this article, both types of deep overbite were illustrated with clinical features, cephalometric measurements and treatment methods, with the hope of being helpful for clinical work.

Key words: Deep overbite, Dental deep overbite, Skeletal deep overbite

中图分类号:

R783.5

杨双羽，钱玉芬. 深覆分类与治疗方法进展[J]. 中国口腔颌面外科杂志, 2018, 16(3): 284-288.

YANG Shuang-yu, QIAN Yu-fen.. Types and treatment of deep overbite: recent research advances[J]. China J Oral Maxillofac Surg, 2018, 16(3): 284-288.

参考文献

[1] 陆史俊, 王林, 王震东. 前牙压低技术在深覆患者矫治中的应用进展 [J]. 国际口腔科学杂志, 2011, 38(6): 674-676.
[2] Beckmann SH, Kuitert RB, Prahl-Andersen B, et al. Alveolar and skeletal dimensions associated with overbite [J]. Am J Orthod Dentofacial Orthop, 1998, 113(4): 443-452.
[3] 傅民魁. 口腔正畸专科教程 [M].北京: 人民卫生出版社, 2007.
[4] 傅民魁. 口腔正畸学[M]. 第4版. 北京: 人民卫生出版社, 2003.
[5] Tweed CH. Clinical orthodontics[M]. St Louis: C. V. Mosby,1966: 2-82.
[6] Sana S, Bansal A, Sami L, et al. Anterior deep bite malocclusion treated with connecticut intrusion arch: biomechanical consideration [J]. J Clin Diagn Res, 2014, 8(5): ZD30-32.
[7] Bernstein RL, Preston CB, Lampasso J. Leveling the curve of Spee with a continuous archwire technique: a long term cephalometric study [J]. Am J Orthod Dentofacial Orthop, 2007, 131(3): 363-371.
[8] 梁斌, 杨强. 直丝弓技术结合小平导矫治成年深覆 [J]. 中华口腔正畸学杂志, 2000, 7(3): 131-132.
[9] Manns A, Miralles R, Guerrero F. The changes in electrical activity of the postural muscles of the mandible upon varying the vertical dimension [J]. J Prosthet Dent, 1981, 45(4): 438-445.
[10] Dahlstr?m L, Haraldson T. Immediate electromyographic response in masseter and temporal muscles to bite plates and stabilization splints [J]. Scand J Dent Res, 1989, 97(6): 533-538.
[11] Michelotti A, Farella M, Vollaro S, et al. Mandibular rest position and electrical activity of the masticatory muscles [J]. J Prosthet Dent, 1997, 78(1): 48-53.
[12] 徐建光, 王旭霞, 任旭升, 等. 深覆矫治过程中平面导板升高咬合垂直距离的肌电图研究 [J]. 华西口腔医学杂志, 2009, 27(3): 301-304.
[13] 李宇崚, 付剑锐. 小基托平导在固定矫治重度深覆合的临床应用 [J]. 心理医生月刊, 2012, 18(7): 383-383.
[14] 卢小妹, 尹京湘, 安志毅, 等. 直丝弓矫治技术配合前牙平导打开咬合的临床应用 [J]. 现代口腔医学杂志, 2005, 19(2): 154-154.
[15] 敖同江, 袁小平, 杨四维. 摇椅弓加上颌平面导板打开咬合的临床效果 [J]. 泸州医学院学报, 2009, 32(3): 271-273.
[16] Kesling PC. Dynamics of the Tip-edge bracket [J]. Am J Orthod Dentofacial Orthop, 1989, 96(1): 16-25.
[17] Parkhouse RC. Current products and practice: Tip-Edge Plus [J]. Int J Orthod Milwaukee, 2008, 19(3): 17-24.
[18] Vela-Hernández A, López-García R, García-Sanz V, et al. Nonsurgical treatment of skeletal anterior open bite in adult patients: Posterior build-ups [J]. Angle Orthod, 2017, 87(1): 33-40.
[19] 李永明, 林珠. Tip-Edge矫治技术特点及临床应用 [J]. 实用口腔医学杂志, 2007, 23(3): 457-460.
[20] Kaku J K. Overlay mechanics with the Tip-Edge PLUS bracket, Part 2: Class II and III nonextraction treatment [J]. J Clin Orthod, 2006, 40(7):436-444.
[21] Meyer R. Tip-Edge Plus bracket-a combination between Begg and Straight-Wire bracket-the best of both worlds with new horizons in fixed orthodontic therapy[J]. Schweiz Monatsschr Zahnmed, 2008, 118(8): 713-732.
[22] Jain RK, Kumar SP, Manjula WS. Comparison of intrusion effects on maxillary incisors among mini implant anchorage, J-hook headgear and utility arch[J]. J Clin Diagn Res, 2014, 8(7): ZC21-24.
[23] 郝博, 郭艳莉. MRC矫治器治疗替牙期错畸形的临床应用 [C]. 成都: 第十三次全国口腔正畸学术会议论文集, 2014.
[24] Paik CH, Park HS, Ahn HW. Treatment of vertical maxillary excess without open bite in a skeletal Class II hyperdivergent patient [J]. Angle Orthod, 2017, 87(4): 625-633.
[25] 罗颂椒. 当代实用口腔正畸技术与理论 [M]. 北京: 科学技术文献出版社, 2010.
[26] Deguchi T, Murakami T, Kuroda S, et al. Comparison of the intrusion effects on the maxillary incisors between implant anchorage and J-hook headgear [J]. Am J Orthod Dentofacial Orthop, 2008, 133(5): 654-660.
[27] Xu K, Zeng J, Xu T. Effect of an intraoral appliance on tongue pressure measured by force exerted during swallowing [J]. Am J Orthod Dentofacial Orthop, 2016, 149(1): 55-61.
[28] 麦志辉, 卢红飞, 黄晓, 等. 微种植体支抗压低上前牙治疗露龈笑 [J]. 中华口腔医学研究杂志(电子版), 2012, 6(6): 520-526.
[29] Freudenthaler JW, Celar AG, Schneider B. Overbite depth and anteroposterior dysplasia indicators: the relationship between occlusal and skeletal patterns using the receiver operating characteristic (ROC) analysis [J]. Eur J Orthod, 2000, 22(1): 75-83.
[30] 赵晓静. Ⅱ类骨面型前牙深覆的相关因素及牙与牙槽特征分析 [D]. 乌鲁木齐: 新疆医科大学, 2007.
[31] Ricketts RM. Perspectives in the clinical application of cephalometrics. The first fifty years[J]. Angle Orthod, 1981, 51(2): 115-150.
[32] McNamara JA Jr. A method of cephalometric evaluation [J]. Am J Orthod, 1984, 86(6): 449-469.
[33] Alam MK, Basri R, Purmal K, et al. Cephalometric norms in bangladeshi adults using harvold's analysis [J]. Int Med J, 2013, 20(1): 92-94.
[34] Kim TW, Little RM. Postretention assessment of deep overbite correction in Class Ⅱ division 2 malocclusion[J]. Angle Orthod, 1999, 69(2): 175-186.
[35] Sobreira CR, Vilani GNL, Siqueira VCVD. Comparative study of facial proportions between Afro Brazilian and White Brazilian children from 8 to 10 years of age [J]. Dental Press J Orthod, 2011, 16(2): 85-93.
[36] Alali OH. Fixed lingual mandibular growth modificator: a new appliance for Class II correction [J]. Dental Press J Orthod, 2013, 18(4): 70-81.
[37] Graber TM. 口腔正畸功能矫形治疗学[M]. 北京: 人民卫生出版社, 2004.
[38] Bj?rk A. Prediction of mandibular growth rotation [J]. Am J Orthod, 1969, 55(6): 585-599.
[39] Argyropoulos E, Sassouni V, Xeniotou A. A comparative cephalometric investigation of the Greek craniofacial pattern through 4,000 years [J]. Angle Orthod, 1989, 59(3): 195-204.
[40] Proffit WR, Proffit WR, Proffit WR. Contemporary orthodontics [M]. Oxford: Oxford Elsevier Ltd., 2007.
[41] Mommaerts MY, López-Arcas JM, Schurmans AM. Correction of skeletal Class II--anterior deep bite and prominent chin by forced surgical rotation of the mandible [J]. Br J Oral Maxillofac Surg, 2010, 48(5): 349-351.
[42] Zettergren-Wijk L, Forsberg CM, Linder-Aronson S. Changes in dentofacial morphology after adeno-/tonsillectomy in young children with obstructive sleep apnoea--a 5-year follow-up study [J]. Eur J Orthod, 2006, 28(4): 319-326.
[43] Ozbek MM, Memikoglu UT, Altug-Atac AT, et al. Stability of maxillary expansion and tongue posture [J]. Angle Orthod, 2009, 79(2): 214-220.
[44] Giuntini V, Vangelisti A, Masucci C, et al. Treatment effects produced by the Twin-block appliance vs the Forsus Fatigue Resistant Device in growing Class II patients [J]. Angle Orthod, 2015, 85(5): 784-789.
[45] Franchi L, Alvetro L, Giuntini V, et al. Effectiveness of comprehensive fixed appliance treatment used with the Forsus Fatigue Resistant Device in Class II patients [J]. Angle Orthod, 2011, 81(4): 678-683.
[46] 魏志强, 张锡忠. 成人骨性Ⅱ类错畸形患者的正畸-正颌联合治疗进展 [J]. 中国美容医学, 2015, 24(17): 73-76.
[47] Ahmed MM. Long-term stability of anterior segmental maxillary osteotomy [J]. Int J Adult Orthodon Orthognath Surg, 1999, 14(4): 297-303.
[48] Watanabe K, Kuroda S, Takahashi T, et al. Segmental distraction osteogenesis with modified Le Fort Ⅱ osteotomy for a patient with craniosynostosis [J]. Am J Orthod Dentofacial Orthop, 2012, 142(5): 698-709.
[49] Kim JS, Kim JK, Hong SC, et al. Changes in the upper airway after counterclockwise maxillomandibular advancement in young Korean women with Class Ⅱ malocclusion deformity [J]. J Oral Maxillofac Surg, 2013, 71(9): 1603.e1-6.
[50] Elbialy TH, Razdolsky Y, Kravitz ND, et al. Long-term results of bilateral mandibular distraction osteogenesis using an intraoral tooth-borne device in adult Class Ⅱ patients [J]. Int J Oral Maxillofac Surg, 2013, 42(11): 1446-1453.
[51] Seifeldin SA, Shawky M, Hicham Nouman SM. Soft tissue response after chin advancement using two different genioplasty techniques: a preliminary technical comparative study [J]. J Craniofac Surg, 2014, 25(4):1383-1388.
[52] 段银钟, 谭家莉, 陈磊, 等. 常见正颌手术后咬合关系的维护和调整 [J]. 华西口腔医学杂志, 2011, 29(2): 173-174.