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Anterior openbite correction with skeletal anchorage system

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題名:Anterior openbite correction with skeletal anchorage system 作者:蔡吉陽

Tsai CY; Chen YC; Kao CY; 貢獻者:牙醫學系

上傳時間:2009-11-23

摘要:The skeletal anchorage system (SAS) consists of titanium anchor plates and monocortical screws that are

temporarily implanted in either the maxilla or the mandible as absolute orthodontic anchorage. With SAS, anterior open bite can be improved by the

counterclockwise rotation of the mandible, accompanied by the intrusion of molars. The present study was

designed to evaluate treatment and posttreatment dentoalveolar changes following the intrusion of mandibular molars. Nine adult open bite patients (7 women and 2 men) successfully treated with SAS were included in the following study. The amount of

intrusion, relapse, and dentoalveolar changes were measured on cephalometric radiographs, panoramic

radiographs, and dental casts. The results of this study were as follows: (1) the average amount of intrusion of the mandibular first and second molars was 1.7 mm and 2.8 mm, respectively; (2) the average relapse rates were 27.2% at the first molars and 30.3% at the second

molars; (3) there were no significant changes in crestal bone heights, clinical crown length, or root length; and (4) counterclockwise rotation of the mandible and

decrease of anterior facial height were observed during treatment. Thus, it was concluded that SAS would be a valid modality to intrude mandibular molars for

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