Journal of Peking University(Health Sciences) ›› 2017, Vol. 49 ›› Issue (3): 531-539. doi: 10.3969/j.issn.1671-167X.2017.03.027

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Evaluation of the correction of the skeletal class Ⅲ malocclusion by distalization of the whole mandible dentition with micro-implant anchorage

FAN Shao-qing1, ZHOU Yan-heng2△   

  1. (1. First Clinical Division, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100034, China; 2. Department of Orthodontics,Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081,China)
  • Online:2017-06-18 Published:2017-06-18
  • Contact: ZHOU Yan-heng E-mail: yanhengzhou@gmail.com

Abstract: Objective:To evaluate the clinical effect of distalizing mandibular dentition with micro-implant in patients with skeletal classⅢmalocclusion. Methods: In the study, 20 patients with skeletal class Ⅲmalocclusion were selected. They are consist of 8 males and 12 female with an age range from 16 to 38 years old and an average age of (21.5±5.6) years.They were treated with straight wire technique and the implant were inserted into the mandibular external oblique line to distlize the lower dentition to a class Ⅰmolar relationships.Cephalometrics films were taken before and after treatment. The changes of hard tissue and soft tissue were analyzed by evaluating 26 measurement measurements. Results: ClassⅠmolar relationships were achieved, and the profile were improved after treatment. ANB increased by(0.80±1.02)°,Wits increased by (1.67±1.74) mm,after treatment(P<0.05).The lower dentition were significantly retracted after treatment with L1-NB distance decreased by(2.64±1.50) mm, P<0.05; the mesial buccal cusp and mesial root of the lower first molars were retracted by (3.26±1.95) mm and (0.79±1.27) mm respectively (P<0.05); the mesial buccal cusp of the lower second molars were retracted by (3.06±1.80) mm (P<0.05). After treatment, mandibular teeth got uprighted distally. From incisors to molar, L1/MP, L5/MP, L6/MP, L7/MP angle decreased by(6.37±8.53)°, (10.59±8.50)°, (11.48±7.22)°, (15.72±7.16)°on average respectively (P<0.05), all of those changes had the statically significant effects. Soft tissue change after treatment, the distance from lower lip to esthetic plane were decreased by (1.70±1.59) mm on average (P<0.05). Conclusion: Distalizing mandibular dentition with micro-implant can get an satisfying result in patients with skeletal class Ⅲmalocclusion, the lower teeth were retracted by controlled tipping movement.

Key words: Malocclusion, Skeletal class Ⅲ malocclusion, Implant anchorage, Cephalometry

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