吉林大学学报(医学版) ›› 2026, Vol. 52 ›› Issue (3): 828-835.doi: 10.13481/j.1671-587X.20260325

• 临床医学 • 上一篇    下一篇

无托槽隐形矫治安氏Ⅱ类1分类替牙列期患儿1例报告及文献复习

石芯宁,张琦,张晗,李欣鹏,常路广达,吴雨颀,朱宪春()   

  1. 吉林大学口腔医院正畸科,吉林 长春 130021
  • 收稿日期:2025-07-07 接受日期:2025-09-02 出版日期:2026-05-28 发布日期:2026-06-08
  • 通讯作者: 朱宪春 E-mail:zhuxc@jlu.edu.cn
  • 作者简介:石芯宁(2000-),女,吉林省通化市人,在读硕士研究生,主要从事口腔正畸学临床方面的研究。
  • 基金资助:
    吉林省科技厅自然科学基金项目(YDZJ202201ZYTS057)

Treatment of Angle Class Ⅱ division 1 malocclusion in pediatric patient with clear aligners in mixed dentition stage: A case report and literature review

Xinning SHI,Qi ZHANG,Han ZHANG,Xinpeng LI,Luguangda CHANG,Yuqi WU,Xianchun ZHU()   

  1. Department of Orthodontics,Stomatology Hospital,Jilin University,Changchun 130021,China
  • Received:2025-07-07 Accepted:2025-09-02 Online:2026-05-28 Published:2026-06-08
  • Contact: Xianchun ZHU E-mail:zhuxc@jlu.edu.cn

摘要:

无托槽隐形矫治在替牙列期Ⅱ类错畸形治疗中具有独特优势,为临床提供了一种更高效和舒适的矫治选择。本文作者报道1例替牙列期安氏Ⅱ类1分类伴前牙深覆、深覆盖患儿,使用无托槽隐形矫治器进行早期矫治的临床病例,分析该治疗方法的临床疗效,以期为临床诊疗提供参考。患儿,女性,7岁,家长主诉“龅牙,嘴突”。诊断为安氏Ⅱ类1分类,凸面型,深覆,深覆盖;影像学检查,上颌中切牙长轴-蝶鞍点和鼻根点连线角(U1-SN)为114.46°,上牙槽座点-鼻根点-下牙槽座点角(ANB)为5.39°。采用无托槽隐形矫治器进行治疗,经过17个月的矫治,最终使患者达到良好的牙弓形态、牙排列和咬合关系、面型及软组织侧貌。治疗6个月后矫治效果稳定。应用无托槽隐形矫治器对安氏Ⅱ类1分类替牙列期患儿治疗效果良好。

关键词: 安氏Ⅱ类错畸形, 无托槽隐形矫治, 深覆, 深覆盖, 病例报告

Abstract:

Clear aligners have unique advantages in the treatment of Class Ⅱ malocclusion at mixed dentition stage, providing a more efficient and comfortable orthodontic option for clinical practice. The authors reported a clinical case of early treatment with clear aligners in a child patient at mixed dentition stage with Angle Class Ⅱ division 1 malocclusion accompanied by deep overbite and large overjet, and analyzed the clinical efficacy of this treatment method, so as to provide a reference for clinical diagnosis and treatment. The patient, a 7-year-old female, presented with parental chief complaint of “protruding teeth and prominent lips”. She was diagnosed as Angle Class Ⅱ division 1 malocclusion, convex facial profile, deep overbite, and large overjet. Imaging examination showed that the angle of long axis of maxillary central incisor to sella-nasion point line (U1-SN) was 114.46°, and the angle of subspinale-nasion-supramentale (ANB) was 5.39°. Clear aligners were used for treatment. After 17 months of treatment, the child patient achieved good dental arch form, tooth alignment and occlusion, facial profile, and soft tissue profile. The treatment effect was stable after 6 months of treatment. The application of clear aligners shows a good therapeutic effect in the child patient at mixed dentition stage with Angle Class Ⅱ division 1 malocclusion.

Key words: Angle Class Ⅱ malocclusion, Clear aligner, Deep overbite, Large overjet, Case report

中图分类号: 

  • R783.5