[1]刘沼汛,张军梅,郑之峻.成年人正畸治疗与颧、颊、颞部软组织变化研究进展[J].陕西医学杂志,2024,(2):274-276,封3.[doi:DOI:10.3969/j.issn.1000-7377.2024.02.028]
点击复制

成年人正畸治疗与颧、颊、颞部软组织变化研究进展
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2024年2期
页码:
274-276,封3
栏目:
综 述
出版日期:
2024-02-05

文章信息/Info

作者:
刘沼汛1; 张军梅1; 郑之峻1; 2
(1.贵州医科大学口腔医学院,贵州 贵阳 550001; 2.贵阳市口腔医院正畸科,贵州 贵阳 550002)
关键词:
面部软组织;  脂肪组织;  组织结构;  增龄性变化;  正畸治疗;  错颌畸形
分类号:
R 783.5
DOI:
DOI:10.3969/j.issn.1000-7377.2024.02.028
文献标志码:
A
摘要:
正畸治疗通过改变牙齿、牙槽骨及颌骨关系,使口周软组织随之发生变化而改善面部形态,但治疗后可能会出现颊、颞部位软组织凹陷,继而颧骨显得“突出”“显老”,这种面部形态的改变被称为“牙套脸”,造成患者焦虑、抑郁,对治疗信心不足,甚至影响治疗效果,不利于构建和谐的医患关系。近年来,研究发现正畸治疗中面部软硬组织增龄性变化也会对面部形态造成影响,面部软组织增龄性表现是脂肪的移位和吸收,肌肉变薄韧带变弱,皮下脂肪层萎缩,表皮变薄,此种变化在颞部、口唇区域表现明显,且具有年龄敏感性。因此,研究正畸治疗与面部软组织变化关系的需求变得十分迫切。现就颧、颊、颞部软组织的构成特点、增龄性变化、正畸治疗引起的改变、矫治方法的争议以及正畸中软组织的改建情况的研究进展进行综述。

参考文献/References:

[1] 管丽敏,逯宜,鲍庆红,等.龈下残根正畸修复联合治疗的临床研究[J].陕西医学杂志,2017,46(2):224-225,228.
[2] 赵烨,吴溯帆.面部骨骼的衰老[J].中华整形外科杂志,2015,31(6):469-473.
[3] BONDEVIK O.Dentofacial changes in adults:A longitudinal cephalometric study in 22-33 and 33-43 year olds[J].J Orofac Orthop,2012,73(4):277-288.
[4] 房涛,王歌文,赵佳华.牵正散合温胆汤联合针灸治疗周围性面瘫疗效及对患者口唇微循环状态影响的研究[J].陕西中医,2019,40(12):1721-1724.
[5] COTOFANA S,SCHENCK T L,TREVIDIC P,et al.Midface:Clinical anatomy and regional approaches with injectable fillers[J].Plast Reconstr Surg,2015,136(5):219-234.
[6] 张小锋,张万锋,马亚军,等.颜面部软组织缺损修复重建中颏下动脉岛状瓣应用分析[J].陕西医学杂志,2017,46(7):932-934.
[7] 张新波,郑伟.补阳还五汤联合西药对面部缺损皮瓣修复术后恢复临床研究[J].陕西中医,2022,43(4):461-464.
[8] SCHENCK T L,KOBAN K C,SCHLATTAU A,et al.The functional anatomy of the superficial fat compartments of the face:A detailed imaging study[J].Plast Reconstr Surg,2018,141(6):1351-1359.
[9] OWSLEY J Q,ROBERTS C L.Some anatomical observations on midface aging and long-term results of surgical treatment[J].Plast Reconstr Surg,2008,121(1):258-268.
[10] ROHRICH R J,PESSA J E.The fat compartments of the face:Anatomy and clinical implications for cosmetic surgery[J].Plast Reconstr Surg,2007,119(7):2219-2227.
[11] SWIFT A,LIEW S,WEINKLE S,et al.The facial aging process from the inside out[J].Aesthet Surg J,2021,41(10):1107-1119.
[12] WAN D,AMIRLAK B,ROHRICH R,et al.The clinical importance of the fat compartments in midfacial aging[J].Plast Reconstr Surg Glob Open,2013,1(9):92.
[13] 谢天伊,贾绮林.成年女性正畸患者颊颞部软组织变化的三维测量研究[J].中华口腔正畸学杂志,2020,27(4):181-186.
[14] YANG X X,ZHAO M M,HE Y F,et al.Facial skin aging stages in chinese females[J].Front Med(Lausanne),2022,9:870926.
[15] 周传丽,苏莉,白玉兴.年轻女性24个月自然增龄后面部软组织变化的初步探讨[J].北京口腔医学,2016,24(6):328-330.
[16] 高洁.正畸治疗对成人面部软组织影响的三维初步探索研究[D].西安:空军军医大学,2017.
[17] WYSONG A,JOSEPH T,KIM D,et al.Quantifying soft tissue loss in facial aging:A study in women using magnetic resonance imaging[J].Dermatol Surg,2013,39(12):1895-1902.
[18] 秦再秀.正畸后成年女性面部软组织变化相关因素的三维研究[D].西安:空军军医大学,2018.
[19] 李兴驰.成年女性患者正畸三个月时面部软组织变化的三维影像研究[D].天津:天津医科大学,2019.
[20] 侯思宇.正畸治疗中成年女性面部软组织的形态学变化及相关影响因素的初步探索[D].重庆:重庆医科大学,2021.
[21] 袁玲君,毛丽霞,夏韫晖,等.成人非拔牙正畸后面部软组织变化的三维测量研究[J].中华口腔正畸学杂志,2015,22(1):10-14.
[22] WOLLINA U,TCHERNEV G,GOLDMAN A.Circumscribed lipoatrophy of the chin after tooth extraction[J].Open Access Maced J Med Sci,2017,5(4):537-538.
[23] SADRY S,KORU B E,KAYALAR E.Analyzing the effects of tooth extraction on the lip in orthodontic treatment[J].J Stomatol Oral Maxillofac Surg,2022,123(4):126-132.
[24] 禹洁,陈贵,许天民,等.成人拔牙正畸后面部软组织变化的三维研究[J].中华口腔正畸学杂志,2018,25(2):103-107.
[25] 靳远,李炜鹏,杨艳,等.正畸治疗对成年女性颊部丰满度影响的初步研究[J].中华口腔正畸学杂志,2015,22(1):24-27.
[26] JANSON G,JUNQUEIRA C H,MENDES L M,et al.Influence of premolar extractions on long-term adult facial aesthetics and apparent age[J].Eur J Orthod,2016,38(3):272-280.
[27] RATHOD A B,ARAUJO E,VADEN J L,et al.Extraction vs no treatment:Long-term facial profile changes[J].Am J Orthod Dentofacial Orthop,2015,147(5):596-603.
[28] DAI F,YU J,CHEN G,et al.Changes in buccal facial depth of female patients after extraction and nonextraction orthodontic treatments:A preliminary study[J].Korean J Orthod,2018,48(3):172-181.
[29] YANG I H,NAHM D S,BAEK S H.Which hard and soft tissue factors relate with the amount of buccal corridor space during smiling?[J].Angle Orthod,2008,78(1):5-11.
[30] BAEK E S,HWANG S,CHOI Y J,et al.Quantitative and perceived visual changes of the nasolabial fold following orthodontic retraction of lip protrusion[J].Angle Orthod,2018,88(4):465-473.
[31] KOULI A,PAPAGIANNIS A,KONSTANTONI N,et al.A geometric morphometric evaluation of hard and soft tissue profile changes in borderline extraction versus non-extraction patients[J].Eur J Orthod,2019,41(3):264-272.
[32] 马军利,刘洪臣,王冠超,等.软食喂养对发育中大鼠咬肌脑源性神经营养因子及其受体mRNA表达影响的研究[J].口腔医学,2009,29(6):281-284.
[33] TAILUN H.Craniofacial morphology and growth in the ferret:Effects from alteration of masticatory function[J].Swedish Dental Journal,2004(165):1-72.
[34] WALL B T,LOON L J.Nutritional strategies to attenuate muscle disuse atrophy[J].Nutr Rev,2013,71(4):195-208.
[35] GUSTAFSSON T,OSTERLUND T,FLANAGAN J N,et al.Effects of 3 days unloading on molecular regulators of muscle size in humans[J].J Appl Physiol,2010,109(3):721-727.
[36] TESCH P A,WALDEN F,GUSTAFSSON T,et al.Skeletal muscle proteolysis in response to short-term unloading in humans[J].J Appl Physiol,2008,105(3):902-906.
[37] 许欣.腮腺对于下面部形态的增龄性改变[D].大连:大连医科大学,2023.
[38] VERDENIK M,HREN N.Differences in three-dimensional soft tissue changes after upper,lower,or both jaw orthognathic surgery in skeletal class Ⅲ patients[J].Int J Oral Maxillofac Surg,2014,43(11):1345-1351.
[39] NAMURA M,MOTOYOSHI M,NAMURA Y,et al.The effects of PNF training on the facial profile[J].J Oral Sci,2008,50(1):45-51.
[40] HERNANDEZ-ALFARO F,VALLS-ONTANON A,BLASCO-PALACIO J C,et al.Malar augmentation with pedicled buccal fat pad in orthognathic surgery:Three-dimensional evaluation[J].Plast Reconstr Surg,2015,136(5):1063-1067.
[41] HU S,ZHANG H,FENG Y,et al.Introduction of an easy technique for purification and injection of autogenous free fat parcels in correcting of facial contour deformities[J].Ann Plast Surg,2007,58(6):602-607.

相似文献/References:

[1]石礼静,刘弘毅,孔一帆,等.Lipin-1与胰岛素抵抗关系研究进展*[J].陕西医学杂志,2020,49(12):1699.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.043]
　SHI Lijing,LIU Hongyi,KONG Yifan,et al.Relationship between Lipin-1 and insulin resistance[J].,2020,49(2):1699.[doi:DOI:10.3969/j.issn.1000-7377.2020.12.043]
[2]刘岩松,祁 烁,张 洁,等.660 nm激光照射对肥胖小鼠代谢的影响实验研究[J].陕西医学杂志,2024,(6):759.[doi:DOI:10.3969/j.issn.1000-7377.2024.06.008]
　LIU Yansong,QI Shuo,ZHANG Jie,et al.Effects of 660 nm laser irradiation on metabolism in obese mice[J].,2024,(2):759.[doi:DOI:10.3969/j.issn.1000-7377.2024.06.008]

备注/Memo

备注/Memo:
基金项目:贵州省卫生健康委员会科学技术基金资助项目(GZWKJ2023-61); 贵阳市科技计划项目(2018-1-57)
更新日期/Last Update: 2024-02-05