正畸-修复联合治疗成人前牙单个牙反的临床研究  

The clinical study of the use of orthodontics-prosthodontics combined treatment on the adult cross-bite of single incisor

作　　者：王燕 刘文[2] 张春艳[2] 宋玲[2] 

机构地区：[1]青岛市口腔医院修复科,山东青岛266003 [2]青岛市市立医院口腔中心

出　　处：《中国美容医学》2013年第13期1437-1439,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究正畸-修复联合治疗方法在矫正成人前牙单个切牙反中的治疗效果。方法:按照一定的标准选择24例临床病例,为达到最佳美观效果,通过邻面去除釉质解除拥挤,利用正畸活动矫正器解除前牙单个牙齿反,后用修复方法进行烤瓷冠修复。经6个月～3年的随访追踪,调查修复体的外观,牙龈健康,患者的满意度等。结果:经调查,在24例临床病例中,按上述设计进行正畸和修复治疗,最后完成的烤瓷冠就位顺利。所有病例全部解除反,呈浅覆、浅覆盖,达到了前牙美观和功能要求,固位良好。参照美国公共健康协会的修正标准随访6个月～3年,随访3年内100%达到A级;边缘密合度随访3年95%达到A级;随访3年食物嵌塞A级能达到97%。结论:本研究中采用的正畸-修复联合治疗方法对于成人前牙单个牙齿反有明显的治疗效果,能够弥补由单一正畸或修复治疗带来的不足,取得满意的治疗效果。Objective To investigate the clinical affect of the orthodontics-prosthodontics combined treatment on the adult cross-bite of single incisor. Methods 24 adult cases were selected according to some standards.Each one was treated with removable appliance to correct anti-bite of incisors and repaired with ceramic crown.After 6 months to 3 years follow-up,we observed the crown and the periodontal conditions of the teeth and patients satisfaction. Results After the restoration of ceramic crown,there was no inflammation of the abutment gums,no collapse and crack of porcelain. The appearance of teeth were significantly improved.The patients had no discomfort and the results were satisfactory. Conclusion Orthodontics-prosthodontics combined treatment can be effective in treatment on the cross-bite of single incisor,and can be used as an alternative for the only orthodontics treatment or the only prosthodontics treatment.

关 键 词：正畸-修复联合治疗 前牙单个牙齿反[牙合] 上颌[牙合]垫推簧活动矫治器 冠修复 

分 类 号：R783[医药卫生—口腔医学]