正畸-修复联合治疗上颌前牙牙列缺损伴错牙合畸形临床效果观察  

Clinical effect of orthodontic - repair combined therapy for maxillary anterior teeth dentition defect with malocclusion

作　　者：吴秉 徐春华 Wu Bing;Xu Chunhua(Department of Orthodontics, Shaoxing Stomatological Hospital, Shaoxing, Zhejiang 312000, China)

机构地区：[1]绍兴市口腔医院正畸科,浙江省绍兴312000

出　　处：《中国基层医药》2018年第9期1200-1203,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨上颌前牙牙列缺损伴错牙合畸形患者采用正畸-修复治疗的临床效果.方法 回顾性分析68例上颌前牙牙列缺损伴错牙合畸形患者临床资料,按照治疗方法不同将其分为对照组（修复治疗）与研究组（正畸-修复）,各34例.统计两组患者牙齿咬合关系、前牙覆合覆盖、牙齿排列情况、临床治疗效果及治疗费用;通过问卷调查方式调查患者对治疗后的满意度;检测两组患者软垢指数与附着丧失指数.结果研究组患者牙齿咬合关系良好率、前牙覆合覆盖良好率及牙齿排列整齐率分别为82.35％（28/34）、88.24％（30/34）、94.12％（32/34）,明显高于对照组的58.82％（20/34）、67.65％（23/34）、73.53％（25/34）（χ2=（4.53、4.19、5.31,P=0.03、0.04、0.02）.研究组总有效率94.12％（32/34）,明显高于对照组的70.59％（24/34）（χ2=6.50,P=0.03）.研究组治疗费用为（8124.63±386.58）元,明显高于对照组的（2179.86±276.82）元（t=72.90,P=0.00）;研究组患者满意度为88.24％（30/34）,明显高于对照组的52.94％（18/34）（χ2=10.20,P=0.00）.研究组患者软垢指数、牙附着丧失指数分别为（0.14±0.07）、（5.06±1.38）,明显低于对照组的（0.63±0.18）、（6.52±1.58）（t=14.79、4.05,P=0.00、0.00）.结论 上颌前牙牙列缺损伴错牙合畸形患者采用正畸-修复联合治疗可有助于改善患者牙齿畸形,且效果显著,赢得患者好评,但该方法费用较高,因此患者在选择时需综合考虑.Objective To investigate the clinical effect of orthodontic - repair combined therapy in the treatment of maxillary anterior teeth dentition defect and malocclusion. Methods The clinical data of 68 patients with maxillary anterior dentition defect and malocclusion were analyzed retrospectively. They were divided into control group （ repair treatment ） and study group （ orthodontic - repair treatment） according to the different methods of treatment ,34 cases in each group. The tooth occlusal relationship, the occlusion of the anterior teeth and the arrangement of the teeth, clinical treatment effect and the treatment cost were analyzed. The satisfaction of the patients after treatment was investigated by questionnaire. The debris index and attachment loss index were detected. Results The good rate of tooth occlusal relationship, good rate of anterior teeth coverage and teeth order rate in the study group were 82.35% （28/34）, 88.24% （ 30/34 ）, 94.12% （ 32/34 ）, respectively, which were significantly higher than those in the control group[ 58.82% （20/34） ,67.65% （23/34） ,73.53% （25/34） ] （ χ2 =4.53,4.19,4.53 ,P = 0.03,0.04, 0.03 ）. The total effective rate of the study group was 94.12% （32/34） ,which was significantly higher than that of the control group [ 70.59% （ 24/34 ） ] （ χ2 = 6. 50, P = 0. 03 ）. The average treatment cost of the study group was （ 8 124.63 ± 386.58） yuan, which was significantly higher than （2 179.86 ± 276.82） yuan of the control group （ t = 72.90 ,P = 0.00 ）. The patients＇ satisfaction of the study group was was 88.24% （30/34）, which was significantly higher than that of the control group [ 52.94% （ 18/34 ） ] （ χ2 = 10.20, P = 0.00 ）. The debris index and attachment loss index in the study group were （0.14 ±0. 07）, （5.06± 1.38） ,respectively,which were significantly lower than those in the control group [ （0.63 ± 0. 18 ）, （ 6.52 ±1.58 ） ] （ t = 14.79,14.79, P = 0. 00,0. 00）. Conclusion Ortho

关 键 词：牙缺失 牙畸形 正畸 修复 

分 类 号：R783[医药卫生—口腔医学]