微种植体支抗加直丝弓矫治技术对错牙合畸形正畸效果及对上气道、软硬组织变化的影响  

Orthodontic Effect of Micro-implant Anchorage Plus Straight Wire Orthodontic Technique on Malocclusion and its Influence on Upper Airway, Soft and Hard Tissues

作　　者：王月昊 寇雅楠 兰韶颖 宋威 WANG Yue-hao;KOU Ya-nan;LAN Shao-ying(Third Department of Orthodontics,The Second Affiliated Hospital of Pingdingshan University,Pingdingshan,Henan,467000,China)

机构地区：[1]平顶山学院第二附属医院口腔正畸三科,河南平顶山467000

出　　处：《黑龙江医学》2022年第1期14-16,19,共4页Heilongjiang Medical Journal

摘　　要：目的:研究微种植体支抗加直丝弓矫治技术对错牙合畸形正畸效果及对上气道、软硬组织变化的影响。方法:选取2016年2月—2017年4月在平顶山学院第二附属医院收治的60例错牙合畸形患者作为研究对象,将以上患者按照随机分组原则,分为观察组和对照组,每组患者各30例,观察组患者采取微种植体支抗加直丝弓矫治技术,对照组患者采取传统矫治治疗,观察两组患者的治疗效果、测量指标,上气道、软硬组织变化之间的差异。结果:观察组患者的治疗成功率显著高于对照组,差异有统计学意义(χ^(2)=5.451,P<0.05)。观察组患者的U1-NA、L1-NB、U1-APg、U6-PtPNS显著低于对照组,差异有统计学意义(t=26.312、5.030、5.114、8.244,P<0.05)。观察组患者的SNA、LIMP、UPW、LPW低于对照组患者,差异有统计学意义(t=9.407、7.099、2.382、2.568,P<0.05)。观察组患者可能出现的种植体支抗周围组织炎症、牙龈感染以及口腔不适情况显著低于对照组,差异有统计学意义(χ^(2)=4.321、4.041、4.291,P<0.05)。结论:在对微种植体支抗+直丝弓矫治技术对错牙合畸形正畸治疗中,患者的成功率较高,虽然会对患者的气道产生一定的影响,但是并发症较小,临床不适较低,建议在临床推广。Objective:To study the orthodontic effect of micro-implant anchorage plus straight wire orthodontic technique on malocclusion and its influence on the changes of upper airway,soft and hard tissues.Methods:60 malocclusion patients treated in the hospital from February 2016 to April 2017 were selected as the study objects.According to the principle of random grouping,the patients were divided into observation group and control group,with 30 cases in each group.The patients in the observation group were treated with micro-implant anchorage and straight wire arch,while the patients in the control group were treated with traditional orthodontic treatment.The difference of therapeutic effect,measurement index,upper airway,soft tissue and hard tissue changes was observed.Results:The success rate of treatment in the observation group was significantly higher than that in the control group,with statistically significant difference(χ^(2)=5.451,P<0.05).The U1-NA,L1-NB,U1-APg and U6-PtPNS in the observation group were significantly lower than those in the control group,with statistically significant difference(t=26.312,5.030,5.114,8.244,P<0.05).The SNA,L1 MP UPW and LPW of the observation group were lower than those of the control group,with statistically significant difference(t=9.407,7.099,2.382,2.568,P<0.05).The inflammation,gingival infection and oral discomfort in the observation group were significantly lower than those in the control group,with statistically significant difference(χ^(2)=4.321,4.041,4.291,P<0.05).Conclusion:In the orthodontic treatment of malocclusion with micro-implant anchorage and straight wire orthodontic technique,the success rate of patients is higher.Although it will have some impact on the airway of patients,the complications are smaller and the clinical discomfort is lower.It is suggested that this technique be popularized in clinic.

关 键 词：微种植体支抗 直丝弓矫治 错牙合畸形 正畸效果 气道 

分 类 号：R783.5[医药卫生—口腔医学]