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作 者:甘玉琳 温飞利 温展前 杨向智 GAN Yulin;WEN Feili;WEN Zhanqian;YANG Xiangzhi(Department of Orthodontics,Zeshan Stomatological Hospital,Meizhou,Guangdong Province,514000 China)
机构地区:[1]梅州泽山口腔医院正畸科,广东梅州514000
出 处:《中外医疗》2022年第30期64-67,共4页China & Foreign Medical Treatment
摘 要:目的 探究口腔正畸患者应用无托槽矫治技术治疗的可行性。方法 随机选取2019年6月—2020年12月梅州泽山口腔医院50例口腔正畸患者,随机分为研究组(27例,应用无托槽矫治技术)、对照组(23例,应用传统固定矫治手术)。对比两组正畸治疗情况、咀嚼功能指标、治疗满意度、治疗前后牙周指数。结果 研究组倾斜牙扶正时间(15.09±3.42)周、转位牙扶正时间(15.29±3.48)周、正畸治疗完成时间(37.46±2.44)周均比对照组短,差异有统计学意义(P<0.05);研究组咬合力(158.26±12.33)磅、咀嚼效率(88.14±6.11)%均优于对照组,差异有统计学意义(t=15.617、10.041,P<0.05);研究组便捷性评分(9.06±0.68)分、美观舒适性评分(8.29±1.34)分、语言功能评分(9.28±0.72)分均高于对照组,差异有统计学意义(P<0.05);两组SPD、GI、SBI、PLI对比,差异有统计学意义(P<0.05)。结论 将无托槽矫治技术应用于口腔正畸患者临床治疗中,可改善其咀嚼功能,提高患者治疗满意度,矫正效果显著且不会明显损害牙周。Objective To explore the feasibility of using bracket-free orthodontic treatment for orthodontic patients.Methods A total of 50 orthodontic patients in Zeshan Stomatological Hospital from June 2019 to December 2020 were randomly selected and randomly divided into a study group(27 cases, using bracket-free orthodontic treatment) and a control group(23 cases, using traditional fixed orthodontic surgery). The orthodontic treatment conditions, masticatory function indicators, treatment satisfaction, and periodontal index before and after treatment were compared between the two groups. Results The righting time of inclined teeth(15.09±3.42) weeks, the righting time of transposed teeth(15.29±3.48) weeks, and the completion time of orthodontic treatment(37.46±2.44) weeks in the study group were all shorter than those in the control group, and the differences were statistically significant(P<0.05);the bite force of the study group was(158.26±12.33) pounds, and the chewing efficiency was(88.14±6.11)%, which were better than those of the control group, and the difference was statistically significant(t=15.617, 10.041, P<0.05);the convenient score(9.06±0.68) points, aesthetic comfort score(8.29±1.34) points, and language function score(9.28±0.72) points in the study group were all higher than those in the control group, and the difference was statistically significant(P<0.05).There was statistically significant difference in SPD、 GI、 SBI、 PL between the two groups(P<0.05). Conclusion The application of bracket-free orthodontic treatment in the clinical treatment of orthodontic patients can improve the masticatory function, improve the patient’s satisfaction with treatment, and achieve a significant correction effect without significant damage to the periodontium.
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