微型种植体在安氏Ⅱ类错[牙合]畸形患者正畸治疗中的应用效果  

Application of microimplants orthodontic treatment of patients with Ann class Ⅱ malocclusion deformity

作　　者：陈晓迪 陈燕青 孙毅 CHEN Xiaodi;CHEN Yanqing;SUN Yi(Department of Orthodontics,Stomatological Hospital of Xiamen Medical College,Xiamen,Fujian,361008,China)

机构地区：[1]厦门医学院附属口腔医院正畸科一科,福建厦门361008

出　　处：《当代医学》2023年第3期53-56,共4页Contemporary Medicine

摘　　要：目的探究微型种植体在安氏Ⅱ类错[牙合]畸形患者正畸治疗中的应用效果。方法选取2019年1月至2020年12月于本院牙科进行正畸治疗的100例安氏Ⅱ类错[牙合]畸形患者作为研究对象,按照随机数字表法分为对照组与实验组,每组50例。对照组开展传统正畸治疗,实验组开展微型种植体正畸治疗,比较两组正畸效果、炎症因子[白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、白细胞介素-8(IL-8)]水平、基质金属蛋白酶2(MMP-2)和基质金属蛋白酶9(MMP-9)表达水平、并发症发生率、矫治满意度和预后生命质量评分。结果实验组正畸总有效率(94.0%)高于对照组(80.0%),差异有统计学意义(P<0.05)。治疗后,两组IL-1β、IL-6、IL-8水平均高于治疗前,但实验组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组MMP-2和MMP-9表达水平均高于治疗前,但实验组低于对照组,差异有统计学意义(P<0.05)。实验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。实验组矫治总满意度(96.0%)明显高于对照组(78.0%),差异有统计学意义(P<0.05)。实验组预后生命质量评分为(87.08±3.23)分,明显高于对照组的(65.42±3.64)分,差异有统计学意义(P<0.05)。结论微型种植体应用于安氏Ⅱ类错[牙合]畸形患者正畸治疗的效果突出,且安全性高,能显著改善患者预后,值得临床推广应用。Objective To explore the application effect of microimplants orthodontic treatment of patients with Ann classⅡmalocclusion deformity.Methods 100 patients with Ann classⅡmalocclusion deformity undergoing orthodontic treatment from January 2019 to December 2020 were selected as the research subjects,and they were divided into control group and experimental group according to the random number table method,with 50 cases in each group.The control group carried out traditional orthodontic treatment,and the experimental group carried out microimplant orthodontic treatment,the orthodontic effect,inflammatory cytokine(interleukin-1β[IL-1β],interleukin-6[IL-6],interleukin-8[IL-8])level,matrix metalloproteinase-2(MMP-2)and matrix metalloproteinase-9(MMP-9)expression level,complication rate,orthodontic teratment satisfaction and prognosis quality of life score were compared between the two groups.Results The total orthodontic response rate(94.0%)was higher than the control group(80.0%),the difference was statistically significant(P<0.05).After treatment,the levels of IL-1β,IL-6 and IL-8 of two groups were higher than before treatment,but the experimental group was lower than the control group,the differences were statistically significant(P<0.05).After treatment,the expression levels of MMP-2 and MMP-9 of the two groups were higher than before treatment,but the experimental group were lower than the control group,the differences were statistically significant(P<0.05).The total satisfaction in the treatment group(96.0%)was significantly higher than that in the control group(78.0%),and the difference was statistically significant(P<0.05).The prognostic quality of life score in the experimental group was(87.08±3.23)scores,which was significantly higher than(65.42±3.64)scores in the control group,the difference was statistically significant(P<0.05).Conclusion The application of microimplants orthodontic treatment of patients with Ann class malocclusion deformity has outstanding effect and high safety,which can signific

关 键 词：牙科 正畸治疗 错[牙合]畸形 微型种植体 

分 类 号：R783.5[医药卫生—口腔医学]