肌功能训练联合萌出诱导器在替牙列期错[牙合]畸形儿童中的早期矫正效果  

Early correction effects of muscle function training and eruption inducer on dentition-related malocclusion in children

作　　者：王启慧 王芋欢 WANG Qihui;WANG Yuhuan(Department of Orthodontic;Department of Ediatric Stomatology,Cixi Huayang Stomatology Hospital Group Ningbo Hangzhou Bay Outpatient Department Corporation Limited,Ningbo 315327,China)

机构地区：[1]慈溪华阳口腔医院集团宁波杭州湾门诊部有限公司口腔正畸科,浙江宁波315327 [2]慈溪华阳口腔医院集团宁波杭州湾门诊部有限公司儿童口腔科,浙江宁波315327

出　　处：《健康研究》2023年第4期477-480,共4页Health Research

摘　　要：目的 探讨早期应用肌功能训练联合萌出诱导器在替牙列期错[牙合]畸形儿童中的效果,以期为儿童错[牙合]畸形早期治疗提供思路。方法 了解96例替牙列期错[牙合]畸形儿童的不良口腔习惯,及错[牙合]畸形类型。患儿佩戴合适的萌出诱导器每天不少于10小时,每日进行弹舌、舌外伸、鼓腮、唇肌训练、咀嚼口香糖等肌功能训练,持续12个月。治疗前和治疗后,进行X线头影测量口腔形态指标和Karaduman咀嚼行为量表(KCPS)评估咀嚼功能。结果 患儿的不良口腔习惯中吮指发生例次最高(30.77%),偏侧咀嚼最低(7.69%);错[牙合]畸形主要为深覆[牙合](35.42%)、牙列拥挤(27.08%)。与治疗前相比,治疗后患儿ANB角、SNB角、NP-FH角、UI-NA角、前牙覆盖、上牙弓拥挤度、前牙覆合、下牙弓拥挤度、下牙弓宽度、上牙弓宽度均得到明显改善(P<0.05);治疗后患儿的KCPS 0级、2级例数与治疗前比较,差异有统计学意义(P<0.05)。结论 肌功能训练联合萌出诱导器能够促进替牙期错[牙合]畸形儿童口腔形态恢复,改善其咀嚼功能。Objective To investigate the efficacy of combining muscle function training with eruption inducer in early-stage malocclusion treatment for children,providing insights into early intervention strategies for pediatric malocclusion.Methods To investigate the prevalence of deleterious oral habits and types of malocclusion in a sample of 96 children during dentition.Participants were required to wear an eruption induction device for no less than 10 hours per day and underwent muscle function training,including tongue flapping,tongue extension,jaw bulging,lip muscle training,and chewing gum for a period of 12 months.Oral morphological indices and the Karaduman masticatory behavior scale(KCPS)were measured by X-ray cephalometry before and after treatment to assess masticatory function.Results Among children,finger sucking was the most prevalent adverse oral habit(30.77%),while hemimastication was the least common(7.69%).The primary malocclusions observed were deep overbite(35.42%)and occlusal crowding(27.08%).Compared to pre-treatment,significant improvements were observed in ANB Angle,SNB Angle,NP-FH angle,UI-NA angle,anterior dental coverage,upper dental arch crowding,anterior dental overlap,lower dental arch crowding and width of both upper and lower dental arches after treatment(P<0.05).The number of cases with KCPS grade 0 and grade 2 also showed a statistically significant increase post-treatment compared to pre-treatment(P<0.05).Conclusions Combining muscle function training with eruption inducer can enhance oral morphology recovery and improve masticatory function in children with malocclusion during dental replacement.

关 键 词：肌功能训练 萌出诱导器 错[牙合]畸形 替牙列期 早期治疗 

分 类 号：R783.5[医药卫生—口腔医学]