微螺钉种植体支抗治疗口腔正畸患者的效果及对牙根吸收状况、美观程度的影响  

Effect of micro-screw implant anchorage in the treatment of orthodontic patients and its influences on root absorption and aesthetics

作　　者：张钰涓 解碧晶 张雪晶 ZHANG Yujuan;XIE Bijing;ZHANG Xuejing(Traditional Chinese Medicine Hospital of Yulin,Yulin 719000,China)

机构地区：[1]榆林市中医医院,陕西榆林719000

出　　处：《临床医学研究与实践》2024年第8期85-88,133,共5页Clinical Research and Practice

摘　　要：目的分析微螺钉种植体支抗治疗口腔正畸患者的临床效果。方法选取我院2019年1月至2021年12月收治的80例口腔正畸患者作为研究对象,以随机法将其分为常规组(40例,常规口外弓强支抗治疗)和观察组(40例,微螺钉种植体支抗治疗)。比较两组的治疗效果。结果观察组的治疗总有效率显著高于常规组,差异具有统计学意义(P<0.05)。治疗前、后,两组的牙根吸收情况比较,差异无统计学意义(P>0.05)。治疗前,两组的咬合力、咀嚼功能及牙周健康指标比较,差异无统计学意义(P>0.05);治疗后,观察组的咬合力及咀嚼功能均显著高于常规组,牙龈退缩指数(GI)、龈沟出血指数(SBI)及菌斑指数(PLI)评分均显著低于常规组,差异具有统计学意义(P<0.05)。观察组的正畸美观程度评分显著高于常规组,不良反应总发生率显著低于常规组,差异具有统计学意义(P<0.05)。结论微螺钉种植体支抗治疗口腔正畸患者能取得理想疗效,有着较高的正畸美观度评价。Objective To analyze the clinical effect of micro-screw implant anchorage in the treatment of orthodontic patients.Methods A total of 80 orthodontic patients admitted in our hospital from January 2019 to December 2021 were selected as the research objects,and the patients were randomly divided into routine group(40 cases,routine extraoral arch strong anchorage treatment)and observation group(40 cases,micro-screw implant anchorage treatment).The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was significantly higher than that in the routine group,and the difference was statistically significant(P<0.05).Before and after treatment,there was no significant difference in root resorption between the two groups(P>0.05).Before treatment,there were no significant differences in bite force,masticatory function and periodontal health indexes between the two groups(P>0.05);after treatment,the bite force and masticatory function of the observation group were significantly higher than those of the routine group,and the gingival index(GI),sulcus bleeding index(SBI)and plaque index(PLI)scores were significantly lower than those of the routine group,and the differences were statistically significant(P<0.05).The orthodontic aesthetic score of the observation group was significantly higher than that of the routine group,and the total incidence of adverse reactions was significantly lower than that of the routine group,and the differences were statistically significant(P<0.05).Conclusion Micro-screw implant anchorage in the treatment of orthodontic patients can achieve ideal results,and has a high evaluation of orthodontic aesthetics.

关 键 词：口腔正畸 口外弓强支抗 微螺钉种植体支抗 咀嚼功能 牙齿美学 

分 类 号：R783.5[医药卫生—口腔医学]