骨性Ⅲ类患者正畸-正颌联合治疗中牙槽骨形态和牙周软组织变化分析  

Analysis of Alveolar Bone Morphology and Periodontal Soft Tissue Changes during Orthodontic-Orthognathic Treatment in Patients with Skeletal ClassⅢMalocclusion

作　　者：周燕灵 Zhou Yanling(Dancheng County People′s Hospital Henan Zhoukou Zip Code,477150)

机构地区：[1]郸城县人民医院,河南周口477150

出　　处：《辽宁医学杂志》2024年第1期51-53,共3页Medical Journal of Liaoning

摘　　要：目的探讨骨性Ⅲ类患者正畸-正颌联合治疗中牙槽骨形态和牙周软组织变化。方法回顾性研究,选择医院口腔正畸科2017年1月至2020年1月诊治的70例骨性Ⅲ类错牙合畸患者,采用正畸-正颌联合治疗。在治疗前及治疗后1年检测牙槽骨厚度、面部软组织不对称性指标和美观性。结果治疗后,患者的UP、UW、UA厚度均小于治疗前(P<0.05)。治疗后,患者的两侧下唇偏斜量少于治疗前(P<0.05),两侧上唇偏斜量、两侧下颌偏斜量多于治疗前(P<0.05)。70例患者中对面部美观性非常满意11例、满意36例、不满意23例,总满意率为67.14%。结论骨性Ⅲ类错牙合畸患者经正畸-正颌联合治疗能重建牙槽骨、牙周软组织形态,改善面部软组织不对称性,且能获得较满意的面部美观性。Objective To discuss the alveolar bone morphology and periodontal soft tissue changes during orthodontic-orthognathic treatment in patients with skeletal ClassⅢmalocclusion.Methods Seventy patients with skeletal ClassⅢmalocclusion in orthodontics department of our hospital from January 2017 to January 2020 were retrospectively analyzed.All patients received orthodontic-orthognathic treatment.Alveolar bone thickness,facial soft tissue asymmetry and aesthetic were measured at the baseline and 1 year after treatment.Results Values of upper posterior alveolar width(UP),upper anterior alveolar width(UA)and upper alveolar height(UA)were decreased in all patients.After treatment,the amount of bilateral lower lip deviation was less than before treatment(P<0.05),and the amount of bilateral upper lip deviation and bilateral mandibular deviation were more than before treatment(P<0.05).Of the 70 patients,11 were very satisfied,36 were satisfied and 23 were dissatisfied with the aesthetics of the face,giving an overall satisfaction rate of 67.14%.Conclusion Orthodontic-orthodontic treatment can reconstruct the morphology of the alveolar bone and periodontal soft tissues,improve facial soft tissue asymmetry,and obtain satisfactory facial aesthetics.

关 键 词：骨性Ⅲ类错牙合畸 正畸-正颌联合治疗 牙槽骨形态 牙周软组织 变化 

分 类 号：R783.5[医药卫生—口腔医学]