口腔正畸治疗上前牙埋伏阻生的临床效果  

Clinical Effect of Orthodontic Treatment of Impacted Anterior Teeth

作　　者：孙茹 程琼琼 吴卉 SUN Ru;CHENG Qiongqiong;WU Hui(Department of Stomatology,Sihong County First People's Hospital,Suqian,Jiangsu Province,223900 China;De-partment of Stomatology,Zhenjiang Third People's Hospital,Zhenjiang,Jiangsu Province,212000 China)

机构地区：[1]泗洪县第一人民医院口腔科,江苏宿迁223900 [2]镇江市第三人民医院口腔科,江苏镇江212000

出　　处：《中外医疗》2024年第7期59-62,共4页China & Foreign Medical Treatment

摘　　要：目的分析口腔正畸治疗上前牙埋伏阻生的临床效果。方法方便选取2022年1月-2023年9月泗洪县第一人民医院口腔科内收治的62例上前牙埋伏阻生患者为研究对象,并以治疗措施分为外科组(31例,常规外科导萌手术治疗)和正畸组(31例,口腔正畸治疗),对比分析两组患者手术疗效、并发症发生率、术后不同时间段的疼痛评分、上前牙槽骨密度。结果正畸组总有效率为100.00%,高于外科组的80.65%,差异有统计学意义(χ^(2)=6.643,P=0.010)。正畸组并发症发生率为3.23%,低于外科组的22.58%,差异有统计学意义(χ^(2)=5.167,P=0.023)。术后1 d,两组视觉模拟评分法(Visual Analogue Scale,VAS)评分比较,差异无统计学意义(P>0.05),而正畸组术后3、5 d的VAS评分显著低于外科组,差异有统计学意义(P<0.05)。术前,两组牙槽骨密度比较,差异无统计学意义(P>0.05),而正畸组术后3、10 d牙槽骨密显著高于外科组,差异有统计学意义(P<0.05)。结论口腔正畸治疗上前牙埋伏阻生患者,可取得显著疗效,且术后并发症发生率、疼痛程度低,对上前牙槽骨密度影响较小。Objective To analyze the clinical effect of orthodontic treatment of impacted anterior teeth.Methods Sixty-two patients with impacted anterior teeth admitted to the Stomatology Department of the First People's Hospital of Si-hong County from January 2022 to September 2023 were conveniently selected as the study objects,and were divided into surgical group(31 cases,conventional surgery guided surgery treatment)and orthodontic group(31 cases,orth-odontic treatment)according to treatment measures.The operative effect,complication rate,postoperative pain score and anterior alveolar bone density were compared between the two groups.Results The total effective rate of orthodon-tic group was 100.00%,which was higher than that of surgical group(80.65%),and the difference was statistically sig-nificant(χ^(2)=6.643,P=0.010).The complication rate of orthodontic group was 3.23%,which was lower than that of sur-gical group(22.58%),and the difference was statistically significant(χ^(2)=5.167,P=0.023).On the 1st day after sur-gery,compare the Visual Analogue Scale(VAS)scores of the two groups,the difference was not statistically significant(P>0.05),while the VAS scores of the orthodontic group on the 3rd and 5th day after surgery were significantly lower than those of the surgical group,and the differences were statistically significant(both P<0.05).Before surgery,there was no statistical significance in alveolar bone density between the two groups(P>0.05),while the alveolar bone den-sity in the orthodontic group was significantly higher than that in the surgical group at 3 and 10 d after surgery,and the differences were statistically significant(both P<0.05).Conclusion Orthodontic treatment of anterior alveolar im-pacted patients can achieve significant curative effect,and the incidence of postoperative complications and degree of pain are low,which has little influence on the bone density of anterior alveolar teeth.

关 键 词：上前牙埋伏阻生 外科导萌 口腔正畸 

分 类 号：R783.5[医药卫生—口腔医学]