直丝弓矫正技术治疗替牙期牙齿畸形患儿的效果  

Effects of straight wire arch correction technique in treatment of children with dental malformations during mixed dentition period

作　　者：刘青敏 罗丹 LIU Qingmin;LUO Dan(Department of Pediatric Stomatology of Pingdingshan Stomatological Hospital,Affiliated Stomatological Hospital of Pingdingshan University,Pingdingshan 467000 Henan,China)

机构地区：[1]平顶山市口腔医院平顶山学院附属口腔医院儿童口腔科,河南平顶山467000

出　　处：《中国民康医学》2024年第9期98-100,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察直丝弓矫正技术治疗替牙期牙齿畸形患儿的效果。方法:选取2020年7月至2022年7月于平顶山市口腔医院接受治疗的76例替牙期牙齿畸形患儿进行前瞻性研究,按随机数字表法将其分为研究组(n=38)和对照组(n=38)。对照组采取不锈钢丝矫正技术治疗,研究组采取直丝弓矫正技术治疗,比较两组临床疗效、治疗前后龈沟液碱性磷酸酶(ALP)水平、咀嚼效率、家长满意度和治疗3个月并发症发生率。结果:研究组治疗总有效率为97.37%(37/38),高于对照组的78.95%(30/38),差异有统计学意义(P<0.05);治疗后,两组龈沟液ALP水平均高于治疗前,但研究组低于对照组,差异有统计学意义(P<0.05);治疗后,两组咀嚼效率均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组整体美观度、牙齿形态、咬合度等家长满意度评分均高于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为5.26%(2/38),低于对照组的23.68%(9/38),差异有统计学意义(P<0.05)。结论:直丝弓矫正技术治疗替牙期牙齿畸形患儿可提高治疗总有效率、咀嚼效率和家长满意度,降低龈沟液ALP水平和并发症发生率,效果优于不锈钢丝矫正技术治疗。Objective:To observe effects of straight wire arch correction technique in treatment of children with dental malformations during mixed dentition period.Methods:A prospective study was conducted on 76 children with dental malformations during the mixed dentition who were treated in Pingdingshan stomatological hospital from July 2020 to July 2022.They were divided into study group(n=38)and control group(n=38)by using the random number table method.The control group was treated with stainless steel wire correction technique,while the study group was treated with straight wire arch correction technique.The clinical efficacy,the gingival crevicular fluid alkaline phosphatase(ALP)level before and after the treatment,the masticatory efficiency,the parental satisfaction,and the incidence of complications 3 months after the treatment were compared between the two groups.Results:The total effective rate of the study group was 97.37%(37/38),which was higher than 78.95%(30/38)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of ALP in gingival crevicular fluid of the two groups were higher than those before the treatment,but that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the masticatory efficiency levels of the two groups were higher than those before the treatment,that of the study group was higher than that of the control group,and the differences were statistically significant(P<0.05).The scores of the parental satisfaction such as overall aesthetics,tooth shape and occlusion in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was 5.26%(2/38),which was lower than 23.68%(9/38)in the control group,and the difference was statistically significant(P<0.05).Conclusions:Straight wire arch correction technique can improve the total effective rate,the

关 键 词：牙齿畸形 直丝弓矫正技术 不锈钢丝矫正技术 并发症 碱性磷酸酶 咀嚼效率 

分 类 号：R788[医药卫生—口腔医学]