肌激动器与Forsus治疗下颌后缩的疗效分析与治疗体验感评价  

Comparison of The Efficacy and Patients’Experiences of Activator and Forsus in the Treatment of Mandibular Retrognathia

作　　者：胡婷婷 沈群 汪蓓蓓 王斌[1] HU Ting-ting;SHEN Qun;WANG Bei-bei;WANG Bin(Hefei Stomatological Hospital,Hefei Clinical College of Stomatology,Anhui Medical University,Anhui Province 230000,China)

机构地区：[1]合肥市口腔医院/安徽医科大学合肥口腔临床学院,安徽合肥230000

出　　处：《中国医疗美容》2024年第6期58-62,共5页China Medical Cosmetology

摘　　要：目的比较肌激动器和Forsus对骨性II类下颌后缩患者的疗效及患者矫治过程中的体验感,为临床更具针对性的选择矫治器提供参考。方法本研究选择肌激动器(A组)和Forsus(F组)前导下颌的患者各24例(10~14岁),均配合固定矫治技术排齐牙列,结束治疗。治疗前后均拍摄头颅侧位片,比较治疗前后牙性、骨性变化量,治疗时间,并通过问卷调查的方法请患者对矫治体验感进行评价。结果治疗后,A组SNB增加量、ANB减小量、U1-SN减小量大于F组,差异具有统计学意义。A组总疗程为(20.21±2.96)月,F组总疗程为(22.17±2.55)月,A组更短,差异具有统计学意义(P﹤0.05)。患者在对于两种矫治器的初见接受度、佩戴时间、美观、发音方面F组优于A组,差异具有统计学意义(P﹤0.05);在口腔卫生、矫治器损坏、黏膜损伤、进食上的体验感A组优于F组,差异具有统计学意义(P﹤0.05)。但对于治疗体验感的总评分两组无明显差异(P>0.05)。结论相较于Forsus,肌激动器前导下颌带来更明显的下颌骨生长和上前牙内收,疗程也更短。两组患者的治疗体验感评价中,详细评分两组各有优劣,但总评分无明显差异,临床医生可根据患者具体情况精准选择矫治器。Objective To compare the effect of Activator and Forsus in adolescent patients with mandibular retrognathia in skeletal Class II and the experience of patients during the treatment process,so as to provide reference for more targeted selection of clinical orthodontics.Methods In this study,24 patients(10-14 years old)of Activator(group A)and Forsus(group F)were selected to promote mandibular growth,and all of them were aligned with fixed orthodontic technique to end the treatment.The lateral cephalograms were taken before and after treatment.The data of the cephalometrics and the treatment time were compared,and the patients were asked to evaluate the experience of orthodontics through questionnaire survey.Results After treatment,the increase of SNB,the decrease of ANB and the decrease of U1-SN in group A were greater than those in group F,and the differences were statistically signifificant.The total course of treatment in group A was(20.21±2.96)months,and that in group F was(22.17±2.55)months which is shorter than group F,and the difference was statistically signifificant(P﹤0.05).Patients in group F were better than group A in terms of initial acceptance,wearing time,appearance and pronunciation of the two kinds of appliance,and the difference was statistically signifificant(P﹤0.05).The experience of oral hygiene,appliance damage,mucosal damage and eating in group A was better than that in group F,and the difference was statistically signifificant(P﹤0.05).However,there was no signifificant difference in the total score of treatment experience between the two groups(P﹥0.05).Conclusion Compared with Forsus,Activator leads to more obvious mandibular growth and anterior tooth retraction,and the course of treatment is shorter.In the experience of the two groups of patients,each group has its advantages and disadvantages in the detailed score,but the total score is not signifificantly different.Clinicians can accurately select the appliance according to the specifific situation of the patient.

关 键 词：下颌后缩 FORSUS 肌激动器 治疗体验感 问卷调查 

分 类 号：R783.5[医药卫生—口腔医学]