口腔正畸与修复结合治疗对牙列缺损伴牙颌畸形患者牙齿功能及美观性的影响分析  

The Effect Analysis of Orthodontics Combined with Repair on Dental Function and Aesthetics in Patients with Dentition Defect and Dentofacial Deformity

作　　者：李莲莲 鲍中媛 唐旭炎[1] LI Lianian;BAO Zhongyuan;TANG Xuyan(Department of Stomatology,Affiliated Stomatological Hospital of Anhui Medical University,Hefei 230022,Anhui,China;Department of Stomatology,Fourth People's Hospital of Lu'an,Lu'an 237005,Anhui,China)

机构地区：[1]安徽医科大学附属口腔医院口腔科,安徽合肥230022 [2]六安市第四人民医院口腔科,安徽六安237005

出　　处：《中外医疗》2024年第18期85-89,共5页China & Foreign Medical Treatment

摘　　要：目的探讨口腔正畸与修复结合治疗牙列缺损伴牙颌畸形的临床效果,并观察对患者牙齿功能、美观性的影响。方法回顾性选取2020年10月—2022年10月六安市第四人民医院口腔科收治的100例牙列缺损伴牙颌畸形患者的临床资料,按治疗方式的不同分为两组,对照组(50例)接受口腔修复治疗,观察组(50例)采用口腔正畸结合修复治疗,评估两组修复效果、美观性及生活质量,对比治疗前后牙齿情况、牙齿功能、咀嚼效率和咬合力、口腔情况情况。结果观察组治疗总有效率(92.00%)高于对照组(72.00%),差异有统计学意义(χ^(2)=6.775,P<0.05)。治疗后,观察组后牙咬合良好率、牙齿排列整齐率、前牙覆盖/覆颌良好率及牙齿功能评分明显高于对照组,差异有统计学意义(P均<0.05)。观察组治疗后的嚼效率和咬合力提升显著,口腔菌斑附着指数和软垢指数显著下降,且优于对照组,差异有统计学意义(P均<0.05)。治疗后,观察组美观性评分(红色美学指数)高于对照组,生活质量(种植义齿修复疾病专表)评分低于对照组,差异有统计学意义(P均<0.05)。结论临床针对牙列缺损,并同时伴有牙颌畸形的患者用口腔正畸与修复联合治疗效果确切,能改善牙齿功能及口腔健康状况,提升咀嚼效率和咬合力,美观性强。Objective To explore the clinical effect of combining orthodontics and restoration in the treatment of den-tal defects with malocclusion,and to observe the impact on dental function and aesthetics in patients.Methods The clinical data of 100 patients with dentition defect and dentofacial deformity admitted to the Department of Stomatology of Fourth People's Hospital of Lu'an from October 2020 to October 2022 were retrospectively selected and divided into two groups according to different treatment methods.The control group(50 cases)received oral repair treatment,and the observation group(50 cases)was treated with orthodontics combined with repair treatment.The repair effect,aesthetics and quality of life of the two groups were evaluated.The tooth condition,teeth function,chewing efficiency and bite force and oral condition before and after treatment were compared.Results The total effective rate of treat-ment in the observation group(92.00%)was higher than that of the control group(72.00%),and the difference was sta-tistically significant(χ^(2)=6.775,P<0.05).After treatment,the rate of good occlusion of posterior teeth,the rate of neat arrangement of teeth,the rate of good overjet/overbite of anterior teeth and the score of dental function in the observa-tion group were significantly higher than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the chewing efficiency and bite force of the observation group were significantly im-proved,and the oral plaque adhesion index and debris index were significantly decreased,which were better than those of the control group,and the differences were statistically significant(all P<0.05).After treatment,the aesthetic score of the observation group was higher than that of the control group,and the quality of life score was lower than that of the control group,the differences were statistically significant(both P<0.05).Conclusion The combination of orthodontic and restorative treatment is effective for patients with denta

关 键 词：口腔正畸 牙颌畸形 牙列缺损 牙齿功能 面部美观 

分 类 号：R4[医药卫生—临床医学]