牙槽骨微穿孔术在成人拔牙正畸治疗中的应用  

Application of alveolar bone microperforation surgery in adult orthodontic treatment for tooth extraction

作　　者：靳志萌 马慧铭 郭威 JIN Zhimeng;MA Huiming;GUO Wei(Department of Oral and Maxillofacial Surgery,Puyang Third People's Hospital,Henan Province,457000,China;Department of Orthodontics,Puyang Third People's Hospital,Henan Province,457000,China;Department of General Medicine,Puyang Third People's Hospital,Henan Province,457000,China)

机构地区：[1]濮阳市第三人民医院口腔颌面外科,河南濮阳457000 [2]濮阳市第三人民医院口腔正畸科,河南濮阳457000 [3]濮阳市第三人民医院综合科,河南濮阳457000

出　　处：《中国医疗美容》2024年第9期62-65,共4页China Medical Cosmetology

摘　　要：目的 探讨成人拔牙正畸治疗中采用牙槽骨微穿孔术的效果。方法 对2021年9月至2023年1月于濮阳市第三人民医院行拔牙正畸治疗的80例患者进行回顾性分析,以治疗方法的不同分成研究组和对照组,每组40例,对照组给予单纯正畸治疗,研究组给予牙槽骨微穿孔术联合正畸治疗,比较两组治疗时间、尖牙移动距离、疼痛程度、牙根吸收、并发症。结果研究组患者牙齿排齐、间隙关闭、牙套摘取时间较对照组更短(P<0.05);两组患者关闭间隙治疗2个月、3个月尖牙移动距离较治疗后1个月增加(P<0.05),研究组患者治疗后1个月、2个月、3个月较对照组更大(P<0.05);两组关闭间隙治疗1周、2周视觉模拟评分法评分较治疗1d下降(P<0.05),但两组治疗1d、1周、2周比较差异无统计学意义(P>0.05);两组关闭间隙治疗后2个月、3个月的牙根吸收较治疗后1个月增加(P<0.05),但研究组患者治疗后1个月、2个月、3个月较对照组更少(P<0.05);统计并发症发生率,研究组7.50%(3/40)较对照组25.00%(10/40)更低(P<0.05)。结论 成人拔牙正畸治疗中采用牙槽骨微穿孔术,能够加快尖牙移动,缩短治疗时间,降低并发症发生率,且无明显疼痛感。Objective To explore the effect of using alveolar bone microperforation surgery in adult orthodontic treatment for tooth extraction.Methods A total of 80 patients who were underwent tooth extraction orthodontic treatment from September 2021 to January 2023 in Puyang Third People's Hospital were selected for retrospective analysis,according to different treatment methods,they were divided into study group and control group,with 40 cases in each group.The treatment time,canine movement distance,pain level,root resorption,complications in both groups were compared.Results In comparison of the control group,the time for aligning teeth,closing gaps,and removing braces in the study group was shorter(P<0.05).The distance of canine movement were increased in both groups after 8 and 12 weeks of gap closure treatment compared to 4 weeks of treatment(P<0.05),in comparison of the control group,the study group was larger at 4,8,and 12 weeks of treatment(P<0.05).The visual analogue scale(VAS)scores in both groups after closing the gap treatment for 1 week and 2 weeks were decreased compared to the first day of treatment(P<0.05),but there was no statistically significant difference in both groups after treatment for 1 day,1 week,and 2 weeks(P>0.05).The root resorption in both groups treated with gap closure at 8 and 12 weeks increased compared to 4 weeks of treatment(P<0.05),but in comparison of the control group,the study group treated at 4,8,and 12 weeks was less(P<0.05).In the incidence of complications,in comparison of the control group 25.00%(10/40),the study group 7.50%(3/40)was lower(P<0.05).Conclusions The use of alveolar bone microperforation surgery in adult tooth extraction orthodontic treatment can accelerate canine movement,shorten treatment time,reduce the incidence of complications,and have no significant pain.

关 键 词：牙槽骨微穿孔术 成人拔牙正畸 微创 

分 类 号：R783.5[医药卫生—口腔医学]