微型种植体支抗正畸治疗与口外弓加强支抗正畸治疗对口腔正畸患者牙周指标影响的回顾性分析  

Retrospective analysis of the effects of mini implant anchorage orthodontic treatment and intraoral arch reinforcement anchorage orthodontic treatment on periodontal indicators in orthodontic patients

作　　者：刘长磊 李旭[1] 杨秋岭 LIU Changlei;LI Xu;YANG Qiuling(Department of Stomatology,Nanyang Second People's Hospital,Henan Province,473000,China)

机构地区：[1]南阳市第二人民医院口腔科,河南南阳473000

出　　处：《中国医疗美容》2024年第11期82-85,共4页China Medical Cosmetology

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20231015)。

摘　　要：目的比较微型种植体支抗正畸、口外弓加强支抗正畸在口腔正畸患者中的应用价值。方法本研究行回顾性研究方式,选取2020年1月至2022年9月南阳市第二人民医院收治的112例口腔正畸患者作为研究对象,按照正畸治疗方案分成2组,研究组(55例)行微型种植体支抗正畸治疗,对照组(57例)行口外弓加强支抗正畸治疗,持续治疗12个月,观察两组患者的疗效、正畸效果、咀嚼功能、牙周指标状况、并发症状况。结果研究组患者治疗效果优于对照组,差异有统计学意义(P<0.05)。研究组患者上齿槽座角、上下齿槽座角、磨牙位移距离小于对照组,下齿槽座角、上下切牙凸距、和上中切牙倾角差均大于对照组,差异有统计学意义(P<0.05)。治疗12个月后,研究组患者出血指数、菌斑指数、牙龈指数低于对照组,咬合力、咀嚼效率高于对照组,并发症发生少于对照组,差异具有统计学意义(P<0.05)。结论微型种植体支抗正畸治疗口腔正畸的效果显著,且安全性较高。Objective To compare the application value of mini implant anchorage orthodontics and intraoral arch enhanced anchorage orthodontics in orthodontic patients.Methods This study conducted a retrospective study,selecting 112 orthodontic patients admitted to the Second People's Hospital of Nanyang City from January 2020 to September 2022 as the research subjects.They were divided into two groups according to the orthodontic treatment plan.The study group(55 cases)received micro implant anchorage orthodontic treatment,while the control group(57 cases)received oral arch strengthening anchorage orthodontic treatment.The treatment lasted for 12 months,and the effificacy,orthodontic effect,chewing function,periodontal index status,and complications of the two groups of patients were observed.Results The treatment effect of the research group was better than that of the control group,and the difference was statistically signifificant(P<0.05).The upper and lower tooth socket angles,as well as the displacement distance of the molars,were smaller in the study group than in the control group.The differences in lower tooth socket angle,upper and lower incisor convexity,and upper and middle incisor inclination angle were all greater in the study group than in the control group,and the differences were statistically signifificant(P<0.05).After 12 months of treatment,the bleeding index,plaque index,and gingival index of the study group were lower than those of the control group,while the biting force and chewing effificiency were higher than those of the control group.The incidence of complications was less than that of the control group,and the difference was statistically signifificant(P<0.05).Conclusions Micro implant anchorage orthodontic treatment has signifificant effects and high safety in orthodontic treatment.

关 键 词：正畸 微型种植体支抗 口外弓加强支抗 咀嚼功能 牙周状况 

分 类 号：R783.5[医药卫生—口腔医学]