秦皇岛地区儿童埋伏牙进行早期干预的效果评估  

Evaluation of the effectiveness of early intervention for impacted teeth in children in Qin-huangdao area

作　　者：王璐璐 杨佳鑫 卢茜 郭晓琳 WANG Lu-lu;YANG Jia-xin;LU Qian;GUO Xiao-lin(Department of Stomatology,Qin-huangdao Maternal and Child Health Hospital,Qinhuangdao 066000,China)

机构地区：[1]河北省秦皇岛市妇幼保健院口腔科,河北秦皇岛066000

出　　处：《实用医院临床杂志》2025年第2期145-148,共4页Practical Journal of Clinical Medicine

基　　金：河北省医学科研计划(编号:20210410);秦皇岛市科学技术研究与发展计划(编号:202301A122)。

摘　　要：目的探讨秦皇岛地区埋伏牙患儿闭合式外科导萌联合正畸牵引的效果。方法选取2022年12月至2023年12月本院收治的88例埋伏牙患儿,根据治疗方案不同分成导萌组(闭合式外科导萌)、联合组(闭合式外科导萌联合正畸牵引)各44例。比较两组患儿的手术结局指标、附着龈宽度及唇侧骨板厚度、疼痛程度、炎性因子水平以及并发症发生情况。结果联合组破龈时间、患牙萌出时间短于导萌组(P<0.05),萌出成功率差异无统计学意义(P>0.05)。治疗3个月后,两组患儿附着龈宽度、唇侧骨板厚度均增加,且联合组高于导萌组(P<0.05)。两组治疗后7 d、1个月、3个月的VAS评分均下降,且联合组下降幅度大于导萌组(P<0.05)。治疗7 d后,两组IL-6、IL-1β、TNF-α水平均升高,但联合组低于导萌组(P<0.05)。联合组并发症发生率6.82%低于导萌组的22.73%(P<0.05)。结论闭合式外科导萌联合正畸牵引有助于促进秦皇岛地区埋伏牙患儿患牙的萌发和发育,缓解口腔炎症,降低并发症发生率,具有较好的效果和安全性。Objective To explore the effect of closed surgical eruption induction combined with orthodontic traction in the treatment of children with impacted teeth in Qinhuangdao area.Methods A total of 88 children with impacted teeth admitted to our hospital from December 2022 to December 2023 were selected.According to different treatment plans,they were divided into an induction group(closed surgical eruption)and a combined group(closed surgical eruption combined with orthodontic traction),44 in each group.The surgical outcome indicators,attached gingival width and labial bone plate thickness,pain level,inflammatory factor level and complications were compared between the two groups.Results The gingival rupture time and tooth eruption time of the combined group were shorter than those of the induction group(P<0.05).There was no statistically significant difference in the eruption success rate(P>0.05).After 3 months of treatment,the width of attached gingiva and labial bone plate thickness of the two groups of children was increased(P<0.05),and the combined group was higher than the induction group(P<0.05).The VAS scores of both groups showed a downward trend after 7 days,1 month and 3 months of treatment,and the decrease in the combined group was greater than that in the induction group(P<0.05).After 7 days of treatment,the levels of IL-6,IL-1βand TNF-αin both groups were increased(P<0.05),but those in the combined group were lower than those in the induction group(P<0.05).The complication rate in the combined group was 6.82%(3/44),which was lower than 22.73%(10/44)in the induction group(P<0.05).Conclusions Closed surgical induction combined with orthodontic traction can promote the eruption and development of impacted teeth in children with impacted teeth in Qinhuangdao area.It relieves the oral inflammation,and reduces the incidence of complications.The effect and safety are good.

关 键 词：儿童埋伏牙 错合畸形 早期干预 手术决策 临床方案 

分 类 号：R781[医药卫生—口腔医学]