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口腔正畸治疗上前牙埋伏阻生的临床效果

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目的 分析口腔正畸治疗上前牙埋伏阻生的临床效果.方法 方便选取2022年1月—2023年9月泗洪县第一人民医院口腔科内收治的62例上前牙埋伏阻生患者为研究对象,并以治疗措施分为外科组(31例,常规外科导萌手术治疗)和正畸组(31例,口腔正畸治疗),对比分析两组患者手术疗效、并发症发生率、术后不同时间段的疼痛评分、上前牙槽骨密度.结果 正畸组总有效率为100.00%,高于外科组的80.65%,差异有统计学意义(χ2=6.643,P=0.010).正畸组并发症发生率为3.23%,低于外科组的22.58%,差异有统计学意义(χ2 =5.167,P=0.023).术后1 d,两组视觉模拟评分法(Visual Analogue Scale,VAS)评分比较,差异无统计学意义(P>0.05),而正畸组术后3、5 d的VAS评分显著低于外科组,差异有统计学意义(P<0.05).术前,两组牙槽骨密度比较,差异无统计学意义(P>0.05),而正畸组术后3、10 d牙槽骨密显著高于外科组,差异有统计学意义(P<0.05).结论 口腔正畸治疗上前牙埋伏阻生患者,可取得显著疗效,且术后并发症发生率、疼痛程度低,对上前牙槽骨密度影响较小.
Clinical Effect of Orthodontic Treatment of Impacted Anterior Teeth
Objective To analyze the clinical effect of orthodontic treatment of impacted anterior teeth.Methods Sixty-two patients with impacted anterior teeth admitted to the Stomatology Department of the First People's Hospital of Si-hong County from January 2022 to September 2023 were conveniently selected as the study objects,and were divided into surgical group(31 cases,conventional surgery guided surgery treatment)and orthodontic group(31 cases,orth-odontic treatment)according to treatment measures.The operative effect,complication rate,postoperative pain score and anterior alveolar bone density were compared between the two groups.Results The total effective rate of orthodon-tic group was 100.00%,which was higher than that of surgical group(80.65%),and the difference was statistically sig-nificant(χ2=6.643,P=0.010).The complication rate of orthodontic group was 3.23%,which was lower than that of sur-gical group(22.58%),and the difference was statistically significant(χ2=5.167,P=0.023).On the 1st day after sur-gery,compare the Visual Analogue Scale(VAS)scores of the two groups,the difference was not statistically significant(P>0.05),while the VAS scores of the orthodontic group on the 3rd and 5th day after surgery were significantly lower than those of the surgical group,and the differences were statistically significant(both P<0.05).Before surgery,there was no statistical significance in alveolar bone density between the two groups(P>0.05),while the alveolar bone den-sity in the orthodontic group was significantly higher than that in the surgical group at 3 and 10 d after surgery,and the differences were statistically significant(both P<0.05).Conclusion Orthodontic treatment of anterior alveolar im-pacted patients can achieve significant curative effect,and the incidence of postoperative complications and degree of pain are low,which has little influence on the bone density of anterior alveolar teeth.

Anterior tooth ambush impactedSurgical guidanceOrthodontics

孙茹、程琼琼、吴卉

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泗洪县第一人民医院口腔科,江苏宿迁 223900

镇江市第三人民医院口腔科,江苏镇江 212000

上前牙埋伏阻生 外科导萌 口腔正畸

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(7)
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