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微螺钉种植体支抗治疗对口腔正畸患者牙根吸收状况及美学效果的影响

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目的 分析微螺钉种植体支抗治疗对口腔正畸患者牙根吸收状况及美学效果的影响。方法 选取2020年6月至2022年5月于本院拟行口腔正畸治疗的80例患者为研究对象,依据入院时间顺序编号的奇偶性将其分为对照组(奇数)和观察组(偶数),各40例。对照组实施传统的口外弓支抗治疗,观察组实施微螺钉种植体支抗治疗。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组(P<0。05)。治疗后,两组上下颌中切牙、侧切牙及尖牙的体积比较,差异无统计学意义(P>0。05)。治疗后,观察组的牙周咬合力、牙齿咀嚼功能高于对照组,牙龈指数、出血指数及牙齿松动度低于对照组(P<0。05)。观察组的上下切牙宽度、上中切牙倾角差及红色美学指数(PES)、白色美学指数(WES)评分均高于对照组,磨牙位移短于对照组(P<0。05)。结论 相较传统的口外弓支抗治疗,微螺钉种植体支抗治疗能改善患者的口腔功能、牙列排布及美学效果,并不会增加牙根吸收,且安全性较高,具有重要的应用价值。
Effects of micro-screw implant anchorage treatment on root resorption and aesthetic effect in orthodontic patients
Objective To analyze the effects of micro-screw implant anchorage treatment on root resorption and aesthetic effect in orthodontic patients.Methods A total of 80 patients who underwent orthodontic treatment in our hospital from June 2020 to May 2022 were selected as the research objects.According to the parity of admission time sequence number,the patients were divided into control group(odd number)and observation group(even number),with 40 cases in each group.The control group was treated with traditional extraoral arch anchorage,and the observation group was treated with micro-screw implant anchorage.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,there were no significant differences in the volume of upper and lower central incisors,lateral incisors and canines between the two groups(P>0.05).After treatment,the periodontal bite force and tooth chewing function of the observation group were higher than those of the control group,and the gingival index,bleeding index and tooth mobility were lower than those of the control group(P<0.05).The width of upper and lower incisors,the inclination angle difference of upper and middle incisors,the scores of Pink Esthetic Score(PES)and White Esthetic Score(WES)in the observation group were higher than those in the control group,and the displacement of molars was shorter than that in the control group(P<0.05).Conclusion Compared with the traditional extraoral arch anchorage treatment,micro-screw implant anchorage treatment can improve the oral function,dentition arrangement and aesthetic effect of patients,and will not increase root resorption,and has high safety and important application value.

micro-screw implant anchorageextraoral arch anchoragorthodonticroot resorption

来莉、傅超

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西安市长安区医院,陕西西安,710118

微螺钉种植体支抗 口外弓支抗 口腔正畸 牙根吸收

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(35)