首页|上前牙阻生予以外科导萌术联合口腔正畸治疗的效果分析

上前牙阻生予以外科导萌术联合口腔正畸治疗的效果分析

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目的 分析外科导萌术联合口腔正畸治疗对改善上前牙阻生患者临床疗效及治疗满意度的影响.方法 随机将2019年7月-2022年3月我科60例上前牙阻生患者分为对照组(单予外科导萌术)、观察组(联合口腔正畸),各30例.对比两组临床疗效.结果 观察组的总有效率96.67%、并发症发生率6.67%均优于对照组96.67%、26.67%,具统计学意义(x2=5.192,4.320;P<0.05).观察组的破龈时间(6.08±1.49)月明显缩短,咀嚼功能(9.52±0.39)分明显提升,均显著优于对照组(10.49±1.34)月,(8.14±0.27)分(t=12.053,15.934;P<0.05).观察组术后的 SF-36 评分(88.56±4.28)分高于对照组(t=11.576,P<0.05).从治疗满意度分析,观察组患者的治疗方法(92.62±4.05)分、日常能力(95.38±4.15)分、美观度(94.23±4.11)分高于对照组(t=6.255,7.887,8.224;P<0.05).结论 口腔正畸配合外科导萌术治疗可显著提升上前牙阻生的临床有效性,缩短破龈时间,恢复咀嚼能力,不良反应率较低,对患者治疗满意度及生活质量具有提升作用,此方案值得推广.
Analysis of the effect of surgical guided eruption combined with orthodontic treatment on impacted upper anterior teeth
Objective To analyze the effect of surgical guided eruption combined with orthodontic treatment on the clinical effi-cacy and treatment satisfaction of patients with impacted upper anterior teeth.Methods 60 patients with impacted maxillary anterior teeth in our hospital from July 2019 to March 2022 were randomly divided into two groups:the control group(surgical guided eruption only)and the observation group(combined with orthodontics),with 30 cases in each group.The clinical effects of the two groups were compared.Results The total effective rate(96.67%)and complication rate(6.67%)of the observation group were significantly higher than those of the control group(96.67%and 26.67%)(x2=5.192,4.320;P<0.05).The gingival rupture time in the observation group was significantly shortened(6.08±1.49)months,and the masticatory function was significantly improved(9.52±0.39)points,which were significantly better than those in the control group(10.49±1.34)minutes,(8.14±0.27)minutes(t=12.053,15.934;P<0.05).The postoperative SF-36 score of the observation group(88.56±4.28)was higher than that of the control group(t=11.576,P<0.05).According to the analysis of treatment satisfaction,the scores of treatment method(92.62±4.05),daily ability(95.38±4.15)and aes-thetic degree(94.23±4.11)in the observation group were higher than those in the control group(t=6.255,7.887,8.224;P<0.05).Conclusion The treatment of orthodontics combined with surgical guided eruption can significantly improve the clinical effectiveness of anterior impacted teeth,shorten the time of gingival rupture,restore chewing ability,and have a low adverse reaction rate,which can improve patients'treatment satisfaction and quality of life.This program is worth promoting.

Impacted upper anterior teethSurgical guided germinationOrthodontic treatmentClinical effectAdverse reac-tionsTreatment satisfaction

江小川、吴松

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新疆阿克苏地区第一人民医院,新疆阿克苏 843000

昌吉市人民医院,新疆昌吉 831100

上前牙阻生 外科导萌术 口腔正畸治疗 临床效果 不良反应 治疗满意度

2024

新疆医学
新疆维吾尔自治区医学会

新疆医学

影响因子:0.385
ISSN:1001-5183
年,卷(期):2024.54(3)
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