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麻花丝流动树脂固定术在牙外伤固定治疗中的应用效果

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目的:探讨麻花丝流动树脂固定术在牙外伤固定治疗中的临床应用效果.方法:选择 2021 年 4 月—2023 年8 月潮州市中心医院口腔科门急诊收治的 46 例需行固定的前牙牙外伤患者作为研究对象.采取随机数表法分为观察组和对照组,各 23 例.对照组给予牙弓夹板钢丝固定,观察组给予麻花丝流动树脂固定术.比较两组治疗前后牙周指数[牙龈指数(GI)、菌斑指数(PLI)、牙周袋深度(PD)]、龈沟液相关因子水平[缺氧诱导因子(HIF-1α)、白细胞介素-8(IL-8)、趋化因子(CX3CL1)]、手术时间、临床疗效及并发症发生情况.结果:治疗后,两组GI、PLI、PD、龈沟液IL-8、HIF-1α水平均低于治疗前,CX3CL1 水平高于治疗前,且观察组GI、PLI、PD、龈沟液IL-8、HIF-1α、CX3CL1 水平均低于对照组,差异有统计学意义(P<0.05).观察组总有效率高于对照组,但两组间比较,差异无统计学意义(P>0.05).观察组手术时间短于对照组,差异有统计学意义(t=10.183,P<0.001).观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论:麻花丝流动树脂固定术有效减轻牙外伤炎症反应,临床疗效高,卫生方便且操作效率高,在牙外伤固定治疗中应用效果较好.
Application Effect of Flow-resin Fixation with Twist Wire in the Treatment of Dental Trauma
Objective:To investigate the clinical effect of flow-resin fixation with twist wire in the treatment of dental trauma.Method:A total of 46 patients with anterior dental trauma requiring fixation admitted to the Stomatology Department of Chaozhou Central Hospital from April 2021 to August 2023 were selected as the study objects.They were divided into observation group and control group by random number table method,with 23 cases in each group.The control group was fixed with wire splint,and the observation group was fixed with flow-resin fixation with twist wire.Periodontal index[gingival index(GI),plaque index(PLI),pocket depth(PD)],gingival crevicular fluid-related factors[hypoxia-inducing factor-1α(HIF-1α),interleukin-8(IL-8),chemokine(CX3CL1)]before and after treatment,operation time,clinical efficacy and complications were compared between the two groups.Result:After treatment,GI,PLI,PD,gingival crevicular fluid IL-8 and HIF-1α levels in both groups were lower than those before treatment,and CX3CL1 levels were higher than that before treatment,and GI,PLI,PD,gingival crevicular fluid IL-8,HIF-1α and CX3CL1 levels in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the control group,but there was no significant difference between the two groups(P>0.05).The operation time of the observation group was shorter than that of the control group,and the difference was statistically significant(t=10.183,P<0.001).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Flow-resin fixation with twist wire can effectively reduce the inflammatory reaction of dental trauma,with high clinical efficacy,hygiene,convenience and operation efficiency,and has a good effect in the treatment of dental trauma.

Twist wireFlow-resinDental traumaFixation treatment

丁晓仪、陈美珍

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潮州市中心医院 广东 潮州 521000

麻花丝 流动树脂 牙外伤 固定治疗

潮州市卫生健康局科研项目

潮卫科研2021096号

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(11)
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