摘要
目的对比研究无托槽隐形矫治与传统固定矫治在儿童错颌畸形治疗中的临床效果.方法对2016年9月至2018年8月在我院治疗的76例错颌畸形患儿进行随机分组矫治,分为试验组和对照组,两组人数各38例,试验组采用无托槽隐形矫治,对照组采用传统固定矫治,治疗疗程为6月,观察比较两组临床疗效、牙周指数、治疗安全性及外观功能满意度的数据差异.结果试验组总有效率为97.4%,对照组总有效率为94.7%,两组疗效相似,差异无统计学意义(P>0.05).两组牙龈沟出血指数(SBI)及菌斑指数(PLI)指标在治疗后均明显高于治疗前,差异有统计学意义(P<0.05),治疗后试验组SBI及PLI指标高于对照组,差异有统计学意义(P<0.05).矫治期间试验组并发症发生率低于对照组,差异有统计学意义(P<0.05).试验组在外观功能上优于对照组,差异有统计学意义(P<0.05).结论无托槽隐形矫治对错颌畸形治疗效果良好,相比于传统固定矫治治疗,可改善部分牙周指数,降低治疗并发症,提高外观功能满意度,可作为儿童错颌畸形的优选治疗方法.
Objective To compare the clinical effects of bracketless invisible orthodontics and traditional fixed orthodontics in the treatment of malocclusion in children. Methods 76 children with malocclusion who were treated in our hospital from September 2016 to August 2018 were randomly divided into experimental group and control group. There were 38 cases in each group. The experimental group was treated with invisible orthodontics without brackets, while the control group was treated with traditional fixed orthodontics for 6 months. The clinical efficacy, periodontal index, treatment safety and satisfaction with appearance and function of the two groups were observed and compared. Differences. Results The total effective rate was 97.4% in the experimental group and 94.7% in the control group. There was no significant difference between the two groups (P < 0.05). The gingival sulcus bleeding index (SBI) and plaque index (PLI) of the two groups were significantly higher after treatment than before treatment, with statistical significance (P <0.05). After treatment, the SBI and PLI indexes of the experimental group were higher than those of the control group, with statistical significance (P < 0.05). The incidence of complications in the experimental group was lower than that in the control group (P < 0.05). The experimental group was superior to the control group in appearance and function, and the difference was statistically significant (P < 0.05). Conclusion Non-bracket invisible orthodontic treatment has a good effect on malocclusion. Compared with traditional fixed orthodontic treatment, it can improve partial periodontal index, reduce treatment complications and improve the satisfaction of appearance and function. It can be used as the preferred treatment for malocclusion in children.
作者
张慧敏
张景华
刘琪
ZHANG Hui-min;ZHANG Jing-hua;LIU Qi(Heze Medical College,Heze,Shandong Province,274000,China;980 Hospital of the People's Liberation Army Support Force,Hebei Province,050000,China)
出处
《中国医疗美容》
2019年第7期72-76,共5页
China Medical Cosmetology
关键词
无托槽隐形矫治
固定矫治
错颌畸形
牙周指数
bracketless invisible orthodontics
fixed orthodontics
malocclusion
periodontal index
