摘要
目的分析口腔正畸联合修复治疗在牙列缺损合并牙颌畸形患者中的临床应用效果。方法回顾性分析2017年2月至2019年7月延安市人民医院口腔科收治的131例牙列缺损合并牙颌畸患者的临床资料,根据治疗方式不同分为对照组(单独修复)62例,联合组(口腔正畸联合修复)69例。比较两组患者治疗后的临床效果、牙齿功能、口腔健康情况、骨吸收量、粉红美观积分(PES)以及恢复时间。结果联合组患者治疗后的优良率为92.75%,明显高于对照组的72.58%,差异有统计学意义(P<0.05);联合组患者治疗后骨吸收量和恢复时间分别为(0.63±0.14)mm,(6.88±1.75)个月,明显少于对照组的(0.88±0.33)mm、(8.71±1.50)个月,PES评分为(12.87±2.88)分,明显高于对照组的(10.21±2.44)分,差异均有统计学意义(P<0.05);治疗后,联合组患者的语言、咀嚼、吞咽评分别为(40.31±5.10)分、(39.54±4.47)分、(41.22±4.18)分,明显高于对照组的(33.65±5.51)分、(30.58±4.52)分、(35.05±4.42)分,差异均有统计学意义(P<0.05);治疗后,联合组患者的牙齿整齐率、前牙覆盖/覆颌良好率、后牙咬颌良好率明显好于对照组,差异均有统计学意义(P<0.05)。结论采用口腔正畸联合修复治疗可提高牙列缺损合并牙颌畸形患者的治疗效果,促进口腔健康。
Objective To analyze the clinical application effect of orthodontics combined with prosthodontic treatment in patients with dentition defect combined with dentognathic deformity.Methods The clinical data of 131 patients with dentition defect combined with dentognathic deformity who admitted to Department of Stomatology,Yan'an People's Hospital from February 2017 to July 2019 were retrospectively analyzed.According to different treatment methods,they were divided into 62 cases in the control group(single prosthodontic treatment)and 69 cases in the combined group(orthodontics combined with prosthodontic treatment).The clinical efficacy,dental function,oral health,bone resorption,pink esthetic score(PES),and recovery time of patients were compared between the two groups after treatment.Results The excellent and good rate of patients in the combination group after treatment was 92.75%,which were significantly higher than 72.58%in the control group(P<0.05).The bone resorption and recovery time of the patients in the combination group after treatment were(0.63±0.14)mm,(6.88±1.75)months,which were significantly less than(0.88±0.33)mm,(8.71±1.50)months in the control group;the PES score was(12.87±2.88)points,which was significantly higher than(10.21±2.44)points in the control group(P<0.05).After treatment,the language,chewing,and swallowing scores of the combined group were(40.31±5.10)points,(39.54±4.47)points,and(41.22±4.18)points,which was significantly higher than(33.65±5.51)points,(30.58±4.52)points,and(35.05±4.42)points in the control group(P<0.05).After treatment,the teeth neatness rate,good rate of anterior tooth coverage/overjaw,and good rate of posterior jaw rate of patients in the combined group were significantly better than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Orthodontics combined with prosthodontic treatment can improve the treatment effect of patients with dentition defect combined with dentognathic deformity and promote oral health.
作者
李扬
李瑾
高冬玲
LI Yang;LI Jin;GAO Dong-ling(Department of Stomatology,Yan'an People's Hospital,Yan'an 716000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2021年第21期2787-2790,共4页
Hainan Medical Journal
关键词
口腔正畸
修复治疗
牙列缺损合并牙颌畸形
临床疗效
牙齿功能
口腔健康
Orthodontics
Prosthodontic treatment
Dentition defect combined with dentognathic deformity
Clinical efficacy
Tooth function
Oral health
