摘要
目的探究外科导萌辅助正畸矫治治疗小儿上颌前牙埋伏阻生的临床效果。方法选取2018年10月至2019年8月于我院治疗的83例上颌前牙埋伏阻生患儿作为研究对象,依据随机数字表法将其分为对照组(n=41)和观察组(n=42)。对照组采用外科导萌进行治疗,观察组在对照组基础上联合正畸矫治进行治疗。比较两组的治疗效果。结果观察组的破龈时长、治疗时长及埋伏牙萌出时间均明显短于对照组,差异具有统计学意义(P<0.05)。观察组的矫治总有效率为97.62%,明显高于对照组的80.43%(P<0.05)。治疗半年后,两组的附着龈宽度、附着龈厚度及唇侧骨板厚度均增加,且观察组大于对照组(P<0.05)。治疗后1、3个月,两组的VAS评分均低于治疗后7 d,且观察组低于对照组(P<0.05)。观察组的并发症总发生率为2.38%,显著低于对照组的17.03%(P<0.05)。结论外科导萌辅助正畸矫治治疗小儿上颌前牙埋伏阻生的效果优于单纯外科导萌治疗,能有效改善患儿预后,促进患牙萌出,缓解疼痛,降低并发症发生率,值得临床推广应用。
Objective To explore the clinical effect of edgewise technique assisted orthodontic treatment on impacted maxillary anterior teeth in children.Methods A total of 83 children with impacted maxillary anterior teeth treated in our hospital from October 2018 to August 2019 were selected as the research objects.The children were divided into control group(n=41)and observation group(n=42)according to random number table method.The control group was treated with edgewise technique,and the observation group was treated with orthodontic treatment on the basis of the control group.The therapeutic effects of the two groups were compared.Results The gingival rupture time,treatment duration and eruption time of embedded teeth in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The total effective rate of orthodontic treatment in the observation group was 97.62%,which was significantly higher than 80.43%in the control group(P<0.05).After half a year of treatment,the width of the attached gingiva,the thickness of the attached gingiva and the thickness of the labial bone plate in the two groups increased,and those in the observation group were better than the control group(P<0.05).At 1 and 3 months after treatment,the VAS score of the two groups was lower than that at 7 d after treatment,and that in the observation group was lower than the control group(P<0.05).The total incidence of complications in the observation group was 2.38%,which was significantly lower than 17.03%in the control group(P<0.05).Conclusion Edgewise technique assisted orthodontic treatment for impacted maxillary anterior teeth in children has better effect than simple edgewise technique treatment,it can effectively improve the prognosis of children,promote the eruption of affected teeth,relieve pain and reduce the incidence of complications,which is worthy of clinical promotion and application.
作者
白雪
李鹏举
BAI Xue;LI Pengju(Pediatric Dentistry Department,No.6 People's Hospital of Anyang,Anyang 455000,China;Orthodontics Department,No.6 People's Hospital of Anyang,Anyang 455000,China)
出处
《临床医学研究与实践》
2022年第12期97-99,共3页
Clinical Research and Practice
关键词
外科导萌术
正畸矫治
埋伏阻生牙
小儿
edgewise technique
orthodontic treatment
impacted teeth
children
