摘要
目的探究口腔正畸结合修复治疗错颌畸形伴第一磨牙缺失的效果。方法方便选取2017年4月—2019年7月该院收治的106例错颌畸形第一磨牙缺失患者为研究对象,根据不同治疗方式分组,每组53例。对照组采用传统单一牙列修复治疗,研究组采用口腔正畸结合修复治疗。比较两组美观达标率、成功、失败率、满意率、治疗前后口腔健康情况与口腔改善情况。结果研究组美观达标率100.00%高于对照组86.79%,差异有统计学意义(χ^(2)=5.506,P=0.018)。研究组成功率100.00%高于对照组86.79%,对照组失败率13.21%高于研究组0.00%,差异有统计学意义(χ^(2)=5.506,P=0.018)。治疗前,两组口腔健康情况差异无统计学意义(P>0.05);治疗后,研究组辅助发声(23.01±1.27)分、进食咀嚼(23.13±1.17)分、牙齿固定度(23.17±1.34)分、面部美观度(23.18±1.31)分均高于对照组(19.94±2.19)分、(20.08±2.45)分、(20.78±2.31)分、(19.98±2.42)分,差异有统计学意义(t=8.828、8.178、6.515、8.466,P<0.05)。研究组满意率98.11%高于对照组84.91%,差异有统计学意义(χ^(2)=4.371,P=0.037)。治疗前,两组口腔改善情况差异无统计学意义(P>0.05);治疗后,研究组食用功能(9.23±0.85)分、语言功能(9.11±0.78)分、舒适度(9.41±0.72)分、美观度(9.81±0.53)分均高于对照组(6.53±1.01)分、(6.66±0.99)分、(6.56±0.88)分、(6.44±0.81)分,差异有统计学意义(t=14.890、14.152、18.248、25.345,P<0.05)。结论口腔正畸结合修复在错颌畸形伴第一磨牙缺失的治疗中疗效显著。
Objective To explore the therapeutic effect of orthodontics combined with restoration for the treatment of malocclusion with first molar loss.Methods 106 patients with malocclusion and loss of first molars treated in the hospital from April 2017 to July 2019 were conveniently selected as the research objects.They were divided into groups according to different treatment methods,with 53 cases in each group.The control group was treated with traditional single dentition restoration,and the study group was treated with orthodontics combined with restoration.The aesthetic standard rate,success rate,failure rate,satisfaction rate,oral health and oral improvement before and after treatment were compared between the two groups.Results The aesthetic rate of the study group was 100.00% higher than 86.79% of the control group,the difference was statistically significant(χ^(2)=5.506,P=0.018).The success rate of study group was 100.00% higher than that of control group 86.79%,and the failure rate of control group was 13.21% higher than that of study group 0.00%,the difference was statistically significant(χ^(2)=5.506,P=0.018).Before treatment,there was no statistically significant difference in oral health between the two groups(P>0.05).After treatment,in the study group,the scores of assisted phonation(23.01±1.27)points,chewing(23.13±1.17)points,tooth fixation(23.17±1.34)points and facial beauty(23.18±1.31)points were higher than those in the control group(19.94±2.19)points,(20.08±2.45)points and(20.78±2.31)points,(19.98±2.42)points,the difference was statistically significant(t=8.828,8.178,6.515,8.466,P<0.05).The satisfaction rate of study group was 98.11% higher than that of control group 84.91%,the difference was statistically significant(χ^(2)=4.371,P=0.037).Before treatment,there was no statistically significant difference in oral improvement between the two groups(P>0.05).After treatment,the scores of food function(9.23±0.85)points,language function(9.11±0.78)points,comfort(9.41±0.72)points and aesthetics(9.81±0.53)points of the study group were higher than those of the control group(6.53±1.01)points,(6.66±0.99)points,(6.56±0.88)points,(6.44±0.81)points,the difference was statistically significant(t=14.890,14.152,18.248,25.345,P<0.05).Conclusion Orthodontics combined with restoration is effective in the treatment of malocclusion and loss of first molar.
作者
王志强
林杭
郑锦川
WANG Zhiqiang;LIN Hang;ZHENG Jinchuan(Department of Stomatology,People's Hospital Affiliated to Quanzhou Medical College,Quanzhou,Fujian Province,362000 China)
出处
《中外医疗》
2022年第3期9-12,共4页
China & Foreign Medical Treatment
基金
泉州市科技计划项目(2016Z061)。
关键词
口腔正畸
满意率
美观达标率
牙列缺损
Orthodontics
Satisfaction rate
Aesthetic standard rate
Dentition defect
