矫治装置在儿童牙间隙恢复中的应用效果评价
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摘要
目的 :探讨采用活动和固定矫治装置治疗儿童牙间隙丧失的效果。方法 :随机使用活动或固定矫治装置对25例牙间隙丧失的患者进行恢复间隙的治疗,比较2种方法的优缺点。采用SPSS 22软件包对数据进行统计学处理。结果:25例患者中,乳牙列期为2例,替牙列期为23例。使用活动矫治装置有13例,使用局部固定式矫治装置有12例。18例成功,3例有效,4例失败。采用Fisher精确概率法,对活动间隙扩大矫正器和局部固定式间隙扩大矫正器的成功率进行比较,活动组和固定组成功例数各为9例,成功率无显著差异(P=0.68)。间隙恢复最快3个月,最慢11个月。结论:采用活动和固定矫治装置恢复丧失的牙间隙,效果良好,是临床上一种比较简单、快捷、经济的儿童早期矫治方法。
PURPOSE: To assess the effect of removable and fixed orthodontic device in restoring teeth space loss in children. METHODS: Removable or fixed orthodontic device was used randomly to restore teeth space loss in 25 children, the advantages and disadvantages between the two methods were compared. SPSS 22 software package was used for data analysis. RESULTS: Among 25 cases, 2 had deciduous dentition and 23 had mixed dentition, removable and fixed orthodontic device was used in 13 and 12 cases, respectively. Finally 18 cases achieved success, 3 cases were improved and 4 were failed. Fisher's exact test was used to compare the success rates of active and local fixed appliance to enlarge interdental space. The success cases of active and fixed appliance were 9, respectively. There was no significant difference between the two methods(P=0.68). Within these cases, the fastest restoring time was 3 months and the slowest restoring time was 11 months. CONCLUSIONS: It is an ideal method to restore teeth space with removable or fixed orthodontic device. It is a simple, fast and economic method for early orthodontic treatment for children.
PURPOSE: To assess the effect of removable and fixed orthodontic device in restoring teeth space loss in children. METHODS: Removable or fixed orthodontic device was used randomly to restore teeth space loss in 25 children, the advantages and disadvantages between the two methods were compared. SPSS 22 software package was used for data analysis. RESULTS: Among 25 cases, 2 had deciduous dentition and 23 had mixed dentition, removable and fixed orthodontic device was used in 13 and 12 cases, respectively. Finally 18 cases achieved success, 3 cases were improved and 4 were failed. Fisher's exact test was used to compare the success rates of active and local fixed appliance to enlarge interdental space. The success cases of active and fixed appliance were 9, respectively. There was no significant difference between the two methods(P=0.68). Within these cases, the fastest restoring time was 3 months and the slowest restoring time was 11 months. CONCLUSIONS: It is an ideal method to restore teeth space with removable or fixed orthodontic device. It is a simple, fast and economic method for early orthodontic treatment for children.
引文
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[15]邓凤坤,宋佳颖,吕广辉.乳牙间隙丧失后间隙恢复与保持的临床研究[J].赤峰学院学报(自然科学版),2013,29(8):71-72.
[16]Kennedy DB,Turley PK.The clinical management of ectopically erupting first permanent molars[J].Am J Orthod Dentofacial Orthop,1987,92(4):336-345.
[17]丁筱青,贝珉,陈群.磨牙远移器的制作及临床应用[J].上海口腔医学,2007,16(2):184-186.
[18]Cozzani M,Pasini M,Zallio F.et al.Comparison of maxillary molar distalization with an implant-supported distal jet and a traditional tooth-supported distal jet appliance[J].Int J Dent,2014,2014:937059.
[19]Kinzinger GS,Guelden N,Yildizhan F,et al.Efficiency of a skeletonized distal jet appliance supported by miniscrew anchorage for noncompliance maxillary molar distalization[J].Am J Orthod Dentofacial Orthop,2009,136(4):578-586.
[20]Oencag G,Akyalcin S,Arikan F.The effectiveness of a single osteointegrated implant combined with pendulum springs for molar distalization[J].Am J Orthod Dentofacial Orthop,2007,131(2):277-284.
[21]王宝兰.固定磨牙远移装置与活动推磨牙向后装置的临床对比研究[J].吉林医学,2008,29(19):1613-1615.
[2]马文莉,邓辉.间隙保持[J].现代口腔医学杂志,1995,9(3):159-161.
[3]Moore TR,Kennedy DB.Bilateral space Bilateral space maintainers:a 7-year retrospective study from private practice[J].Pediatr Dent,2006,28(6):499-505.
[4]文博,郭维华.儿童早期矫治与咬合管理[J].中国实用口腔科杂志,2018,11(5):257-265.
[5]王增全,黄春活,周辉霞,等.2种推磨牙向后矫治器临床应用比较[J].华西口腔医学杂志,2001,19(5):309-311.
[6]焦海霞,刘海霞.推磨牙向后技术研究进展[J].中国实用口腔科杂志,2010,3(10):629-631.
[7]邓辉.儿童口腔医学[M].北京:人民卫生出版社,2005:203.
[8]Kandasamy S,Woods MG.Is orthodontic treatment without premolar extractions always non-extraction treatment?[J].Aust Dent J,2005,50(3):146-151.
[9]Karaman Al,Basciftci FA,Polat O.Unilateral distal molar movement with an implant-supported distal jet appliance[J].Angle Orthod,2002,72(2):167-174.
[10]Kurol J,Bjerklin K.Ectopic eruption of maxillary first permanent molars:a review[J].ASDC J Dent Child,1986,53(3):209-214.
[11]李小兵.儿童错畸形早期矫治的必要性和方法[J].中国实用口腔科杂志,2013,6(12):709-717.
[12]葛立宏.儿童口腔医学[M].北京:人民卫生出版社,2012:66,213-234.
[13]Alexander SA,Askari M,Lewis P.The premature loss of primary first molars:space loss to molar occlusal relationships and facial patterns[J].Angle Orthod,2015,85(2):218-223.
[14]中田稔(日)著,邓辉译.咬合诱导[M].北京:北京医科大学·中国协和医科大学联合出版社,1993:1-3.
[15]邓凤坤,宋佳颖,吕广辉.乳牙间隙丧失后间隙恢复与保持的临床研究[J].赤峰学院学报(自然科学版),2013,29(8):71-72.
[16]Kennedy DB,Turley PK.The clinical management of ectopically erupting first permanent molars[J].Am J Orthod Dentofacial Orthop,1987,92(4):336-345.
[17]丁筱青,贝珉,陈群.磨牙远移器的制作及临床应用[J].上海口腔医学,2007,16(2):184-186.
[18]Cozzani M,Pasini M,Zallio F.et al.Comparison of maxillary molar distalization with an implant-supported distal jet and a traditional tooth-supported distal jet appliance[J].Int J Dent,2014,2014:937059.
[19]Kinzinger GS,Guelden N,Yildizhan F,et al.Efficiency of a skeletonized distal jet appliance supported by miniscrew anchorage for noncompliance maxillary molar distalization[J].Am J Orthod Dentofacial Orthop,2009,136(4):578-586.
[20]Oencag G,Akyalcin S,Arikan F.The effectiveness of a single osteointegrated implant combined with pendulum springs for molar distalization[J].Am J Orthod Dentofacial Orthop,2007,131(2):277-284.
[21]王宝兰.固定磨牙远移装置与活动推磨牙向后装置的临床对比研究[J].吉林医学,2008,29(19):1613-1615.