正畸联合烤瓷修复矫治牙列不齐伴前牙缺失的美学效果分析
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摘要
目的:分析正畸联合烤瓷修复矫治牙列不齐伴前牙缺失的美学效果。方法:选取笔者医院2017年7月-2018年7月接诊的60例牙列不齐伴前牙缺失患者进行研究。根据治疗方法的不同,将患者均分为对照组和观察组。对照组采取单纯的烤瓷修复矫治,观察组采取正畸联合烤瓷修复矫治。比较分析两组患者治疗后的效果、牙齿整齐、后牙咬合和前牙覆牙合、覆盖的良好情况以及治疗前后满意度。结果:观察组总有效率(93.33%)明显高于对照组(73.33%),两组差异有统计学意义(P<0.05)。治疗后,观察组牙齿整齐、后牙咬合和前牙覆牙合及覆盖的良好情况均明显优于对照组,两组差异有统计学意义(P<0.05)。治疗前,两组患者的固位功能、咀嚼功能、语言功能、美观度、舒适度和总满意度差异无统计学意义(P>0.05);治疗后,观察组固位功能、咀嚼功能、语言功能、美观度、舒适度和总满意度均明显优于对照组,两组比较差异有统计学意义(P<0.05)。结论:正畸联合烤瓷修复矫治牙列不齐伴前牙缺失的效果显著,能够改善牙齿整齐、后牙咬颌和前牙覆牙合及覆盖的良好情况,提高患者满意度,值得临床上广泛应用。
Objective To analyze the aesthetic effect of orthodontics combined with porcelain fused to metal(PFM) in the treatment of uneven dentition and anterior teeth loss. Methods 60 patients with irregular dentition and missing anterior teeth in our hospital from July 2017 to July 2018 were selected for the study.According to the different treatment methods, the patients were divided into control group and observation group.The control group was treated with pure porcelain restoration,while the observation group was treated with orthodontics combined with porcelain restoration.The effect of treatment,teeth neatness, occlusion and overbite of posterior teeth and anterior teeth, as well as satisfaction before and after treatment were compared and analyzed between the two groups. Results The total effective rate of the observation group(93.33%)was significantly higher than that of the control group(73.33%),and the difference between the two groups was statistically significant(P<0.05).After treatment, the observation group was significantly better than the control group in tooth tidiness,posterior bite and anterior overbite and coverage, the difference between the two groups was statistically significant,and the difference between the two groups was statistically significant(P<0.05).Before treatment,there was no significant difference in retention function, masticatory function, language function, aesthetics, comfort and total satisfaction between the two groups(P>0.05).After treatment, the retention function, masticatory function,language function, aesthetics, comfort and total satisfaction of the observation group were significantly better than those of the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion Orthodontics combined with porcelain fused to restore and correct irregular dentition and loss of anterior teeth has a significant effect.It can improve the condition of tidy teeth, occlusion of posterior teeth and overbite of anterior teeth and overbite of anterior teeth, and improve patient satisfaction.It is worthy of wide clinical application.
Objective To analyze the aesthetic effect of orthodontics combined with porcelain fused to metal(PFM) in the treatment of uneven dentition and anterior teeth loss. Methods 60 patients with irregular dentition and missing anterior teeth in our hospital from July 2017 to July 2018 were selected for the study.According to the different treatment methods, the patients were divided into control group and observation group.The control group was treated with pure porcelain restoration,while the observation group was treated with orthodontics combined with porcelain restoration.The effect of treatment,teeth neatness, occlusion and overbite of posterior teeth and anterior teeth, as well as satisfaction before and after treatment were compared and analyzed between the two groups. Results The total effective rate of the observation group(93.33%)was significantly higher than that of the control group(73.33%),and the difference between the two groups was statistically significant(P<0.05).After treatment, the observation group was significantly better than the control group in tooth tidiness,posterior bite and anterior overbite and coverage, the difference between the two groups was statistically significant,and the difference between the two groups was statistically significant(P<0.05).Before treatment,there was no significant difference in retention function, masticatory function, language function, aesthetics, comfort and total satisfaction between the two groups(P>0.05).After treatment, the retention function, masticatory function,language function, aesthetics, comfort and total satisfaction of the observation group were significantly better than those of the control group, and the difference between the two groups was statistically significant(P<0.05). Conclusion Orthodontics combined with porcelain fused to restore and correct irregular dentition and loss of anterior teeth has a significant effect.It can improve the condition of tidy teeth, occlusion of posterior teeth and overbite of anterior teeth and overbite of anterior teeth, and improve patient satisfaction.It is worthy of wide clinical application.
引文
[1]戎婷婷,郑红军.口腔种植修复和常规修复在牙列缺损治疗中的效果观察[J].中国地方病防治杂志,2016,31(10):1183.
[2]杨芸,李振,孟翔峰,等.牙列重度磨损咬合重建修复治疗方法的探讨[J].国际口腔医学杂志,2017,44(2):148-152.
[3]Nicholas CL,Kadavy K,Holton NE,et al.Childhood body mass index is associated with early dental development and eruption in a longitudinal sample from the Iowa Facial Growth Study[J].Am JOrthod Dentofacial Orthop,2018,154(1):72-81.
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[5]王仲达,王屹博,丁超,等.种植义齿修复不同牙弓形态上前牙缺失的三维有限元分析[J].中国组织工程研究,2018,22(30):4818-4823.
[6]Nath N,Esche J,Müller J,et al.Exome sequencing discloses ionizingradiation-induced dna variants in the genome of human gingiva fibroblasts[J].Health Phys,2018,115(1):151-160.
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[8]李菊,黎媛媛.老年牙列缺损伴重度磨耗自酸蚀粘接系统修复后对牙本质敏感性的影响[J].广东医学,2016,37(6):859-862.
[9]Ve r m e i j-K e e r s C,R o z e n d a a l A M,L u i j s t e r b u r g A J M,e t al.Subphenotyping and classification of cleft lip and alveolus in adult unoperated patients:a new embryological approach[J].Cleft Palate Craniofac J,2018,55(9):1267-1276.
[10]牛学刚,王小勇.天然牙与种植体联合支持修复牙列缺损的研究进展[J].国际口腔医学杂志,2016,43(5):614-618.
[11]周蕾,王传江,魏玉华.先天性牙缺失患者的单纯正畸治疗与正畸-修复联合治疗浅探[J].口腔医学研究,2015,31(7):732-734.
[12]Lee K,Roberts JS,Choi CH,et al.Porphyromonas gingivalis traffics into endoplasmic reticulum-rich-autophagosomes for successful survival in human gingival epithelial cells[J].Virulence,2018,9(1):845-859.
[13]窦晓晨,万澎波,刘鑫,等.种植即刻修复技术对牙列缺失患者的临床效果分析[J].安徽医科大学学报,2015,50(10):1510-1512.
[14]秦甜,吴国锋.种植义齿-天然牙混合牙列的后牙咬合[J].实用口腔医学杂志,2015,31(5):733-737.
[15]Zaleckien?V,Pe?iulien?V,Brukien?V,et al.Knowledge about traumatic dental injuries in the permanent dentition:A survey of Lithuanian dentists[J].Dent Traumatol,2018,34(2):100-106.
[2]杨芸,李振,孟翔峰,等.牙列重度磨损咬合重建修复治疗方法的探讨[J].国际口腔医学杂志,2017,44(2):148-152.
[3]Nicholas CL,Kadavy K,Holton NE,et al.Childhood body mass index is associated with early dental development and eruption in a longitudinal sample from the Iowa Facial Growth Study[J].Am JOrthod Dentofacial Orthop,2018,154(1):72-81.
[4]汪振华,王媛,马春丽,等.下颌前牙种植单端桥的临床效果分析[J].口腔医学研究,2017,33(09):995-998.
[5]王仲达,王屹博,丁超,等.种植义齿修复不同牙弓形态上前牙缺失的三维有限元分析[J].中国组织工程研究,2018,22(30):4818-4823.
[6]Nath N,Esche J,Müller J,et al.Exome sequencing discloses ionizingradiation-induced dna variants in the genome of human gingiva fibroblasts[J].Health Phys,2018,115(1):151-160.
[7]黄会杰,陈贵丰.口腔种植修复与常规修复治疗牙列缺失的效果比较[J].广东医学,2016,37(4):583-584.
[8]李菊,黎媛媛.老年牙列缺损伴重度磨耗自酸蚀粘接系统修复后对牙本质敏感性的影响[J].广东医学,2016,37(6):859-862.
[9]Ve r m e i j-K e e r s C,R o z e n d a a l A M,L u i j s t e r b u r g A J M,e t al.Subphenotyping and classification of cleft lip and alveolus in adult unoperated patients:a new embryological approach[J].Cleft Palate Craniofac J,2018,55(9):1267-1276.
[10]牛学刚,王小勇.天然牙与种植体联合支持修复牙列缺损的研究进展[J].国际口腔医学杂志,2016,43(5):614-618.
[11]周蕾,王传江,魏玉华.先天性牙缺失患者的单纯正畸治疗与正畸-修复联合治疗浅探[J].口腔医学研究,2015,31(7):732-734.
[12]Lee K,Roberts JS,Choi CH,et al.Porphyromonas gingivalis traffics into endoplasmic reticulum-rich-autophagosomes for successful survival in human gingival epithelial cells[J].Virulence,2018,9(1):845-859.
[13]窦晓晨,万澎波,刘鑫,等.种植即刻修复技术对牙列缺失患者的临床效果分析[J].安徽医科大学学报,2015,50(10):1510-1512.
[14]秦甜,吴国锋.种植义齿-天然牙混合牙列的后牙咬合[J].实用口腔医学杂志,2015,31(5):733-737.
[15]Zaleckien?V,Pe?iulien?V,Brukien?V,et al.Knowledge about traumatic dental injuries in the permanent dentition:A survey of Lithuanian dentists[J].Dent Traumatol,2018,34(2):100-106.