成人拔牙正畸矫治中应用骨密质松解术与尖牙快速移动装置的效果分析
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摘要
目的观察成人拔牙正畸矫治中应用骨密质松解术与尖牙快速移动装置的效果分析。方法选取2015年9月—2017年7月本院收治错畸形患者64例为研究对象,按照随机数字表法分为对照组和研究组各32例,对照组采用常规拔牙正畸矫治,研究组在拔牙正畸中采用骨密质松解术与尖牙快速移动装置进行矫治。观察两组尖牙远移到位时间、牙周情况、尖牙牙根吸收情况,比较两组并发症情况。结果研究组尖牙远移到位时间显著短于对照组;治疗后3个月,两组牙龈指数(GI)、龈沟出血指数(SBI)和菌斑指数(PLI)均较治疗前显著升高(P<0.05),研究组与对照组比较差异无统计学意义(P>0.05);尖牙远移到位后,研究组尖牙牙根吸收体积显著小于对照组(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论成人拔牙矫治中应用骨密质松解术与尖牙快速移动装置能加速尖牙的远中移动,且安全性较好。
Objective To observe the effect of applying osteolysis release and canine rapid movement device in orthodontic treatment of adult extraction. Methods 64 patients with malocclusion treated in our hospital from September 2015 to July 2017 were selected as the subjects. According to the random number table,they were divided into the control group and the study group,32 cases in each group. The control group was treated with routine orthodontic treatment by exelcymosis,while the study group was treated with orthodontics and canine rapid movement device during orthodontic tooth extraction. The in-place time of the distal movement of the canine teeth,periodontal condition,and root resorption of the canine teeth were observed,and the complications of the two groups were compared.Results In the study group,the in-place time of the distal movement of the canine teeth was significantly shorter than that in the control group. 3 months after treatment,the gingival index (GI),sulcular bleeding index (SBI) and plaque index (PLI) all significantly increased in the two groups (P<0. 05),and there was no significant difference between the study group and the control group (P >0.05). After the canine teeth were in place,the root resorption volume of the canine teeth in the study group was significantly smaller than that in the control group (P < 0.05); there was no significant difference in the incidence rate of complications between the two groups (P>0.05). Conclusion In the orthodontic treatment by exelcymosis of adults,the application of osteolysis release and canine rapid movement device in adult tooth extraction can accelerate distal movement of the cuspid and has better safety.
Objective To observe the effect of applying osteolysis release and canine rapid movement device in orthodontic treatment of adult extraction. Methods 64 patients with malocclusion treated in our hospital from September 2015 to July 2017 were selected as the subjects. According to the random number table,they were divided into the control group and the study group,32 cases in each group. The control group was treated with routine orthodontic treatment by exelcymosis,while the study group was treated with orthodontics and canine rapid movement device during orthodontic tooth extraction. The in-place time of the distal movement of the canine teeth,periodontal condition,and root resorption of the canine teeth were observed,and the complications of the two groups were compared.Results In the study group,the in-place time of the distal movement of the canine teeth was significantly shorter than that in the control group. 3 months after treatment,the gingival index (GI),sulcular bleeding index (SBI) and plaque index (PLI) all significantly increased in the two groups (P<0. 05),and there was no significant difference between the study group and the control group (P >0.05). After the canine teeth were in place,the root resorption volume of the canine teeth in the study group was significantly smaller than that in the control group (P < 0.05); there was no significant difference in the incidence rate of complications between the two groups (P>0.05). Conclusion In the orthodontic treatment by exelcymosis of adults,the application of osteolysis release and canine rapid movement device in adult tooth extraction can accelerate distal movement of the cuspid and has better safety.
引文
[1]王旭,吴承芳,李昀生,等.错牙合畸形及其矫治与社会心理行为关系的研究进展[J].中国医药导报,2014,11(16):162-165.
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[5]吴佳琪,江久汇,徐莉,等.术前正畸中改良骨皮质切开术对牙槽骨及牙根影响的锥形束CT观察[J].中华口腔医学杂志,2015,50(4):223-227.
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[8]杜婷婷,李静,杜鹤龄,等.加速正畸牙齿移动研究进展[J].中国实用口腔科杂志,2017,10(2):122-126.
[9]雷明辉,姬小婷,杨丹,等.两种不同拔牙方式矫治成人骨性反牙合的硬软组织改变对比研究[J].河北医学,2016,22(7):1079-1081.
[10]王之尊,胡炜.Ⅱ类颌间牵引对成人高角拔牙病例牙颌面垂直向的影响[J].中华口腔正畸学杂志,2017,24(3):147-150.
[11]冯小东,刘楠,刘静明.骨皮质切开术加速正畸牙齿移动的临床研究[J].新乡医学院学报,2014,31(12):1030-1032.
[12]陈磊,吴高义,刘彦普,等.正畸拔牙联合正颌手术矫治严重骨性Ⅲ类错牙合畸形[J].中华口腔正畸学杂志,2012,19(1):46-49.
[13]Scapini A,Feldens CA,Ardenghi TM,et al.Malocclusion impacts adolescents'oral health-related quality of life[J].Angle Orthod,2013,83(3):512-518.
[14]史瑞新,付喜宏,庄金良,等.低能量激光联合压力对成骨细胞ALP活性和胞内Ca2+浓度的影响[J].光谱学与光谱分析,2016,36(7):2178-2182.
[15]徐冰,秦科.骨性Ⅲ类错牙合上颌拔牙与不拔牙去代偿对双颌手术矫治效果的影响[J].华西口腔医学杂志,2012,30(2):143-147.
[16]侯玉.成人与青少年正畸矫治效果的临床观察[J].中国美容医学杂志,2013,22(18):1882-1883.
[17]马艳,鲍玮玮,张娟,等.骨性Ⅲ类错牙合正畸治疗前行改良骨皮质切开术对矢状方向上牙齿移动模式的影响[J].医学综述,2016,22(10):2048-2050.
[18]朱绍跃,刘宗响,李晓明,等.骨皮质切开术通过促进成骨影响大鼠牙齿快速移动安全性的研究[J].口腔医学研究,2017,33(4):371-374.
[19]袁瑛.外科手术联合固定矫正器治疗上颌前牙埋伏阻生的临床疗效观察[J].实用临床医药杂志,2014,18(1):32-32.
[20]雷明辉,姬小婷,杨丹,等.两种不同拔牙方式矫治成人骨性反牙合的硬软组织改变对比研究[J].河北医学,2016,22(7):1079-1081.
[2]王西冉,杨学财.手术优先方法在治疗骨性Ⅲ类错牙合畸形中的应用现状[J].中国美容整形外科杂志,2015,26(7):429-431.
[3]陈宇彤,张卫兵,严斌,等.加快正畸牙移动的研究进展[J].口腔医学,2017,37(5):457-461.
[4]秦燕军,严斌,潘成琼,等.骨皮质切开术辅助正畸治疗的临床研究[J].口腔医学,2016,36(12):1092-1097.
[5]吴佳琪,江久汇,徐莉,等.术前正畸中改良骨皮质切开术对牙槽骨及牙根影响的锥形束CT观察[J].中华口腔医学杂志,2015,50(4):223-227.
[6]Le H.The gingival index,the plaque index and the retention index systems[J].J Periodontol,1967,38(6):610-616.
[7]余树容,陈浩.正畸治疗患者不同结扎方式对菌斑指数和龈沟出血指数的影响[J].蚌埠医学院学报,2015,40(10):1352-1353.
[8]杜婷婷,李静,杜鹤龄,等.加速正畸牙齿移动研究进展[J].中国实用口腔科杂志,2017,10(2):122-126.
[9]雷明辉,姬小婷,杨丹,等.两种不同拔牙方式矫治成人骨性反牙合的硬软组织改变对比研究[J].河北医学,2016,22(7):1079-1081.
[10]王之尊,胡炜.Ⅱ类颌间牵引对成人高角拔牙病例牙颌面垂直向的影响[J].中华口腔正畸学杂志,2017,24(3):147-150.
[11]冯小东,刘楠,刘静明.骨皮质切开术加速正畸牙齿移动的临床研究[J].新乡医学院学报,2014,31(12):1030-1032.
[12]陈磊,吴高义,刘彦普,等.正畸拔牙联合正颌手术矫治严重骨性Ⅲ类错牙合畸形[J].中华口腔正畸学杂志,2012,19(1):46-49.
[13]Scapini A,Feldens CA,Ardenghi TM,et al.Malocclusion impacts adolescents'oral health-related quality of life[J].Angle Orthod,2013,83(3):512-518.
[14]史瑞新,付喜宏,庄金良,等.低能量激光联合压力对成骨细胞ALP活性和胞内Ca2+浓度的影响[J].光谱学与光谱分析,2016,36(7):2178-2182.
[15]徐冰,秦科.骨性Ⅲ类错牙合上颌拔牙与不拔牙去代偿对双颌手术矫治效果的影响[J].华西口腔医学杂志,2012,30(2):143-147.
[16]侯玉.成人与青少年正畸矫治效果的临床观察[J].中国美容医学杂志,2013,22(18):1882-1883.
[17]马艳,鲍玮玮,张娟,等.骨性Ⅲ类错牙合正畸治疗前行改良骨皮质切开术对矢状方向上牙齿移动模式的影响[J].医学综述,2016,22(10):2048-2050.
[18]朱绍跃,刘宗响,李晓明,等.骨皮质切开术通过促进成骨影响大鼠牙齿快速移动安全性的研究[J].口腔医学研究,2017,33(4):371-374.
[19]袁瑛.外科手术联合固定矫正器治疗上颌前牙埋伏阻生的临床疗效观察[J].实用临床医药杂志,2014,18(1):32-32.
[20]雷明辉,姬小婷,杨丹,等.两种不同拔牙方式矫治成人骨性反牙合的硬软组织改变对比研究[J].河北医学,2016,22(7):1079-1081.