多曲舌簧颌垫式矫正器矫正前牙畸形的临床效果观察(1)
【摘要】 目的：探讨多曲舌簧颌垫式矫正器矫正前牙畸形的临床效果。方法：选取2010年9月-2014年
9月本院收治的168例前牙畸形患者作为研究对象，其中前牙列患者58例，替牙列患者62例，恒牙列患者48例，按照矫治的方法不同，将不同类型患者分为对照组和研究组。对照组患者采用双曲舌簧颌垫式矫正器行矫治，研究组患者采用多曲舌簧颌垫式矫正器行矫治，比较两组患者反解除时间、复诊次数及两组矫治器固定效果。结果：在前牙列、替牙列和恒牙列方面，两组患者反解除所需平均时间比较差异均无统计学意义(P>0.05)，而研究组平均复诊次数均明显少于对照组，且固定成功率均明显高于对照组，差异均有统计学意义(P<0.05)。结论：采用多曲舌簧颌垫式矫正器矫正前牙畸形患者，能有效减少其复诊次数，提高矫治器固定成功率，值得在临床上推广应用。
【关键词】 前牙畸形； 颌垫式矫正器； 多曲舌簧
【Abstract】 Objective：To investigate the clinical efficacy of multi & tortuous reed jaw cushion-type orthotic appliance in correcting anterior teeth deformity.Method：One hundred and sixty-eight patients with anterior teeth deformity admitted to our hospital from September 2010 to September 2014 were selected as the research objects，including anterior teeth in 58 cases，62 patients with mixed dentition and permanent dentition in 48 cases，they were divided into the control group and the research group according to the different correction methods.The control group was given duplex & tortuous reed jaw cushion-type orthotic appliance for treatment，and the research group was given multi & tortuous reed jaw cushion-type orthotic appliance for treatment，and the removal time of occlusion(de-occlusion)，frequency of further consultation and fixation status of orthotic appliances between the two groups were compared.Result：In anterior teeth，mixed dentition，permanent dentition，there were no statistically significant differences in the removal time of occlusion(de-occlusion) between the two groups(P>0.05)，the frequency of further consultation of the research group were significantly less than those of the control group，the fixed success rates of the research group were significantly higher than the control group，the differences were statistically significant(P<0.05).Conclusion：Multi & tortuous reed jaw cushion-type orthotic appliance applied in patients with deformity of anterior teeth can effectively reduce the frequency of further consultation，and it can increase good fixation rate of orthotic appliance，is worthy of popularization and application in clinical practices.
【Key words】 Anterior teeth deformity； Jaw cushion-type orthotic appliance； Multi & tortuous reed
First-author’s address：Laibin People’s Hospital of Guangxi，Laibin 546100，China
doi：10.3969/j.issn.1674-4985.2016.05.038
在我国，经调查发现，错畸形的患病率达29.3%～48.8%[1]。北京医学院附属医院正畸科对500名儿童牙畸形行调查，结果发现，正常的儿童只有7.5%，需矫正的儿童约为49.5%，由此可见，错畸形普遍存在现代人群中[2]。然而，错畸形症状主要表现为牙、颌、面的异常，如牙齿排列拥挤、稀疏、开、不齐、反、位置比例失调、上下牙弓关系紊乱等，且严重影响人们的牙以及口腔颜面部的正常发育。随着患者年龄的增加，其畸形越来越严重；同时由于牙锁结，患者咀嚼功能降低，对其身体健康造成严重影响[3]。然而，其治疗效果以早期治疗最佳，这是因为早期矫治患者易于接受，且治疗成功率比较高，并对人们的身体健康无影响。在治疗过程中，除了有效的诊断以外，正确设置矫治器，也是治疗的关键之一[4]。因此，本研究选取2010年9月-2014年9月本院收治的168例前牙畸形患者作为研究对象，探讨多曲舌簧颌垫式矫正器矫正前牙畸形的临床效果，现报道如下。, http://www.100md.com(陆广明 潘玉珍 江莉)
9月本院收治的168例前牙畸形患者作为研究对象，其中前牙列患者58例，替牙列患者62例，恒牙列患者48例，按照矫治的方法不同，将不同类型患者分为对照组和研究组。对照组患者采用双曲舌簧颌垫式矫正器行矫治，研究组患者采用多曲舌簧颌垫式矫正器行矫治，比较两组患者反解除时间、复诊次数及两组矫治器固定效果。结果：在前牙列、替牙列和恒牙列方面，两组患者反解除所需平均时间比较差异均无统计学意义(P>0.05)，而研究组平均复诊次数均明显少于对照组，且固定成功率均明显高于对照组，差异均有统计学意义(P<0.05)。结论：采用多曲舌簧颌垫式矫正器矫正前牙畸形患者，能有效减少其复诊次数，提高矫治器固定成功率，值得在临床上推广应用。
【关键词】 前牙畸形； 颌垫式矫正器； 多曲舌簧
【Abstract】 Objective：To investigate the clinical efficacy of multi & tortuous reed jaw cushion-type orthotic appliance in correcting anterior teeth deformity.Method：One hundred and sixty-eight patients with anterior teeth deformity admitted to our hospital from September 2010 to September 2014 were selected as the research objects，including anterior teeth in 58 cases，62 patients with mixed dentition and permanent dentition in 48 cases，they were divided into the control group and the research group according to the different correction methods.The control group was given duplex & tortuous reed jaw cushion-type orthotic appliance for treatment，and the research group was given multi & tortuous reed jaw cushion-type orthotic appliance for treatment，and the removal time of occlusion(de-occlusion)，frequency of further consultation and fixation status of orthotic appliances between the two groups were compared.Result：In anterior teeth，mixed dentition，permanent dentition，there were no statistically significant differences in the removal time of occlusion(de-occlusion) between the two groups(P>0.05)，the frequency of further consultation of the research group were significantly less than those of the control group，the fixed success rates of the research group were significantly higher than the control group，the differences were statistically significant(P<0.05).Conclusion：Multi & tortuous reed jaw cushion-type orthotic appliance applied in patients with deformity of anterior teeth can effectively reduce the frequency of further consultation，and it can increase good fixation rate of orthotic appliance，is worthy of popularization and application in clinical practices.
【Key words】 Anterior teeth deformity； Jaw cushion-type orthotic appliance； Multi & tortuous reed
First-author’s address：Laibin People’s Hospital of Guangxi，Laibin 546100，China
doi：10.3969/j.issn.1674-4985.2016.05.038
在我国，经调查发现，错畸形的患病率达29.3%～48.8%[1]。北京医学院附属医院正畸科对500名儿童牙畸形行调查，结果发现，正常的儿童只有7.5%，需矫正的儿童约为49.5%，由此可见，错畸形普遍存在现代人群中[2]。然而，错畸形症状主要表现为牙、颌、面的异常，如牙齿排列拥挤、稀疏、开、不齐、反、位置比例失调、上下牙弓关系紊乱等，且严重影响人们的牙以及口腔颜面部的正常发育。随着患者年龄的增加，其畸形越来越严重；同时由于牙锁结，患者咀嚼功能降低，对其身体健康造成严重影响[3]。然而，其治疗效果以早期治疗最佳，这是因为早期矫治患者易于接受，且治疗成功率比较高，并对人们的身体健康无影响。在治疗过程中，除了有效的诊断以外，正确设置矫治器，也是治疗的关键之一[4]。因此，本研究选取2010年9月-2014年9月本院收治的168例前牙畸形患者作为研究对象，探讨多曲舌簧颌垫式矫正器矫正前牙畸形的临床效果，现报道如下。, http://www.100md.com(陆广明 潘玉珍 江莉)