上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (6): 656-660.doi: 10.19439/j.sjos.2023.06.017

• 论著 • 上一篇    下一篇

正畸修复联合治疗内倾型深覆伴重度磨耗患者的效果分析

王静1, 路茜2, 周建营3, 庞淑婷1, 冯艳芬3, 卢文娟3, 张倩2   

  1. 1.沧州市人民医院 口腔正畸科,2.口腔内科,3.口腔修复科,河北 沧州 061000
  • 收稿日期:2023-08-07 修回日期:2023-10-28 出版日期:2023-12-15 发布日期:2024-01-12
  • 通讯作者: 王静,E-mail: czwj100200@163.com
  • 作者简介:王静（1985-）,女,硕士,副主任医师
  • 基金资助:
    沧州市重点研发计划指导项目（204106018）

Clinical study of the effect of combined orthodontic and restoration treatment for introverted deep overbite patients with severe wear

WANG Jing1, LU Qian2, ZHOU Jian-ying3, PANG Shu-ting1, FENG Yan-fen3, LU Wen-juan3, ZHANG Qian2   

  1. 1. Department of Orthodontics, 2. Department of Oral Medicine, 3. Department of Prosthodontics, Cangzhou People’s Hospital. Cangzhou 061000, Hebei Province, China
  • Received:2023-08-07 Revised:2023-10-28 Online:2023-12-15 Published:2024-01-12

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摘要： 目的: 探讨正畸修复联合治疗内倾型深覆伴重度磨耗患者的临床效果。方法: 收集2020年12月—2022年6月沧州市人民医院收治的上颌前牙内倾型深覆伴重度磨耗患者86例,按性别、年龄、磨耗程度等资料配对分为对照组和试验组,每组43例。对照组给予正畸治疗,试验组给予正畸修复联合治疗。比较2组患者治疗前后的牙龈指数(gingival index, GI)、牙周指数(periodontal index, PI)、微笑指数、颞下颌关节间隙[前间隙、上间隙、后间隙和In(P/A)]、牙功能（吞咽、发音和咬合）和咀嚼效率。采用SPSS 22.0软件包对数据进行统计学分析。结果: 与对照组相比,试验组患者正畸治疗时间显著缩短（P<0.05）。治疗前,2组患者GI、PI、微笑指数、颞下颌关节间隙、牙功能评分和咀嚼效率差异无统计学意义（P>0.05）;治疗后,与对照组相比,试验组GI、PI、前间隙显著降低（P<0.05）,微笑指数、后间隙和In(P/A)、吞咽功能、发音功能、牙咬合和咀嚼效率显著增高（P<0.05）。结论: 正畸及正畸修复联合均可治疗上颌前牙内倾型深覆伴重度磨耗,正畸修复联合治疗更具优势。

关键词: 正畸, 修复, 内倾型深覆, 磨耗

Abstract: PURPOSE: To investigate the effectiveness of combined orthodontic and restoration treatment for introverted deep overbite patients with severe wear. METHODS: A total of 86 introverted deep overbite patients with severe wear admitted to Cangzhou People's Hospital from December 2020 to June 2022 were collected and divided into the control group and the experimental group by gender, age, degree of wear and tear, with 43 cases in each group. The control group received orthodontic treatment, while the experimental group received combined orthodontic and restoration treatment. The gingival index (GI), periodontal index(PI), smile index, temporomandibular joint space [anterior space, superior space, posterior space and In (P/A)], tooth function (chewing function, pronunciation function, dental occlusal function) and chewing efficiency of 2 groups before and after treatment were compared. Statistical analysis was performed with SPSS 22.0 software package. RESULTS: Compared with the control group, the orthodontic treatment time of the experimental group patients was significantly reduced(P<0.05). Before treatment, there was no significant difference in GI, PI, smile index, buccal gap rate, temporomandibular joint space, swallowing function and chewing efficiency between 2 groups(P>0.05). After treatment, compared with the control group, the GI, PI, anterior space were significantly reduced(P<0.05); the smile index, posterior space and In (P/A), chewing function, pronunciation function, tooth occlusion and chewing efficiency significantly increased (P<0.05). CONCLUSIONS: Both orthodontic treatment and combined orthodontic and restoration treatment can be used to treat introverted deep overbite patients with severe wear. However, combination of orthodontic and restoration treatment has significant advantages.

Key words: Orthodontic, Restoration, Introverted deep overbite, Wear

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