摘要
目的分析儿童及青少年上颌埋伏阻生前牙患儿接受翻瓣导萌术联合口腔正畸的治疗效果。方法方便选取2018年9月—2022年12月武威市凉州医院接受治疗的73例上颌埋伏阻生前牙患儿为研究对象,应用摸球法分为对照组(35例)与观察组(38例)。对照组实施单一翻瓣导萌术治疗,观察组实施翻瓣导萌术联合口腔正畸治疗,对比两组手术成功率、上颌埋伏阻生前牙萌出时间、并发症发生率及治疗前后患儿的语言、咀嚼功能、美观度。结果观察组患儿的手术成功率为97.37%,高于对照组82.86%,差异有统计学意义(χ^(2)=4.425,P<0.05);观察组上颌埋伏阻生前牙萌出时间短于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);治疗后两组的语言功能、咀嚼功能、美观度各项评分均较治疗前升高,且观察组美观度评分较对照组更高,差异有统计学意义(P均<0.05),但治疗后两组的语言功能、咀嚼功能评分比较,差异无统计学意义(P均>0.05)。结论儿童及青少年上颌埋伏阻生前牙患儿在翻瓣导萌术治疗的同时接受口腔正畸治疗,能够较大程度提高手术成功率,缩短患儿的上颌埋伏阻生前牙萌出时间,降低并发症发生率。同时改善患儿牙齿美观度。
Objective To analyze the therapeutic effect of children and adolescents with maxillary buried obstructed anterior teeth who underwent flap guided eruption combined with orthodontics.Methods A total of 23 cases of children with maxillary buried obstructed anterior teeth treated in Wuwei Liangzhou Hospital from September 2018 to December 2022 were conveniently selected as the study objects,and were divided into the control group(35 cases)and the observation group(38 cases)by application of the touch-ball method.The control group was treated with single flap-guided eruption surgery,and the observation group was treated with flap-guided eruption surgery combined with orthodontic treatment.The success rate of surgery,eruption time of maxillary ambulatory anterior teeth,complication rate,and speech,chewing function,and esthetic degree of the children before and after treatment were compared in the two groups.Results The surgical success rate of children in the observation group was 97.37%,which was higher than 82.86%in the control group,and the difference was statistically significant(χ^(2)=4.425,P<0.05).The eruption time of the maxillary buried blocked anterior teeth in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The scores of speech function,mastication function and aesthetics of the two groups after treatment were higher than those before treatment,and the aesthetics score of the observation group was higher than that of the control group,and the differences were statistically significant(all P<0.05).However,the scores of speech function and mastication function of the two groups after treatment,the differences were not statistically significant(both P>0.05).Conclusion Orthodontic treatment in conjunction with flap-guided eruption treatment in children and adolescents with maxillary buried obstructed anterior teeth can greatly improve the success rate of the surgery,shorten the eruption time the of maxillary buried obstructed anterior teeth,reduce the incidence of complications,and improve the aesthetics of the children's teeth.
作者
邹静
田云峰
ZOU Jing;TIAN Yunfeng(Department of Stomatology,Wuwei Liangzhou Hospital,Wuwei,Gansu Province,733000 China)
出处
《中外医疗》
2024年第16期21-24,共4页
China & Foreign Medical Treatment
关键词
上颌埋伏阻生前牙
翻瓣导萌术
口腔正畸
手术成功率
牙齿美观度
Maxillary buried obstructed anterior teeth
Flap-guided eruption surgery
Orthodontics
Surgical success rate
Dental esthetics
