摘要
目的:探讨牙周治疗+正畸+种植多学科结合治疗牙列缺损的临床疗效。方法:选取84例牙列缺损患者为研究对象,按治疗方法不同分对照组和观察组,每组各42例。对照组患者采用常规方式治疗;观察组患者采用牙周治疗+正畸+种植多学科结合治疗。比较两组临床疗效、头颅侧位X线测量结果[上齿槽座点到翼上颌裂平面的距离(A-PFP)、下齿槽座点到翼上颌裂平面的距离(B-PFP)、前颅底平面与下颌平面的夹角(SN-OP)、眶耳平面与下颌平面的夹角(FH-MP)、上齿槽缘点到颏下点的距离(ANS-Me)、上唇凸点至审美线的距离(Ls-E线)、下唇凸点至审美线的距离(Li-E线)]及牙齿功能(自制的牙齿功能评分)。结果:观察组患者治疗总有效率高于对照组(P<0.05)。治疗后,两组患者A-PFP、SN-OP、FH-MP、ANS-Me、Ls-E线的变化量比较,差异有统计学意义(P<0.05);观察组患者咀嚼、发音、吞咽评分高于对照组(P<0.05)。结论:牙周治疗+正畸+种植多学科结合治疗牙列缺损可提高临床治疗效果,改善患者牙齿功能。
Objective:To investigate the clinical effect of periodontal therapy+orthodontic+implant in the treatment of dentition defect.Methods:84 patients with dentition defect were included and divided into two groups according to different treatment methods,with 42 cases in each group.The control group received conventional treatmen,and the observation group was treated with periodontal therapy+orthodontic+implant multidisciplinary treatment.The clinical efficacy,lateral skull X-ray measurement results[the distance from the upper dental groove seat point to the maxillary plane(A-PFP),the distance from the lower dental groove seat point to the maxillary plane(B-PFP),the angle between the anterior skull base plane and the mandibular plane(SN-OP),the angle between the orbital ear plane and the mandibular plane(FH-MP),the distance from the upper dental groove edge point to the submental point(ANS Me),the distance from the upper lip protrusion point to the aesthetic line(Ls-E line),and the distance from the lower lip protrusion point to the aesthetic line(Li-E line)]and tooth function(self-made dental function score)were compared between the two groups.Results:The total effective rate of observation group was higher than that of control group(P<0.05).After treatment,there was a statistically significant difference in the changes of A-PFP,SN-OP,FH-MP,ANS-Me and Ls-E lines between the two groups(P<0.05),and the scores of mastication,pronunciation and swallowing in the observation group were higher than those in the control group(P<0.05).Conclusion:The combination of periodontal therapy+orthodontic+implant can improve the clinical effect and improve the dental function of patients with dental defects.
作者
张春辉
郭建茹
冯妍
ZHANG Chun-hui;GUO Jian-ru;FENG Yan(Affiliated Hospital of Tangshan Vocational and Technical College,Tangshan 063000,Hebei,China)
出处
《川北医学院学报》
2025年第6期732-735,共4页
Journal of North Sichuan Medical College
基金
河北省医学科学研究课题计划(20201544)。
关键词
牙周
正畸
种植
多学科结合
牙列缺损
临床疗效
Periodontal
Orthodontics
Implant
Multidisciplinary integration
Dentition defect
Clinical efficacy
