微型种植体支抗用于口腔正畸治疗的有效性及安全性

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英文篇名：Effectiveness and Safety of Micro-implant Anchorage for Oral Orthodontic Treatment 作者：梁振耕 ; 谢奇 ; 郝春波 英文作者：LIANG Zhen-geng;XIE Qi;HAO Chun-bo;Department of Orthodontics,the People's Hospital of Hainan; 关键词：口腔畸形 ; 正畸治疗 ; 微型种植体支抗 ; 有效性 ; 安全性 英文关键词：oral deformity;;orthodontic treatment;;micro-implant anchorage;;effectiveness;;safety 中文刊名：MRYX 英文刊名：Chinese Journal of Aesthetic Medicine 机构：海南省人民医院口腔正畸科; 出版日期：2019-08-05 出版单位：中国美容医学 年：2019 期：v.28;No.272 基金：海南省自然科学基金面上项目(编号:817320) 语种：中文; 页：MRYX201908045 页数：4 CN：08 ISSN：61-1347/R 分类号：126-129

摘要

目的:探讨微型种植体支抗用于口腔正畸治疗的有效性及安全性。方法:回顾性分析2016年1月-2018年4月在笔者医院口腔科进行口腔正畸治疗的80例患者病例资料,按照治疗方法的不同分为对照组与观察组,每组40例。对照组采用传统固定正畸治疗,观察组采用微型种植体支抗辅助正畸治疗,比较两组患者的治疗效果、磨牙移位、上中切牙凸距差、上中切牙倾角差、头影测量数据指标(OJ、OB、U1/L1、MP、SN、SNA、ANB、SNB、Z角)、咀嚼效率、咬合力及不良反应情况。结果:治疗后,观察组与对照组的总有效率分别为95.00%、80.00%,两组比较差异具有统计学意义(P<0.05);观察组的磨牙移位、上中切牙凸距差、上中切牙倾角差均明显小于对照组(P<0.05);两组的OJ、OB、U1/L1、MP、SN、SNA、ANB、SNB、Z角均得到明显改善(P<0.05),观察组的改善程度优于对照组(P<0.05),观察组的咀嚼效率、咬合力均明显大于对照组;观察组与对照组的不良反应发生率分别为5.00%、22.50%,两组比较差异具有统计学意义(P<0.05)。结论:微型种植体支抗用于口腔正畸治疗效果显著,安全性高。
        Objective To explore the effectiveness and safety of micro-implant anchorage for oral orthodontic treatment. Methods The clinical data of 80 patients received oral orthodontic treatment which was retrospectively analyzed in the department of stomatology of our hospital from January 2016 to April 2018 and those patients were into control group and the observation group according to different treatment methods, 40 patients in each group. The patients were carried out conventional braces orthodontic treatment in control group and the patients were carried out micro-implant anchorage assist orthodontic treatment. The therapeutic effect, molar displacement, upper incisor inclination difference, high cutting tooth angle difference, head shadow measurement data index(OJ, OB, U1/L1, MP, SN, SNA, ANB, Z angle), masticatory efficiency, occlusal force and adverse reaction was compared between two groups. Results After treatment, the total effective rate of observation group and control group was 95.00% and 80.00% respectively, there was statistically significant between two groups(P <0.05). The molar displacement, upper incisor inclination difference, high cutting tooth angle difference of observation group was significantly less than that of control group(P<0.05). The OJ, OB, U1/L1, MP, SN, SNA, ANB, Z angle/Angle of two groups were significantly improved(P<0.05), the improvement degree of observation group was better than that of control group(P<0.05). The masticatory efficiency, occlusal force of observation group was significantly greater than that of control group(P<0.05). The occurrence rate of adverse reaction of observation group and control group was 5.00% and 22.50% respectively, there was statistically significant between two groups(P<0.05). Conclusion The effect of micro-implant anchorage on oral orthodontic treatment was remarkable and the safety was high.

引文

[1]陈兆社.成人口腔正畸治疗牙周病的临床分析[J].中国美容医学,2014,23(22):1908-1911.
    [2]郭秀丽.微型种植体支抗在口腔正畸临床中的应用效果观察[J].中国现代药物应用, 2016,10(6):70-71.
    [3]李伟,姚毅章,赵国廷.微型种植体支抗在成人口腔正畸中的应用分析[J].贵阳中医学院学报,2013,35(5):103-104.
    [4]李杨,马盛男,张帆.微型种植体支抗在口腔正畸治疗中的应用价值[J].蚌埠医学院学报, 2018,43(2):232-234.
    [5]周欣荣.微型种植体支抗在口腔正畸治疗中的应用[J].实用临床医学,2016, 17(7):68-70.
    [6]高菲.微型种植体支抗在口腔正畸临床中的应用研究[J].山东医学高等专科学校学报, 2017,39(1):35-37.
    [7]温秋平.微型种植体支抗在口腔正畸治疗中的应用效果分析[J].河南医学研究,2016, 25(7):1255-1256.
    [8]孟庆芳,胡西娜尔·艾尼瓦尔.微型种植体支抗在口腔正畸治疗中的应用效果[J].全科口腔医学电子杂志,2016,3(13):3-4.
    [9]杜申钊,徐姗.常规矫正与微型种植体支抗在口腔正畸中的应用效果比较[J].河南医学研究,2017,26(7):1217-1218.
    [10]李薇,于世德,文静,等.口腔正畸治疗中微型种植体支抗的稳定和安全性[J].全科口腔医学电子杂志,2017,4(16):16-17.
    [11]刘启明.微种植体支抗矫治成人轻中度骨性前突的临床应用[J].中国美容医学, 2017,26(5):43-46.
    [12]班杨杰.微型种植体支抗在口腔正畸中的应用进展[J].全科口腔医学电子杂志,2016, 3(10):16-17.
    [13]秦芳,余国建.微型种植体支抗措施对口腔正畸治疗患者的L1-MP和U1-SN水平及切牙角度的影响[J].浙江创伤外科,2017,22(1):154-156.
    [14]王利辉.成人口腔正畸应用微型种植体支抗的效果观察[J].临床医学,2016, 36(8):93-94.
    [15]郭丽娟.青少年口腔正畸治疗中应用微型种植体支抗对临床疗效及不良反应的影响[J].全科口腔医学电子杂志,2017,4(7):28-29.