牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响
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张小花,女,主治医师,主要研究方向是口腔科方面。

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R 783.5

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The Effect of Tooth Root Development on the Root and Periodontal Tissues of Impacted Anterior Teeth after Orthodontic Traction
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    摘要:

    摘 要目的:分析牙根发育对正畸牵引后埋伏前牙牙根及牙周组织的影响。 方法:选取福建医科大学附属龙岩第一 医院 2019 年 1 月至 2021 年 1 月收治的 100 例正畸治疗患者,根据牙根发育情况,将患者分为牙根发育完成组(对照组) 和牙根发育未完成组(观察组),每组 50 例,进行治疗后为期 1 个月的随访,比较埋伏前牙牙根吸收等级以及牙周组织的 生长情况。 结果:正畸前,由于观察组患者的牙根发育未完成,牙根平均长度短于对照组,差异具有统计学意义(P < 0.05); 正畸后,观察组患者牙根持续生长,牙根平均长度长于对照组,差异具有统计学意义(P < 0.05)。两组患者正畸后根管 壁厚度比较,差异无统计学意义(P > 0.05)。随访 1 个月后,观察组患者的牙根吸收等级优于对照组,差异具有统计学 意义(P < 0.05);观察组的牙周生长情况不良反应率为 8.00 %,低于对照组的 48.00 %,差异具有统计学意义(P < 0.05)。 结论:牙根发育未完成的患者,其正畸牵引后埋伏前牙牙根及牙周组织生长更好,有助于提高患者生活质量,加强预后效果。

    Abstract:

    AbstractObjective To analyze the influence of tooth root development on the root and periodontal tissue of the impacted anterior teeth after orthodontic traction. Methods A total of 100 orthodontic patients admitted to Longyan First Hospital Affiliated to Fujian Medical University from January 2019 to January 2021 were selected, and the patients were divided into root development complete group (control group) and root incomplete group (observation group) according to their root development, each group had 50 cases. A 1-month follow-up was carried out after treatment to compare the root resorption grade of the impacted anterior teeth and the growth of periodontal tissue. Results Before orthodontics, because the root development of the observation group was not completed, the average root length was shorter than that of the control group, the difference was statistically significant (P < 0.05); After orthodontics, the observation group continued to grow roots, and the average root length was longer than the control group, the difference was statistically significant (P < 0.05). There was no significant difference in the thickness of the root canal wall between the two groups after orthodontics (P > 0.05). After 1-month of follow-up, the grade of root resorption of the observation group was better than that of the control group, and the difference was statistically significant (P < 0.05); the adverse reaction rate of periodontal growth in the observation group was 8.00%, which was lower than 48.00% of the control group. The difference was statistically significant (P < 0.05). Conclusion In patients with incomplete root development, the roots and periodontal tissues of the impacted anterior teeth grow better after orthodontic traction, which helps to improve the quality of life of the patients and strengthen the prognosis.

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  • 收稿日期:2021-08-28
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  • 在线发布日期: 2023-06-29
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