[1]孙 琦.无托槽隐形矫治器与固定矫治器在口腔正畸治疗中的效果比较[J].医学信息,2021,34(17):132-134.[doi:10.3969/j.issn.1006-1959.2021.17.035]
　SUN Qi.Comparison of the Effects of Bracketless Invisible Appliance and Fixed Appliance in Orthodontic Treatment[J].Medical Information,2021,34(17):132-134.[doi:10.3969/j.issn.1006-1959.2021.17.035]
点击复制

无托槽隐形矫治器与固定矫治器在口腔正畸治疗中的效果比较()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年17期
页码:
132-134
栏目:
临床研究
出版日期:
2021-09-01

文章信息/Info

Title:
Comparison of the Effects of Bracketless Invisible Appliance and Fixed Appliance in Orthodontic Treatment
文章编号:
1006-1959（2021）17-0132-03
作者:
孙 琦
（铁岭县中心医院口腔科，辽宁 铁岭 112000）
Author(s):
SUN Qi
(Department of Stomatology,Tieling Central Hospital,Tieling 112000,Liaoning,China)
关键词:
隐形矫治器; 口腔正畸; 咬合功能; PAR指数
Keywords:
Invisible appliance; Orthodontics; Occlusal function; PAR index
分类号:
R713.4
DOI:
10.3969/j.issn.1006-1959.2021.17.035
文献标志码:
A
摘要:
目的 比较无托槽隐形矫治器与固定矫治器治疗口腔正畸的临床效果。方法 选取2018年7月-2020年7月我院进行治疗的72例口腔正畸患者为研究对象，采用随机数字表法分为对照组和观察组，各36例。对照组采用固定矫治器治疗，观察组采用无托槽隐形矫治器治疗，比较两组临床治疗疗效、牙周指标、正畸标准（PAR）指数、治疗满意度以及治疗费用。结果 观察组治疗有效率为88.89%，高于对照组的75.00%，差异有统计学意义（P＜0.05）。观察组菌斑指数、牙龈指数、牙龈出血指数、探诊深度均小于对照组，差异有统计学意义（P＜0.05）；观察组前牙排列、后牙排列、覆盖、中线评分均高于对照组，差异有统计学意义（P＜0.05），而两组咬合关系、覆颌评分比较，差异无统计学意义（P＞0.05）。观察组治疗美观舒适度、咀嚼功能、便捷程度、语言功能满意度评分高于对照组，差异有统计学意义（P＜0.05），而两组固定功能评分比较，差异无统计学意义（P＞0.05）。观察组治疗费用高于对照组，差异有统计学意义（P＜0.05）。结论 与固定矫治器比较，无托槽隐形矫治器与其固定功能基本相同，但无托槽隐形矫治器的治疗效果、牙周指标、PAR指数以及美观舒适度、咀嚼功能、便捷程度、语言功能满意度更佳，但其治疗费用较高，需要患者具有良好的依从性。两种矫治方法各有优缺点，临床应结合患者实际情况进行科学合理选择。
Abstract:
Objective To compare the clinical effects of bracketless invisible appliance and fixed appliance in the treatment of orthodontics.Methods A total of 72 orthodontic patients treated in our hospital from July 2018 to July 2020 were selected as the research objects.Using random number table method, they were divided into control group and observation group, each with 36 cases.The control group was treated with a fixed appliance, and the observation group was treated with an invisible appliance without brackets.The clinical treatment efficacy, periodontal index, orthodontic standard (PAR) index, treatment satisfaction and treatment cost were compared between the two groups.Results The total effective rate of treatment in the observation group was 88.89%, which was higher than 75.00% in the control group,the difference was statistically significant(P<0.05).After treatment, the observation group’s plaque index, gingival index, gingival bleeding index, and probing depth were all smaller than those of the control group,the difference was statistically significant(P<0.05);The scores of anterior teeth, posterior teeth, coverage, and midline of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05).However, there was no statistically significant difference in occlusal relationship and overjaw score between the two groups (P>0.05).The observation group’s treatment aesthetic comfort, chewing function, convenience, and language function satisfaction scores were higher than those of the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the fixed function scores between the two groups (P>0.05).The treatment cost of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Compared with the fixed appliance, the fixed function of the non-bracket invisible appliance is basically the same, but the non-bracket invisible appliance can improve the treatment effect, periodontal index, PAR index, aesthetic comfort, chewing function, convenience, and language function. However, the cost of treatment is relatively high, and patients need to have good compliance.Therefore, the two treatment methods have their own advantages and disadvantages, and should be selected scientifically and rationally based on the actual situation.

参考文献/References:

[1]熊剑.无托槽隐形矫治器与固定矫治器在口腔正畸治疗中的效果对比观察[J].中国继续医学教育,2018,10(12):108-109. [2]李苏荣,苏玉新.无托槽隐形矫治器与固定矫治器在口腔正畸治疗中的效果比较[J].全科口腔医学电子杂志,2018,5(11):4-7. [3]赵杨.口腔正畸固定矫治器的应用效果[J].中国当代医药,2018,25(8):92-94. [4]王亚玲,曹直,占时霞.直丝弓与无托槽隐形矫治器对牙周炎继发错畸形的治疗效果[J].宁夏医科大学学报,2016,38(7):827-829. [5]王冠超,孙强,马鹏华,等.口腔正畸与种植义齿联合治疗成人前牙错牙合畸形及牙列缺损的疗效观察[J].临床口腔医学杂志,2019,35(12):748-751. [6]苏倩怡,甘友志,郑静怡,等.无托槽隐形矫治技术在口腔正畸中的应用效果分析[J].承德医学院学报,2017,34(5):386-388. [7]杜少华.无托槽隐形矫治与固定矫治器对牙齿畸形患者牙周健康的影响对比[J].实用医技杂志,2018,25(7):88-89. [8]翟明表,孙艳,郭剑虹.无托槽隐形矫治技术与固定矫治技术疗效及对牙周健康、生活质量的影响[J].陕西医学杂志,2018,47(2):228-230. [9]张雯姝.无托槽隐形矫治器与固定矫治器在口腔正畸治疗中的效果比较[J].中国医药指南,2018,16(34):90. [10]黄国伟,李婧.无托槽隐形矫治器与固定矫治器对牙周影响的研究[J].中华口腔正畸学杂志,2015,22(1):32-34. [11]孙舒寒,朱凤节.无托槽隐形矫治器与固定矫治器在口腔正治疗中的应用效果比较[J].中国民康医学,2018,30(21):68-69. [12]李炎钊,谭家莉.无托槽隐形矫治器与固定矫治器对牙周健康影响的纵向临床观察[J].临床口腔医学杂志,2015,31(8):486-488. [13]初可嘉,王海慧,郑之峻,等.3种无托槽隐形矫治器附件粘接方法的比较研究[J].华西口腔医学杂志,2015,33(5):497-499. [14]Akinci Cansunar H,Uysal T.Comparison of orthodontic treatment outcomes in nonextraction,2 maxillary premolar extraction, and 4 premolar extraction protocols with the American Board of Orthodontics objective grading system[J].Am J Orthod Dentofacial Orthop,2014,145(5):595-602. [15]邹毅军.研究比较无托槽隐形矫治器与固定矫治器在口腔正畸治疗中的效果[J].中国社区医师,2018,34(21):15-16.

相似文献/References:

[1]刘西霞.口腔正畸治疗牙周病致前牙移位的临床效果分析[J].医学信息,2018,31(17):185.[doi:10.3969/j.issn.1006-1959.2018.17.060]
　LIU Xi-xia.Clinical Analysis of Orthodontic Treatment of Anterior Teeth Displacement Caused by Periodontal Disease[J].Medical Information,2018,31(17):185.[doi:10.3969/j.issn.1006-1959.2018.17.060]
[2]李 娜,郭 磊,王 杰,等.智慧口腔正畸助手设计与原型实现[J].医学信息,2022,35(13):34.[doi:10.3969/j.issn.1006-1959.2022.13.006]
　LI Na,GUO Lei,WANG Jie,et al.Design and Prototype Implementation of Intelligent Orthodontic Assistant[J].Medical Information,2022,35(17):34.[doi:10.3969/j.issn.1006-1959.2022.13.006]
[3]郭兆存.牙周组织再生术联合口腔正畸治疗牙周炎的效果观察[J].医学信息,2019,32(20):112.[doi:10.3969/j.issn.1006-1959.2019.20.033]
　GUO Zhao-cun.Effect of Periodontal Tissue Regeneration Combined with Orthodontics on Periodontitis[J].Medical Information,2019,32(17):112.[doi:10.3969/j.issn.1006-1959.2019.20.033]
[4]陈桥秀.危机管理对门诊口腔正畸不良事件及护理满意度的影响[J].医学信息,2019,32(21):169.[doi:10.3969/j.issn.1006-1959.2019.21.057]
　CHEN Qiao-xiu.Impact of Crisis Management on Outpatient Orthodontic Adverse Events and Nursing Satisfaction[J].Medical Information,2019,32(17):169.[doi:10.3969/j.issn.1006-1959.2019.21.057]
[5]王晶艳.锥形束计算机体层摄影术检测口腔正畸中牙槽骨、牙根吸收状况的效果[J].医学信息,2019,32(22):152.[doi:10.3969/j.issn.1006-1959.2019.22.052]
　WANG Jing-yan.Cone beam Computed Tomography for Detecting the Absorption of Alveolar Bone and Root in Orthodontics[J].Medical Information,2019,32(17):152.[doi:10.3969/j.issn.1006-1959.2019.22.052]
[6]李 刚.传统与数字化间接粘接技术在正畸治疗中的应用[J].医学信息,2023,36(07):189.[doi:10.3969/j.issn.1006-1959.2023.07.039]
　LI Gang.Application of Traditional and Digital Indirect Bonding Technology in Orthodontic Treatment[J].Medical Information,2023,36(17):189.[doi:10.3969/j.issn.1006-1959.2023.07.039]
[7]周 舟.口腔正畸结合修复治疗错 牙合 伴牙列缺损的临床分析[J].医学信息,2021,34(20):142.[doi:10.3969/j.issn.1006-1959.2021.20.037]
　ZHOU Zhou.Clinical Analysis of Orthodontic Combined with Prosthodontics in the Treatment of Malocclusionwith Dentition Defect[J].Medical Information,2021,34(17):142.[doi:10.3969/j.issn.1006-1959.2021.20.037]

更新日期/Last Update: 1900-01-01