基层医院错畸形正畸矫治失误常见原因现状分析

Analysis for the common causes of malocclusion deformity orthodontic failed in the primary hospital

目的：分析基层医院错畸形正畸矫治失败的常见原因，为提高基层医院临床正畸的矫治水平提供科学依据。方法收集2006年1月～2013年12月贵州省第二人民医院口腔科二次矫治患者60例，分成18岁以下青少年组和18岁以上成年组。由两名医生对二次矫治患者的错畸形现状构成进行分析。结果青少年组（18岁以下）和成年组（18岁以上）错畸形临床表现构成比差异有统计学意义（x2=15.012， P＜0.05）。由于基层医院矫治失误而需二次矫治的原因主要表现为：诊断设计不当、矫治技术失误、患者长时间未按时复诊、复发、生长发育状况及家族遗传影响等。结论诊断不清、设计不当、矫治技术失误、患者长时间未按时复诊、复发、生长发育状况及家族遗传影响，是二次矫治患者错畸形的主要表现。

ObjectiveAnalysis for the common causes of malocclusion deformity orthodontic failed in the primary hospital,to provide the scientific evidences for improving treatment in clinical orthodontics of primary hospital. Methods Collected 60 patients with secondary rectification in the second people＇s hospital of Guizhou province from Jan.2006 to Dec.2013,and divided into two groups：the one is teenagers group（〈18 years old）,another is adult group（〉18 years old）.Two orthodontic specialists were invited to analyze the malocclusions of subjects for patients with secondary treatment.Results The difference between teenagers group （〈18 years old） and the adult group （〉18 years old） was statistically significant （x2=15.012,P〈0.05）.The main causes of the secondary treatment due to the correcting errors in the basic-level hospitals include the improper diagnosis,inadequate treatment,recheck not on time for a long time,relaps,the growth condition and genetic effects, etc.ConclusionThe improper diagnosis,inadequate treatment,recheck not on time for a long time,relaps,the growth condition and genetic effects are the main causes in patients needing secondary treatment.