失咬合及手术保存对纵折后牙患者的临床疗效及预后影响

Clinical Curative Effect and Prognosis of the Loss of Occlusion and Operation to Save on Longitudinal Tooth Fractures Patients

目的:研究失咬合及手术保存对纵折后牙患者的临床疗效及预后影响。方法:选取2013年2月-2014年3月在笔者科室接受治疗的纵折后牙患者88例,根据随机数字表法分为观察组及对照组,每组44例。对照组采用常规保存治疗,观察组则进行失咬合及口外粘结再植手术保存治疗,分别对比两组临床效果。结果:两组治疗6个月后优良率对比不明显,差异无统计学意义(P>0.05)。观察组治疗1年后优良率为86.36%,显著高于对照组的68.18%,差异有统计学意义(P<0.05)。观察组并发症发生率为4.55%,显著低于对照组的18.18%,差异有统计学意义(P<0.05)。观察组患者饮食、精神、睡眠及心理质量评分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论:失咬合及手术保存治疗纵折后牙患者的临床疗效较佳,且能降低患者术后并发症的发生率,同时提高患者生活质量,预后效果显著。

Objective To study clinical curative effect and prognosis of the loss of occlusion and operation to save on longitudinal tooth fractures patients. Methods From February 2013 to March 2014, in our hospital 88 patients with longitudinal tooth fractures with treatment was selected as for study. According to random number table method was divided into observation group and the control group each had 44 cases. The control group were treated with routine treatment, observation group was given lost to bite and outlets bonding replantation surgery treatment, two groups of effect was compared. Results Two groups of 6 months after treatment was contrast was not obvious, there was no statistically significant difference （P〉0.05）. Observation group of good rate was 86.36% 1 year after treatment, significantly higher than that of control group 68.18%, the difference was statistically significant （P〈0.05）. The complication rate of observation group was 4.55%, significantly lower than control 18.18%,the difference was statistically significant （P〈0.05）. Observation group patients＇s diet,mental, sleep and mental quality scores were significantly higher than the control group, which were statistically significant differences （all P〈0.05）. Conclusion The loss of occlusion and operation to save on longitudinal tooth fractures patients has good clinical curative effect, and can reduce the incidence of patients with postoperative complications, and improve the patients＆#39; quality of life, the prognosis effect is distinct.