舌侧正畸对患者口腔功能和美观的影响

Influence of lingual orthodontic treatment on oral function and asthetics

目的探讨舌侧正畸对患者口腔功能和美观造成的影响。方法选取2014年1月~2015年12月我院门诊收治的60例错牙合畸形患者作为研究对象,随机分为观察组和对照组,各30例。对照组患者采用传统的唇侧正畸非拔牙方法进行治疗,观察组患者采用舌侧正畸治疗,对比分析两种正畸技术对患者口腔功能和美观的影响。结果观察组患者的形态美观影响程度优于对照组,差异有统计学意义(P<0.05)。在软组织不适感方面,两组患者均有不同程度异物感,均未出现不能耐受者,且两组患者各时间段的软组织不适感比较,差异无统计学意义(P>0.05);在发音影响情况方面,两种技术在开始治疗以及1周内比较,差异有统计学意义(P=0.010);在进食影响方面,观察组前4周的进食影响情况显著高于对照组(P<0.05),4周后得到缓解。结论采用舌侧正畸技术进行治疗,虽对患者的进食和发音有一定影响,但对患者美观造成的影响较小,值得在临床中推广。

Objective To explore the influence of lingual orthodontics on the oral function and asthetics of patients. Methods From January 2014 to December 2015,60 outpatients with malocclusion were selected as the objects and ran- domly divided into the observation group and the control group,30 cases in each group.The control group was treated with labial orthodontic non-extraction treatment,and the observation group was conducted with lingual orthodontics treatment.The influence of two orthodontic techniques on the oral function and appearance of the patients were com- pared and analyzed.Results The influence degree of the morphological appearance of the observation group was better than that in the control group,with significant difference （P〈0.05）.In soft tissue discomfort,all patients of the two groups had different degree of foreign body sensation,but no intolerance was found,and the difference in the two groups was no statistically significant （P〉0.05）.In the pronunciation situation,two kinds of technology had statistical significance at the beginning of treatment and the differences within 1 week （P=0.010）.In the first 4 weeks,the influence of feeding for pa- tients in the observation group was significantly higher than that in the control group （P〈0.05）,and which eased after 4 weeks. Conclusion The treatment of lingual orthodontics has certain influence on the patients＇ eating and pronunciation,but it has little effect on the patients＇ beauty,so it is worth popularizing in clinical practice.