应用正畸联合口腔修复治疗先天性缺牙的临床效果

Orthodontic treatment combined with oral cavity repair for congenital missing teeth

目的 总结正畸联合口腔修复治疗先天性缺牙的效果,为先天性缺牙治疗工作提供参考.方法 选择本院2015年6月至2017年5月口腔科收治的先天性缺牙患者62例,按照随机数字表法分为联合组和对照组,各31例.联合组先天性缺牙患者接受正畸联合口腔修复治疗,对照组先天性缺牙患者接受口腔修复治疗.对比两组先天性缺牙患者治疗效果、治疗美观度满意率、语言功能以及咀嚼功能恢复时间、治疗期间语言功能和咀嚼功能变化评分.结果 联合组治疗总有效率为96.77％（30/31）高于对照组74.19％（23/31）,差异有统计学意义（P＜0.05）;联合组患者满意度为96.77％（30/31）高于对照组74.19％（23/31）,差异有统计学意义（P＜0.05）;联合组语言功能恢复、咀嚼功能恢复时间为（16.80±4.55）d、（21.30±4.80）d短于对照组（25.50±5.20）d、（27.20±4.65）d,差异有统计学意义（均P＜0.05）;治疗后,联合组先天性缺牙患者语言功能、咀嚼功能评分为（9.53±1.55）分、（9.60±1.05）分高于对照组（7.60±1.40）分、（7.25±1.03）分,差异有统计学意义（均P＜0.05）.结论 正畸联合口腔修复治疗先天性缺牙具有效率高、美观度高、功能恢复好等价值,具有联合实施价值.

Objective To summarize the effect of orthodontic treatmcnt combined with oral cavity repair in the treatment of congenital missing teeth,and to provide some references for treating congenital missing teeth.Methods 62 patients with congenital missing teeth admitted into our department from June,2015 to May,2017 were selected and divided into a combined group and a control group using random number table,31 case for each group.The combined group took orthodontic treatment combined with oral cavity repair,and the control group oral cavity repair.The treatment effect,aesthetic satisfaction rate,recovery times for language function and chewing function,language function and chewing function score changes during treatment were compared between the two groups.Results The total effective rate and the aesthetic satisfaction rate were higher in the combined group than in the control group [96.77% （30/31） vs.74.19 % （23/31） and 96.77% （30/31） vs.74.19 % （23/31）],with statistical differences （P 〈 0.05）.The recovery times for language function and chewing function were shorter in the combined group than in the control group [（16.80±4.55） d vs.（25.50±5.20） d and （21.30±4.80） d vs.（27.20±4.65） d],with statistical differences （P 〈 0.05）.The scores of language function and chewing function were higher in the combined group than in the control group after the treatment [（9.53±1.55） vs.（7.60±1.40） and （9.60±1.05） vs.（7.25±1.03）],with statistical differences （P 〈 0.05）.Conclusion Orthodontic treatment combined with oral cavity repair for congenital missing teeth has high efficiency,high aesthetic value,good functional recovery,and the value of ioint implementation.