改良式间接粘接法对口腔正畸患者的疗效、OHRQOL评分及依从性的影响

Effect of modi?ed indirect bonding on ef?cacy, OHRQOL score and compliance among orthodontic patients

目的探讨改良式间接粘接法对口腔正畸患者的疗效、口腔健康相关生活质量(OHRQOL)评分及依从性的影响。方法选取2015年1月-2018年1月西宁市第一人民医院收治拔牙矫正口腔的正畸患者118例作为研究对象,根据随机数字表法分为对照组(58例)与观察组(60例),对照组采用直接粘接法,观察组采用改良式间接粘接法,观察2组患者治疗6个月后上下切牙倾角差、上中切牙凸距差与磨牙位移;治疗前、治疗6个月后牙间隙相邻牙根的平行度情况、口腔健康相关生活质量(OHRQOL)与不良反应(不适感、口腔感染、软组织水肿)及依从性。结果观察组上下切牙倾角差与凸距差明显小于对照组(P<0.05);观察组磨牙位移明显大于对照组,组间差异具有统计学意义(P<0.05);治疗前,2组牙根平行度差异无统计学意义(P>0.05),治疗后,研究组牙根平行度改善情况明显优于对照组,组间差异具有统计学意义(P<0.05);观察组OHRQoL评分明显优于对照组,组间差异具有统计学意义(P<0.05);2组正畸术后不适感、口腔感染及软组织水肿等不良反应差异无统计学意义(P>0.05);观察组依从性显著优于对照组,组间差异具有统计学意义(P<0.05)。结论改良式间接粘接法在临床口腔正畸治疗中疗效显著,可达到理想粘接效果,同时患者生活质量较佳,不良反应少,患者依从性高。

Objective To investigate the effect of modified indirect bonding on the efficacy,OHRQOL score and compliance of orthodontic patients. Methods One hundred and eighteen cases of orthodontics treated in our hospital between January 2015 and January 2018 were selected as the subjects. Using random number method, these patients were divided into the control group(58 cases)and observation group(60 cases). The direct bonding method was adopted in the control group while the modified indirect bonding method was employed in the observation group. The incision angle difference,incisive convex distance difference, tooth displacement, parallelism of adjacent tooth roots in the interdental space,oral health-related quality of life(OHRQOL),adverse reactions(discomfort,oral infection,soft tissue edema)and compliance 6 months after treatment were investigated. Results The difference of the inclination angle and convex distance between the upper and lower incisors in the observation group was significantly smaller than that in the control group(P<0.05). The molar displacement of the observation group was significantly greater than that of the control group,and the difference between the two groups was statistically significant(P<0.05). Before treatment,there was no statistically significant difference in root parallelism between the two groups(P>0.05). After treatment,root parallelism in the study group was more significantly improved than that in the control group,with statistically significant difference between the two groups(P<0.05). OHRQOL score in the observation group was significantly better than that in the control group,and the difference between the two groups was statistically significant(P<0.05). There was no significant difference in postoperative discomfort,oral infection,soft tissue edema or other adverse reactions between the two groups(P>0.05). The compliance of the observation group was signif icantly better than that of the control group(P<0.05). Conclusion The modified indirect bonding method is effective in clinical orthodontic treatment,which can achieve the ideal bonding effect. Meanwhile,the quality of life of patients is better,adverse reactions are fewer,and the compliance of patients is high.