摘要
目的对年轻恒牙外伤患儿采用两种不同的固定方法治疗,观察其固定后的牙齿外伤临床治疗效果。方法选取于2020年1月—2021年12月来黑龙江省医院口腔门诊就诊的140例年轻恒牙外伤患儿为研究对象,随机分配原则分为研究组和对照组,每组70例。对照组选取目前最为常用的牙齿固定方法是钢丝+树脂夹板固定完成外伤治疗,研究组选取正畸方丝弓托槽固定方法是方丝弓托槽+结扎丝固定治疗牙完成治疗。复诊随访观察其临床治疗疗效。结果研究组牙龈牙周炎症、牙齿松动移位、牙冠变色、牙根吸收较对照组更优,差异有统计学意义(P<0.05)。研究组总有效率为91.43%,显著高于对照组的总有效率的72.86%,差异有统计学意义(χ^(2)=8.230,P<0.05)。结论正畸托槽固位法治疗较常用的钢丝+树脂固位方法更适合年轻恒牙外伤,此法牙齿定位准确,又不影响患牙及牙周和健康基牙的生理性动度,提升临床治疗效果,减轻患者的痛苦,利于早日康复。
Objective Two different fixation methods were used to treat young children with permanent tooth trauma,and the clinical treatment effect of dental trauma after fixation was observed.Methods A total of 140 young children with permanent tooth trauma who visited the dental clinic of Heilongjiang Provincial Hospital from January 2020 to December 2021 were selected as the research objects and randomly assigned into a study group and a control group,with 70 cases in each group.In the control group,the most commonly used tooth fixation method is steel wire+resin splint fixation to complete the trauma treatment.The study group selected the orthodontic square wire bracket fixation method as square wire bracket+ligation wire to fix the treated teeth to complete the treatment.Follow-up and follow-up to observe the clinical curative effect.Results Gingival periodontitis,tooth loosening and displacement,crown discoloration,and root resorption in the study group were better than those in the control group,and the difference was statistically significant(P<0.05).The total effective rate of the study group was 91.43%,which was significantly higher than that of the control group,which was 72.86%,and the difference was statistically significant(χ^(2)=8.230,P<0.05).Conclusion The orthodontic bracket retention method is more suitable for young permanent teeth trauma than the commonly used wire+resin retention method.This method has accurate tooth positioning and does not affect the physiological mobility of the affected teeth and periodontal and healthy abutment teeth,which enhances the clinical treatment effect,reduces the patient's pain and facilitates early recovery.
作者
于海燕
张红颖
马越
戴燕
李亮
YU Haiyan;ZHANG Hongying;MA Yue;DAI Yan;LI Liang(Department of Stomatology,Heilongjiang Provincial Hospital,Harbin,Heilongjiang Province,150036 China;People's Hospital of Nature Reserve Wudalianchi Scenic Spot,Wudalianchi,Heilongjiang Province,164100 China)
出处
《世界复合医学》
2022年第5期48-51,共4页
World Journal of Complex Medicine
关键词
年轻恒牙
牙齿外伤
松动脱位
固定方式
Young permanent teeth
Traumatic tooth injury
Loose dislocation
Fixed approach