正畸分牙技术用于早期邻面龋复合树脂充填治疗的临床疗效

Clinical Effect of Orthodontic Tooth Separation Technique in the Treatment of Early Adjacent Surface Caries with Compound Resin Filling

目的:探讨正畸分牙技术在早期邻面龋复合树脂充填治疗中的应用效果。方法:选取河南赛思口腔医院2019年12月至2020年11月早期邻面龋患者104例,采用电脑随机数字表法分为对照组、观察组,各52例。对照组予以常规复合树脂充填治疗,观察组予以正畸分牙技术进行早期邻面龋复合树脂充填治疗,两组患者术后均完成6个月门诊随访,比较充填成功率、充填外观效果及术前、术后6个月口腔健康相关生活质量(OHRQOL-UK)评分。结果:观察组患者的充填体完整性优于对照组(Z=11.266,P=0.004),边缘着色情况也优于对照组(Z=8.421,P=0.015);观察组患者的充填成功率为94.23%,较对照组78.85%更高,差异具有统计学意义(P<0.05);术后6个月,两组患者的OHRQOL-UK评分均得到明显提高,观察组较对照组更高,差异均具有统计学意义(P<0.05)。结论:早期邻面龋复合树脂充填治疗时应用正畸分牙技术,可提高患者的充填成功率,确保充填外观效果良好,改善患者口腔健康生活质量。

Objective To investigate the application effect of orthodontic tooth separation technique in the treatment of early adjacent surface caries with compound resin filling.Methods A total of 104 patients with early adjacent surface caries were selected from Henan Saisi Dental Hospital from December 2019 to November 2020 were divided into a control group and an observation group by computer random number table method,with 52 cases in each group.The control group was treated with conventional composite resin filling,and the observation group was treated with orthodontic dental separation for early adjacent surface caries.Patients in the two groups were followed up in the outpatient clinic for 6 months after the operation,and the success rate of filling,the appearance of filling,and oral health-related quality of life(OHRQOL-UK)scores before and 6 months after the operation were compared.Results The filling body integrity in the observation group was better than that in the control group(Z=11.266,P=0.004),and the edge coloring was also better than that in the control group(Z=8.421,P=0.015).The filling success rate of the observation group was 94.23%,higher than 78.85% of the control group,and the difference was statistically significant(P<0.05).6 months after surgery,OHRQOL-UK scores were significantly improved in the two groups,and OHRQOL-UK score of the observation group was higher than that of the control group,with statistically significant differences(P<0.05).Conclusion The application of orthodontic tooth separation technique in the treatment of early adjacent surface caries compound resin filling can improve the success rate of filling,ensure good appearance of filling and improve the oral health quality of life of patients.