早期矫治应用于儿童错颌畸形的效果分析

Analysis on Application Effect of Early Orthodontic Treatment on Malocclusion in Children

目的:分析早期矫治应用于儿童错颌畸形的效果。方法:选取2019年8月—2023年8月北京市中关村医院收治的220例错颌畸形患儿作为研究对象,以随机数字表法分为对照组和观察组,各110例。对照组给予常规干预,观察组在对照组基础上给予早期矫治。比较两组治疗效果。结果:治疗后,两组SNA角、ANB角、U1-SN角小于治疗前,且观察组小于对照组,两组SNB角大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。治疗后,两组前牙覆、前牙覆盖、上牙弓拥挤度及下牙弓拥挤度小于治疗前,且观察组小于对照组,两组上牙弓宽度及下牙弓宽度大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。治疗后,两组抑郁自评量表、焦虑自评量表评分低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:早期矫治应用于儿童错颌畸形的效果较好,可使患儿骨骼正常发育,改善牙齿及心理状况。

Objective:To analyze the application effect of early orthodontic treatment on malocclusion in children.Methods:A total of 220 children with malocclusion admitted to Beijing Zhongguancun Hospital from August 2019 to August 2023 were selected as the study subjects.They were divided into control group and observation group using a random number table method,with 110 cases in each group.The control group received conventional intervention and the observation group received early orthodontic treatment.The treatment effects were compared between two groups.Results:After treatment,the SNA angle,ANB angle and U1-SN angle in the two groups were lower than those before treatment,and these angles in the observation group were lower than those in the control group,while the SNB angle in the two groups was higher than that before treatment,and this angle in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the anterior overbite,anterior overjet upper dental arch crowding and lower dental arch crowding in the two groups were lower than those before treatment,and these indexes in the observation group were lower than those in the control group,while the upper arch width and lower arch width in the two groups were higher than those before treatment,and these indexes in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of self-rating depression scale and self-rating anxiety scale in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion:Early orthodontic treatment has a better effect on children with malocclusion,and can promote normal skeletal development in children,and improve the dental and psychological conditions.