口腔正畸联合种植修复对错颌畸形伴牙列缺损患者口腔功能及美观度的影响

Effects of orthodontics combined with implant restoration on oral function and aesthetics of patients with malocclusion and dentition defect

目的研究口腔正畸联合种植修复对错颌畸形伴牙列缺损患者口腔功能及美观度的影响。方法选取2020年7月至2022年7月我院收治的58例错颌畸形伴牙列缺损患者为研究对象,以随机数字表法将其分为对照组(n=29,种植修复治疗)和观察组(n=29,口腔正畸联合种植修复治疗)。比较两组的治疗效果。结果观察组的治疗总有效率高于对照组(P<0.05)。治疗后,观察组的咀嚼效率、咬合力均优于对照组(P<0.05)。治疗后,观察组的探诊深度(PD)小于对照组,龈沟出血指数(SBI)、菌斑指数(PLI)评分均低于对照组(P<0.05)。治疗后,观察组的白细胞介素-2(IL-2)、白细胞介素-6(IL-6)及超敏C反应蛋白(hs-CRP)水平均低于对照组(P<0.05)。观察组的美观满意度高于对照组(P<0.05)。结论口腔正畸联合种植修复治疗错颌畸形伴牙列缺损患者的效果显著,可改善牙周情况及炎症反应,提升口腔功能及美观满意度,值得推广。

Objective To study the effects of orthodontics combined with implant restoration on oral function and aesthetics of patients with malocclusion and dentition defect.Methods A total of 58 patients with malocclusion and dentition defect admitted in our hospital from July 2020 to July 2022 were selected as the research objects,the patients were divided into control group(n=29,implant restoration treatment)and observation group(n=29,orthodontics combined with implant restoration treatment)by random number table method.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the chewing efficiency and bite force of the observation group were better than those of the control group(P<0.05).After treatment,the probing depth(PD)of the observation group was smaller than that of the control group,and the sulcus bleeding index(SBI)and plaque index(PLI)scores were lower than those of the control group(P<0.05).After treatment,the levels of interleukin-2(IL-2),interleukin-6(IL-6)and high sensitive C-reactive protein(hs-CRP)in the observation group were lower than those in the control group(P<0.05).The aesthetic satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Orthodontics combined with implant restoration has a significant effect on patients with malocclusion and dentition defect,it can ameliorate periodontal condition and inflammatory response,and improve oral function and aesthetic satisfaction,which is worth promoting.