Department of Stomatology, Lianyungang Hospital of Traditional Chinese Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing, China.
Department of Stomatology, Xiaoshan District Hospital of Traditional Chinese Medicine, Hangzhou, China.
Medicine (Baltimore). 2023 Sep 1;102(35):e35025. doi: 10.1097/MD.0000000000035025.
To explore the effects of a combined orthodontic and restorative approach on chewing, swallowing, and language function in patients with malocclusion and dental defects.
A total of 112 patients with malocclusion and dentition defects admitted to the Lianyungang Hospital of Traditional Chinese Medicine from June 2019 to June 2022 were prospectively selected. The patients were divided into study and control groups using a simple random number table method, with 56 patients in each group. The control group received routine restoration, whereas the study group received a combination of orthodontic and restorative treatments. The chewing function, swallowing and language function, and gingival periodontal condition before and after treatment in both groups were compared using t-test or Wilcoxon test, while treatment satisfaction were compared using chi-square test or Fisher exact test.
After treatment, maximum area frame bite force/max movie force in both groups increased compared to before treatment, while occlusion time, bite force distrbution balance, and standard deviation hue decreased compared to before treatment. Moreover, maximum area frame bite force/max movie force in the study group was higher than that in the control group, whereas occlusion time, bite force distrbution balance, and standard deviation hue were lower than those in the control group (P < .05). The swallowing and language function scores of the study group were higher than those of the control group (P < .05). After treatment, the bleeding index, plaque index, and probing depth of both groups decreased compared to before treatment, and the study group was lower than the control group (P < .05). The treatment satisfaction of the study group (94.64%) was higher than that of the control group (82.14%) (P < .05).
Adopting a combined orthodontic and restorative approach to intervene in patients with malocclusion and dentition defects is beneficial for improving their periodontal condition, effectively restoring chewing, swallowing, and language functions, and achieving high patient satisfaction.
探讨正畸联合修复治疗对牙颌畸形伴牙体缺损患者咀嚼、吞咽和语言功能的影响。
前瞻性选取 2019 年 6 月至 2022 年 6 月连云港市中医院收治的 112 例牙颌畸形伴牙体缺损患者，采用简单随机数字表法分为研究组和对照组，各 56 例。对照组采用常规修复治疗，研究组采用正畸联合修复治疗。采用 t 检验或 Wilcoxon 检验比较两组治疗前后咀嚼功能、吞咽和语言功能、牙龈牙周状况，采用 χ²检验或 Fisher 确切概率法比较两组治疗满意度。
治疗后，两组最大面积咬合力/最大电影力均高于治疗前，咬合时间、咬合力分布平衡和标准偏差色调均低于治疗前；研究组最大面积咬合力/最大电影力高于对照组，咬合时间、咬合力分布平衡和标准偏差色调低于对照组（P <.05）。研究组吞咽和语言功能评分高于对照组（P <.05）。治疗后，两组的出血指数、菌斑指数和探诊深度均低于治疗前，且研究组低于对照组（P <.05）。研究组治疗总满意度（94.64%）高于对照组（82.14%）（P <.05）。
采用正畸联合修复治疗牙颌畸形伴牙体缺损患者，有利于改善其牙周状况，有效恢复咀嚼、吞咽和语言功能，且患者满意度较高。
