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微型种植体支抗与面弓支抗在儿童正畸治疗中的效果比较。

Comparison between effects of mini-implant anchorage and face-bow anchorage in orthodontics for children.

机构信息

Department of Renmin South Road Outpatient, Sinopharm (Hubei) Stomatological Hospital Co., LTD, 422300 Shiyan, Hubei, China.

Department of Zhuankou Outpatient, Sinopharm (Hubei) Stomatological Hospital Co., LTD, 430056 Wuhan, Hubei, China.

出版信息

J Clin Pediatr Dent. 2024 Jan;48(1):198-203. doi: 10.22514/jocpd.2024.022. Epub 2024 Jan 3.

DOI:10.22514/jocpd.2024.022
PMID:38239173
Abstract

To study the values of mini-implant anchorage in orthodontics for children in the mixed dentition stage, 78 children in the mixed dentition stage who had accepted orthodontic treatment in our hospital from January 2020 to January 2021 were enrolled into this study. All children were treated with straight-wire appliance. According to their anchorages, children were divided into observation group and control group based on the random number table. Children in the control group used face-bow to control the anchorages and children in the observation group used mini-implants to control the anchorages. After treatment, the upper central incisor convex distance difference, inclination angle of the upper central incisor, displacement of the molar, gingival health, masticatory function, treatment effect and adverse reaction rate of children in two groups were compared. One year after treatment, compared with children in the control group, children in the observation group had smaller the upper central incisor convex distance difference, inclination angle of the upper central incisor, displacement of the molar, small scores of plaque index (PLI), bleeding index (BI) and gingival index (GI), stronger biting force and higher masticatory efficiency, lower adverse reaction rate during treatment, better treatment effect, higher satisfaction of orthodontic treatment. And differences of all the above indexes were statistically significant ( < 0.05). Mini-implant anchorages have good stability and directive force, and have certain values in orthodontics for children in the mixed dentition stage.

摘要

为了研究微种植体支抗在混合牙列期儿童正畸中的应用价值,选取我院 2020 年 1 月至 2021 年 1 月收治的 78 例接受正畸治疗的混合牙列期患儿为研究对象。所有患儿均采用直丝弓矫治器治疗。根据患儿的支抗方式,采用随机数字表法将其分为观察组和对照组,对照组采用面弓控制支抗,观察组采用微种植体控制支抗。治疗后,比较两组患儿上中切牙凸距差值、上中切牙倾斜角度、磨牙位移、牙龈健康状况、咀嚼功能、治疗效果及不良反应发生率。治疗 1 年后,观察组患儿上中切牙凸距差值、上中切牙倾斜角度、磨牙位移均小于对照组,菌斑指数(PLI)、出血指数(BI)、牙龈指数(GI)评分均低于对照组,咬合力量较强,咀嚼效率较高,治疗期间不良反应发生率较低,治疗效果较好,对正畸治疗的满意度较高,差异均有统计学意义( < 0.05)。微种植体支抗具有良好的稳定性和导向性,在混合牙列期儿童正畸中具有一定的应用价值。

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