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倾斜邻牙种植与正畸联合治疗的临床疗效、骨密度及随访

Clinical efficacy, bone density, and follow-up in implant and orthodontic treatment for inclined adjacent teeth.

作者信息

Yang Yi, Zhou Shun-Cheng, Ma Yi-Hui, Wang Xiang, Dong Qing-Shan

机构信息

Department of Stomatology, General Hospital of Central Theater Command, Wuhan 430012, Hubei Province, China.

出版信息

World J Clin Cases. 2024 Aug 26;12(24):5542-5548. doi: 10.12998/wjcc.v12.i24.5542.

Abstract

BACKGROUND

Tooth defects can cause elongation of occlusal teeth, leading to insufficient repair space. The combination of dental implant restoration and orthodontic treatment of oblique adjacent teeth has a significant therapeutic effect.

AIM

To explore clinical efficacy, bone density, and follow-up of implant and orthodontic treatment for patients with inclined adjacent teeth.

METHODS

In total, 98 patients with oblique adjacent teeth were randomly assigned to implant restoration combined with orthodontic treatment (group A, = 49) or to receive implant restoration alone (group B, = 49). Changes in alveolar ridge bone density and apical bone density were observed before and after treatment in the two groups. Changes in chewing function and language function were compared between the two groups of patients. Follow-up lasted for 12 mo after repair to observe any adverse reactions in the oral cavity.

RESULTS

The clinical effective rates of group A and group B were 97.96% and 85.71%, respectively, with group A having a higher clinical effective rate than group B. After treatment, the bone density of the alveolar ridge and apical bone in both groups decreased compared to before treatment, while the chewing and language functions improved. The changes in various indicators in group A were more significant. After treatment, the satisfaction rate of group A (97.96%) was higher than that of group B (79.59%). The incidence of adverse reactions in group A (2.04%) was lower than that in group B (24.49%).

CONCLUSION

The amalgamation of implant restoration and orthodontic treatment for adjacent tilted teeth demonstrates notable clinical efficacy, diminishes alveolar bone resorption, and fosters patient functional rehabilitation while exhibiting negligible adverse reactions.

摘要

背景

牙齿缺损可导致咬合牙伸长,导致修复空间不足。牙种植修复与倾斜邻牙正畸治疗联合应用具有显著治疗效果。

目的

探讨倾斜邻牙患者种植与正畸治疗的临床疗效、骨密度及随访情况。

方法

将98例倾斜邻牙患者随机分为种植修复联合正畸治疗组(A组,n = 49)和单纯种植修复组(B组,n = 49)。观察两组治疗前后牙槽嵴骨密度和根尖骨密度变化。比较两组患者咀嚼功能和语言功能变化。修复后随访12个月,观察口腔不良反应。

结果

A组和B组临床有效率分别为97.96%和85.71%,A组临床有效率高于B组。治疗后,两组牙槽嵴和根尖骨密度均较治疗前降低,咀嚼和语言功能均改善,A组各项指标变化更显著。治疗后,A组满意度(97.96%)高于B组(79.59%)。A组不良反应发生率(2.04%)低于B组(24.49%)。

结论

相邻倾斜牙种植修复与正畸治疗联合应用临床疗效显著,可减少牙槽骨吸收,促进患者功能康复,不良反应少。

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