牙列缺损患者采用牙周治疗联合正畸与种植多学科结合治疗的效果
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河北省医学科学研究课题计划(20201544);


Effect of periodontal therapy combined with orthodontics and implant multidisciplinary treatment for patients with dentition defect
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    摘要:

    目的:探讨牙周治疗+正畸+种植多学科结合治疗牙列缺损的临床疗效。方法:选取84例牙列缺损患者为研究对象,按治疗方法不同分对照组和观察组,每组各42例。对照组患者采用常规方式治疗;观察组患者采用牙周治疗+正畸+种植多学科结合治疗。比较两组临床疗效、头颅侧位X线测量结果[上齿槽座点到翼上颌裂平面的距离(A-PFP)、下齿槽座点到翼上颌裂平面的距离(B-PFP)、前颅底平面与下颌平面的夹角(SN-OP)、眶耳平面与下颌平面的夹角(FH-MP)、上齿槽缘点到颏下点的距离(ANS-Me)、上唇凸点至审美线的距离(Ls-E线)、下唇凸点至审美线的距离(Li-E线)]及牙齿功能(自制的牙齿功能评分)。结果:观察组患者治疗总有效率高于对照组(P<0.05)。治疗后,两组患者A-PFP、SN-OP、FH-MP、ANS-Me、Ls-E线的变化量比较,差异有统计学意义(P<0.05);观察组患者咀嚼、发音、吞咽评分高于对照组(P<0.05)。结论:牙周治疗+正畸+种植多学科结合治疗牙列缺损可提高临床治疗效果,改善患者牙齿功能。

    Abstract:

    Objective:To investigate the clinical effect of periodontal therapy+orthodontic+implant in the treatment of denti-tion defect.Methods:84 patients with dentition defect were included and divided into two groups according to different treatment meth-ods,with 42 cases in each group.The control group received conventional treatmen,and the observation group was treated with periodon-tal therapy+orthodontic+implant multidisciplinary treatment.The clinical efficacy,lateral skull X-ray measurement results[the dis-tance from the upper dental groove seat point to the maxillary plane(A-PFP),the distance from the lower dental groove seat point to the maxillary plane(B-PFP),the angle between the anterior skull base plane and the mandibular plane(SN-OP),the angle between the orbital ear plane and the mandibular plane(FH-MP),the distance from the upper dental groove edge point to the submental point(ANS Me),the distance from the upper lip protrusion point to the aesthetic line(Ls-E line),and the distance from the lower lip pro-trusion point to the aesthetic line(Li-E line)]and tooth function(self-made dental function score)were compared between the two groups.Results:The total effective rate of observation group was higher than that of control group(P<0.05).After treatment,there was a statistically significant difference in the changes of A-PFP,SN-OP,FH-MP,ANS-Me and Ls-E lines between the two groups(P<0.05),and the scores of mastication,pronunciation and swallowing in the observation group were higher than those in the control group(P<0.05).Conclusion:The combination of periodontal therapy+orthodontic+implant can improve the clinical effect and improve the dental function of patients with dental defects.

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张春辉;郭建茹;冯妍;.牙列缺损患者采用牙周治疗联合正畸与种植多学科结合治疗的效果[J].川北医学院学报,2025,40(6):732-735.

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  • 在线发布日期: 2025-07-09
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