翟玛丽

[摘要]目的 探究正畸联合修复治疗成人前牙错伴牙列缺损的效果，为临床提供指导。方法 选取2014年10月10日～2016年5月10日我院收治的98例成人前牙错伴牙列缺损患者作为研究对象，将其随机分为两组，每组各49例。联合组患者应用正畸联合修复治疗，单一组患者应用正畸治疗。两组患者均随访1年，比较两组患者的疗效、软垢指数、附着丧失指数及满意度评分。结果 联合组患者的优良率为93.88%，明显高于单一组的71.43%，差异有统计学意义（P<0.05）。联合组患者治疗后的软垢指数为（0.10±0.07）%，附着丧失指数为（5.28±0.79）%，均明显低于单一组的（0.59±0.13）%、（6.97±1.20）%，联合组患者的满意度评分为（87.56±4.52）分，明显高于单一组的（78.24±4.65）分，差异均有统计学意义（P<0.05）。结论 正畸联合修复治疗成人前牙错伴牙列缺损效果明显，值得临床应用推广。

[关键词]正畸；修复；成人；前牙错；牙列缺损

[中图分类号] R783 [文献标识码] A [文章编号] 1674-4721（2018）2（c）-0056-03

[Abstract]Objective To explore the effect of orthodontics combined with repair in the treatment of adult anterior malocclusion with dentition defect in order to provide guidance for clinical practice.Methods From October 10，2014 to May 10，2016，98 adult patients suffering from anterior malocclusion with dentition defect who were treated in our hospital were enrolled as objects.They were evenly divided into two groups in random，49 cases in each group.Patients in the combined group were treated with orthodontic treatment，and orthodontic treatment was performed in the single treatment group.They were all followed up for one year.The efficacy，debris index，attachment loss index and satisfaction score in the two groups were compared.Results The excellent and good rate of the combined group was 93.88%，which was significantly higher than that of the single treatment group accounting for 71.43%，and the difference was statistically significant （P<0.05）.In the observation group，the debris index was （0.10±0.07）% and attachment loss index was （5.28±0.79）%，which were much lower than those in the single group （[0.59±0.13]%，[6.97±1.20]%），the satisfaction score was （87.56±4.52） points，which was significantly higher than that of the single group （[78.24±4.65] points），and the differences were statistically significant （P<0.05）.Conclusion Combination of orthodonticsand repair can obtain a remarkable effect on treating adult anterior malocclusion with dentition defect，thus is worth a wide application.

[Key words]Orthodontics；Repair；Adult；Anteriormalocclusion；Dentition defect

隨着生活水平的提高及生活质量的改善，越来越多的人开始关注牙齿健康，而前牙错、牙列缺损均属于临床牙科的常见病，其发病原因和牙周病、龋病或先天发育障碍存在较强的相关性，若不及时对该类疾病患者实施有效治疗，可影响其辅助发音功能以及外形美观程度，同时，还会导致邻近缺牙间隙牙出现移位、倾斜等现象，对患者颌牙的伸长及咬合关系产生一定的负面影响，相应地，给患者的日常生活也带来了一定的负面影响[1-2]。目前，较多学者认为，为保证疗效，临床治疗前牙错伴牙列缺损应先给予患者正畸治疗，以恢复牙冠的正常高度，并重建咬合关系，待正畸治疗结束后，再对患者实施修复治疗。本研究选取我院收治的98例成人前牙错伴牙列缺损患者作为研究对象我院对前牙错伴牙列缺损患者实施正畸联合修复治疗，以探究正畸联合修复治疗的效果，见如下报道。

1资料与方法

1.1一般资料