上颌牙合垫矫治器增加舌刺装置在替牙期前牙反牙合伴吐舌不良习惯矫治中的应用<br />-《中国美容医学》

文章信息/Info

Title:: The Application of Tongue Spurs in the Orthodontic Treatment of the Bad Habit of
Tongue Spitting Associated with the Reverse Occlusion of Anterior Teeth During the
Dental Replacement Period

Keywords:: key words:anterior crossbite; tongue crib; occlusal pad appliance; tongue-thrust; early orthodontic treatment

摘要:: [摘要]目的：对比研究双曲舌簧牙合垫矫治器增加舌刺装置与不增加舌刺装置矫治替牙期前牙反牙合伴吐舌不良习惯的临床矫正
效果。寻找矫治替牙期前牙反牙合矫治的最佳矫治方案。方法：选取临床上就诊的6～10岁的替牙期前牙反牙合伴吐舌不良
习惯的患者40例，随机分为两组，每组20例，分别采用双曲舌簧牙合垫矫治器增加舌刺装置与传统的双曲舌簧牙合垫矫
治器矫治，观察对比两组病例矫治完成时间、吐舌不良习惯的纠正及复发率情况。结果：增加舌刺矫治装置的双曲
舌簧牙合垫矫治器的矫治完成时间明显比没有增加舌刺装置的矫治时间减少了，随访1年复发率明显降低，差异有统
计学意义（P ＜0.05）。结论：应用双曲舌簧牙合垫矫治器增加舌刺装置矫治替牙期前牙反牙合可获得良好的矫治效果，复发
率相对较低，值得临床借鉴和推广。

Abstract:: Abstract:Objective To compare the efficacy of the maxillary occlusal pad appliance with and without tongue crib in correcting
mixed dentition anterior crossbite with tongue-thrust. Methods Forty patients (age 6 to 10 years) in need of orthodontic
treatment for the mixed dentition anterior crossbite with tongue-thrust were randomly allocated to with and without tongue crib
group (20 patients in each group). All the patients received the traditional the maxillary occlusal pad appliance treatment. The
main outcomes were the complete treatment time, correction of tongue-thrust, and recurrence rate. Results The patients with
the tongue crib showed significantly shortened complete treatment time than those without (P ＜0.05). In addition, the recurrence
rate was lower in the tongue crib and maxillary occlusal pad appliance group during one year follow-up. Conclusion Use of the
maxillary occlusal pad appliance with tongue crib in the treatment of the mixed dentition anterior crossbite with tongue-thrust
can improve the correction effect and reduce recurrence rate.