[1]王伦昌,张 懿,杨 曾,等. Bolton 指数不调在正畸临床中的应用[J].中国美容医学,2019,(05):135-138.
　WANG Lun-chang,ZHANG Yi,YANG Zeng,et al. Bolton Index Misalignment in Orthodontic Clinical Applications[J].Medical Aesthetics and Beauty,2019,(05):135-138.
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 Bolton 指数不调在正畸临床中的应用
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年05期
页码:
135-138
栏目:
出版日期:
2019-05-10

文章信息/Info

Title:
 Bolton Index Misalignment in Orthodontic Clinical Applications
文章编号:
1008-6455(2019)05-0135-04
作者:
王伦昌1; 张 懿2; 杨 曾2; 梁小刚22
Author(s):
WANG Lun-chang1; ZHANG Yi2 ; YANG Zeng2;  LIANG Xiao-gang2
关键词:
 ; [关键词]前牙龈下冠折; 正畸牵引; 全冠烤瓷; 美观程度; 美容修复
Keywords:
 ; Key words: anterior subgingival crown fold;  orthodontic traction;  full crown porcelain restoration;  beautiful degree;  aesthetics restortion
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]目的：探讨正畸牵引配合烤瓷美容修复治疗前牙龈下冠折的临床应用效果。 方法：选择笔者医院2015年5月-2016年9
月收治的188例前牙龈下冠折患者为研究对象，按照患者住院ID编号尾数随机分为观察组（97例）和对照组（91例）。对照
组患者切除牙龈后进行烤瓷修复，观察组患者则采用正畸牵引联合烤瓷修复治疗。对比两组患者的临床疗效、咬合功能、
美观程度以及不良反应发生情况。结果：观察组总有效率为97.94%，显著高于对照组的90.11%，两组比较有统计学意义
（P ＜0.05）。观察组治疗后的LCP-HB、LCP-MC肌电值以及PES、WES指数水平分别为(74.05±4.94)mV、(76.24±5.07)mV、
(8.28±1.13)分、(8.24±1.16)分、均显著高于对照组的(69.21±4.11)mV、(71.35±4.23)mV、(7.24±0.97)分、(7.33±0.94)分，P ＜0.05。
观察组对美容修复的总满意度为97.94%，明显高于对照组的90.11%，差异比较有统计学
意义（P ＜0.05）。观察组患者出现牙龈充血、牙周水肿、牙齿疼痛、骨质吸收以及牙冠松动等不良反应发生率分别为
5.15%、4.12%、5.15%、2.06%、1.03%，均显著低于对照组的14.29%、15.38%、17.58%、10.99%、6.59%，差异有统计
学意义（P ＜0.05）。结论：修复治疗前牙龈下冠折，正畸牵引联合烤瓷美容修复有助于前牙功能和面部美观的恢复，同时也能
较好地保存残留的牙根及牙周组织，达到了美观、牢固、舒适的要求，其修复效果优于单纯烤瓷修复，值得临床上推广应用。

Abstract:
Abstract: Objective To research the clinical application of orthodontic traction combined with porcelain cosmetic restoration
in treatment of anterior subgingival crown fold. Methods From May 2015 to September 2016, 188 patients with anterior
subgingival crown fracture who treated in our hospital were selected as the research objects. According to the hospitalized
patients with ID number mantissa, they were randomly divided into the observation group (97 cases) and the control group
(91 cases). The control group was treated with PFM after gingiva excision. The patients in the observation group were treated
with orthodontic traction combined with porcelain repair. The clinical efficacy, occlusal function, aesthetic degree and adverse
reaction of the two groups were compared. Results The total effective rate of the observation group was 97.94%, which
was significantly higher than that of the control group (90.11%, P ＜0.05). The electromyographic values of LCP-HB and
LCP-MC, the PES and WES index in the observation group were (74.05±4.94) mV, (76.24±5.07) mV, (8.28±1.13) score,
(8.24±1.16) score, were significantly higher than those in the control group ((69.21±4.11) mV, (71.35±4.23) mV, (7.24±0.97)
score, (7.33±0.94) score,P ＜0.05). The total satisfaction of the observation group on the cosmetic repair was 97.94%, which
was significantly higher than that of the control group (90.11%), and the difference was statistically significant (P ＜0.05). The
incidence of adverse reactions such as gingival congestion, periodontal edema, tooth pain, bone resorption and crown loosening
in the observation group were 5.15%, 4.12%, 5.15%, 2.06%, 1.03%, were significantly lower than those in the control group
（14.29%, 15.38%, 17.58%, 10.99%, 6.59%）, and the differences were statistically significant (P ＜0.05). Conclusion In the
treatment of anterior subgingival crown fold, orthodontic traction combined with porcelain ceramic restoration is conducive
to restore the function of the anterior teeth and the beauty of the face. At the same time, it can preserve the residual root and
periodontium. It has achieved beautiful, strong and comfortable requirements, and its repair effect is better than pure porcelain
repair. It is worth promoting in clinical practice.

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更新日期/Last Update: 2019-06-11