[1] 吴 琼,崔丽娟,侯镇婷,等. 烤瓷修复联合正畸矫治前牙缺失伴牙列不齐效果分析[J].中国美容医学,2021,(8):128-131.
　WU Qiong,CUI LI-juan,HOU Zhen-ting,et al. Analysis of the Effect of Porcelain Restoration Combined with Orthodontic Correctionin the Treatment of Missing Anterior Teeth with Irregular Dentition[J].Medical Aesthetics and Beauty,2021,(8):128-131.
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年8期
页码:
128-131
栏目:
出版日期:
2021-08-10

文章信息/Info

Title:
 Analysis of the Effect of Porcelain Restoration Combined with Orthodontic Correction
in the Treatment of Missing Anterior Teeth with Irregular Dentition
文章编号:
1008-6455(2021)08-0128-04
作者:
 吴 琼1; 崔丽娟1; 侯镇婷2; 葛伶伶1; 张 敏1
Author(s):
WU Qiong1;  CUI LI-juan1; HOU Zhen-ting2; GE Ling-ling1; ZHANG Min1
关键词:
 [关键词]正畸; 烤瓷; 牙列不齐; 前牙缺失; 咀嚼功能
Keywords:
 Key words:orthodontics;  porcelain;  misalignment of teeth;  missing front teeth;  chewing function
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]目的：探究烤瓷修复联合正畸矫治前牙缺失伴牙列不齐的效果。方法：选择2016年1月-2019年5月在赤峰学院附属医
院口腔科接受修复矫治的牙列不齐合并前牙缺失的52例患者的病历资料进行回顾性分析。根据治疗方法的差异将患者分为对
照组和观察组，每组26例。对照组直接采用烤瓷修复的方法，观察组采用烤瓷修复联合正畸矫治的方法。对比两组的最终疗
效差异，治疗后的牙齿外观及功能情况，治疗前后的龈沟液炎性因子情况[前列腺素E2（PGE2）、基质金属蛋白酶-2（MMP-
2）、细胞间黏附分子-1（ICAM-1）]，治疗满意度及治疗过程中的不良反应情况。结果：观察组治疗有效率96.15%，对照
组为69.12%，两组差异有统计学意义（P ＜0.05）。观察组的牙齿整齐的比例、后牙咬合良好的比例、前牙覆牙合及覆盖良
好的比例均高于对照组，差异有统计学意义（均P ＜0.05）；治疗后6个月，观察组的PGE2、MMP-2、ICAM-1均低于对照组
（均P ＜0.05）。治疗后6个月，观察组满意度各维度的评分均大于对照组（均P ＜0.05）。两组患者在治疗过程中未出现严
重不良反应。结论：针对牙列不齐伴发前牙缺失的患者，使用烤瓷修复联合正畸矫治的方法，可提升最终的治疗效果，降低
局部的炎性反应，促进颌面部的美观恢复，适应患者对美容效果的要求。

Abstract:
Abstract: Objective To explore the effect of porcelain restoration combined with orthodontic correction in the treatment of
missing anterior teeth and irregular dentition. Methods A retrospective analysis of the medical records of 52 patients with
irregular dentition and missing anterior teeth who underwent restoration and correction in the Department of Stomatology,
Affiliated Hospital of Chifeng University from January 2016 to May 2019. All patients were divided into control group and
observation group according to the difference of treatment methods. There were 26 patients in both groups. The control
group directly used the method of porcelain repair. The observation group adopts the method of porcelain repair combined
with orthodontic treatment . Compare the final treatment effects of the two groups, the appearance and function of the teeth
after treatment, the inflammatory factors in the gingival crevicular fluid before and after treatment [Prostaglandin E2(PGE2),
matrix metalloproteinase-2 (MMP-2), intercellular adhesion molecules (ICAM-1)], treatment satisfaction, adverse reactions during
treatment. Results The effective rate of treatment in the observation group was 96.15%, and that in the control group was 69.12%,
the difference was statistically significant (P＜0.05). The ratio of neat teeth, the ratio of posterior teeth with good jaws, and the ratio of
anterior teeth with overjaw and good coverage were higher in the observation group than in the control group, and the difference was
statistically significant (all P＜0.05). 6 months after treatment, PGE2, MMP-2 and ICAM-1 in the observation group were lower than
those in the control group (all P＜0.05). Six months after treatment, the observation group’s scores in all dimensions of satisfaction
were higher than those of the control group (all P ＜0.05). There were no serious adverse reactions in the two groups of patients
during the treatment. Conclusion For the patients with anterior teeth loss associated with dentition unevenness, the use of
porcelain restoration combined with orthodontic treatment can improve the final treatment effect, reduce the local inflammatory
reaction, promote the aesthetic recovery of maxillofacial, and adapt to the requirements of patients for cosmetic effect.

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更新日期/Last Update: 2021-09-10