期刊导航

论文摘要

预防矫治后前牙旋转拥挤复发的临床研究

Prognosis of Utility of Modified Supracrestal Fiberotomy and Contact Point Reproximation in the Treatment of Anterior Segment Crowding

作者:王增全,黄春活,韩璐,桂和明,汤兰萍,朱梅

Author:WANG Zengquan,HUANG Chunhuo,HANLun,et al

收稿日期:2003-02-25          年卷(期)页码:2003,21(01):36-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:改良嵴上纤维切断术,邻面接触区成形术,牙旋转拥挤复发,不整齐指数,

Key words:modified supracrestal fiberotomy,contact point reproximation,rotating/crowding relapse,irregularity in- dex,

基金项目:本课题为广东省卫生厅科研基金资助项目(编号19960341)

中文摘要

目的 评价改良嵴上纤维切断术(MSF)及邻面去釉接触区成形术(CPR)防止矫治后前牙旋转拥挤复发的有效性及可行性。方法 129例前牙旋转拥挤患者随机分为实验组和对照组。对照组81例仅作固定矫治;实验组 48例患者除作固定矫治外,其中23例行上下前牙MSF和CPR,余25例只作上下前牙MSF;术后3组均戴维持器1·8~ 2·3年。所有患者在安放固定矫治器前(T1期)、去除固定矫治器时(T2期)和去维持器后2·4年(T3期)各取牙模1副, 比较3组患者的不整齐指数(IRID)。结果 实验组拥挤旋转复发率平均低于对照组21·6%(P0·05)。结论 MSF能较有效地防止矫治后前牙拥挤旋转复发,MSF配合CPR对维持下前牙矫治后的稳定具有显著效果。

英文摘要

Objective The aim of this studywas to evaluate quantitativelythe effectiveness and feasibility of the modified su- pracrestal fiberotomy (MSF) and the contact point reproximation (CPR) in decreasing the relapse of anterior segments rotating and/ or crowding after orthodontic treatment.Methods Atotal of 129 patientswith crowding and/or rotated anteriorteethwere selected for this study, and the average age was 13·07 years (54 males, 75 females). The modified supracrestal fiberotomywas performed on the anterior segments of patients in the experimental group (48 cases). After the anterior teethwere aligned, 23 of the 48 cases received a further treatment of the contact point reproximation on the anterior segments (the subgroup of MSF+CPR), and the other 25 sub- jects did not receive this treatment (the subgroup ofMSF). The control group consisted of 81 cases. All cases wore Hawley retainers for 1·8 to 2·3 years, and all the patientswere revisited 2·4years postretention. The maxillary and mandibular dental models of all the patients were taken before treatment (T1), at the end of the treatment (T2) and 2·4 years postretention (T3).Results The relapse rate in the experimental group [(T3-T2)/T1×100%] was 21·6%, lowerthan that in the control group (P0·05).Conclusion The modified su- pracrestal fiberotomy can effectively alleviate relapse after orthodontic treatment of the crowding and/or rotation of anterior teeth. The treatment combining MSF and CPR can help maintain the stability of post-retention of mandibular anterior teeth.

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