口腔正畸结合修复治疗安氏Ⅱ类错牙合畸形的临床效果.pdfVIP

口腔正畸结合修复治疗安氏Ⅱ类错牙合畸形的临床效果

马艳;周丽荣;施优灵;杨磊;鲍玮玮;曲幸辉;庞光明

【摘要】ObjectiveToinvestigatetheclinicalefficacyoforthodontic

treatmentcombinedwithrepairfortreatingAngleClass

Ⅱmalocclusion.MethodsSeventy-eightpatientswithAngleClassⅡ

malocclusionweredividedintotreatmentgroupandcontrolgroup

accordingtotherandomnumbertable,with39patientsineach

group.Thecontrolgroupreceivedtheconventionalrepairtherapy,andthe

treatmentgroupreceivedorthodontictreatmentcombinedwith

conventionalrepair.TheangelsofSNAandSNB,plaqueindex,probing

depthandthescoresofqualityoflifewerecomparedbetweentwogroups

beforeandaftersurgery.ResultsThetreatmentwascompleted

successfullyinallpatients.Forallcases,thefaceshapewassignificantly

improved,therelationshipbetweentheupperandlowerteethbitewas

goodandstable.TherewasnosignificantdifferenceintheSNAangle

betweentwogroupsbeforeoraftersurgery(P0.05).TheSNBangleafter

surgerywassignificantlylargerthanthatbeforesurgeryinbothgroups

(P0.05).Foreachgroup,thepostoperativeplaqueindexwassignificantly

higherthanthepreoperativeindex(P0.05),whilethepostoperative

probingdepthwaslowerthanthepreoperativedepth(P0.05).Butthere

wasnosignificantdifferenceintheplaqueindexorprobingindexbetween

twogroups(P0.05).After6monthsofsurgery,thetreatmentgroupgained

lowerscoresoffunctionallimitations,physicalpain,physical

disorders,psychologicaldiscomfort,psychologicaldisorders,socialdisorders

andphysicaldisabilitiescomparedtothecontrolgroup

(P0.05).ConclusionTheorthodontictreatmentcombinedwith

conventionalrepairfortreatingAngleClassⅡmalocclusioncaneffectively

adjusttheocclusalfunction,improvesideappearanceshape,therebycan

improvetheoverallqualityoflifeaftersurgery.%目的：观察口腔正畸结合修

复治疗安氏Ⅱ类错牙合畸形的临床效果。方法选择安氏Ⅱ类错牙合畸形患者78例，

根据随机数字表法分为治疗组与对照组各39例，对照组给予常规修复治疗，