正畸微种植对薄龈型与厚龈型种植对骨性Ⅱ类错牙合患者牙根吸收情况、咀嚼功能及稳定性的影响
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陈兆雪(1990.10-),女,黑龙江大庆人,本科,医师,主要从事口腔科相关研究

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R783

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Effect of Orthodontic Micro-implantation on Root Resorption, Masticatory Function and Stability in Patients with Skeletal Class Ⅱ Malocclusion of Thin-gingiva Type and Thick-gingiva Type
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    摘要:

    目的 分析正畸微种植对薄龈型与厚龈型骨性Ⅱ类错牙合患者牙根吸收情况、咀嚼功能及稳定性的 影响。方法 选择解放军第960医院口腔科2023年3月-2024年3月收治的152例骨性Ⅱ类错牙合患者为研究 对象,根据牙周表型不同分为薄龈型组与厚龈型组,每组7 6例。两组均给予正畸微种植治疗,比 较两组牙周健康指数、牙根吸收情况、咀嚼功能及稳定性。结果 厚龈型组治疗后PD、PLI水平均 低于薄龈型组(P <0.05);厚龈型组治疗后上颌与下颌的尖牙、侧切牙、中切牙体积值均高于薄龈 型组(P <0.05);厚龈型组治疗后咬合力、咀嚼效率均高于薄龈型组(P<0.05);厚龈型组微种植钉周围 炎发生率(3.95%)低于薄龈型组(14.47%),种植成功率(90.79%)高于薄龈型组(78.95%)(P <0.05)。 结论 与薄龈型骨性Ⅱ类错牙合患者相比,厚龈型骨性Ⅱ类错牙合患者接受正畸微种植治疗后牙周微环境更健 康,牙根吸收更少,咀嚼功能及稳定性更佳,值得临床应用。

    Abstract:

    Objective To analyze the effect of orthodontic micro-implantation on root resorption, masticatory function and stability in patients with skeletal class Ⅱ malocclusion of thin-gingiva type and thick-gingiva type. Methods A total of 152 patients with skeletal class Ⅱ malocclusion admitted to the Department of Stomatology, the 960th Hospital of the PLA from March 2023 to March 2024 were selected as the research subjects. According to different periodontal phenotypes, they were divided into thin-gingiva type group and thick-gingiva type group, with 76 patients in each group. Both groups were treated with orthodontic micro-implantation. The periodontal health indexes, root resorption, masticatory function and stability were compared between the two groups. Results After treatment, the levels of PD and PLI in the thick-gingiva type group were lower than those in the thin-gingiva type group (P<0.05 ). After treatment, the volume values of maxillary and mandibular canines, lateral incisors and central incisors in the thick-gingiva type group were higher than those in the thin-gingiva type group (P<0.05). After treatment, the occlusal force and masticatory efficiency in the thick-gingiva type group were higher than those in the thin-gingiva type group (P<0.05). The incidence of peri-implantitis in the thick-gingiva type group (3.95%) was lower than that in the thin-gingiva type group (14.47%), and the success rate of implantation (90.79%) was higher than that in the thin-gingiva type group (78.95%) (P<0.05). Conclusion Compared with patients with skeletal class Ⅱ malocclusion of thingingiva type, patients with skeletal class Ⅱ malocclusion of thick-gingiva type have a healthier periodontal microenvironment, less root resorption, better masticatory function and stability after orthodontic micro-implantation treatment. It is worthy of clinical application.

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陈兆雪.正畸微种植对薄龈型与厚龈型种植对骨性Ⅱ类错牙合患者牙根吸收情况、咀嚼功能及稳定性的影响[J].医学美学美容,2025,34(3):37-40.

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  • 在线发布日期: 2025-03-12
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