微种植钉提升牙齿错牙合正畸治疗患者美学效果的作用
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高爽(1987.6-),女,河北涿州人,本科,主治医师,主要从事儿童口腔方面的工作

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R783

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Effect of Micro-implants in Improving the Aesthetic Effect of Patients Undergoing Orthodontics Treatment for Teeth Malocclusion
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    摘要:

    目的 分析微种植钉用于牙齿错牙合正畸治疗患者中的临床效果。方法 选取2022年1月-2023年12月北 京北儿窦店儿童医院有限公司涿州儿科门诊部口腔科就诊的73例牙齿错牙合患者,根据治疗方案不同分为对照 组(n =35)和观察组(n =38)。对照组采用常规口腔正畸治疗,观察组采用微种植钉治疗,比较两组正畸效 果、牙齿美学效果、头影测量指标[上齿槽座角(SNA)、上下齿槽座角(ANB)、下齿槽座角(SNB)]、 龈沟液炎症因子。结果 两组总有效率比较,差异无统计学意义(P>0.05);观察组正畸6、12个月后牙齿 美学效果评分高于对照组(P <0.05);观察组正畸12个月后SNA、ANB高于对照组(P <0.05),但两组 SNB比较,差异无统计学意义(P >0.05);两组正畸后IL-6、IL-8水平高于正畸前,但观察组低于对照 组(P <0.05)。结论 与常规口腔正畸治疗相比,微种植钉支抗能获取与其相当的正畸效果,且可提高牙 齿美学效果,促进上颌骨生长,降低龈沟液炎症因子水平。

    Abstract:

    Objective To analyze the clinical effect of micro-implants in patients undergoing orthodontics treatment for teeth malocclusion. Methods A total of 73 patients with teeth malocclusion admitted to the Department of Stomatology, Zhuozhou Pediatric Outpatient Department, Beijing Bei Er Dou Dian Children's Hospital Co., Ltd. from January 2022 to December 2023 were selected. According to different treatment plans, they were divided into the control group (n =35) and the observation group (n =38). The control group received conventional orthodontics treatment, and the observation group received micro-implants treatment. The orthodontic effect, dental aesthetic effect, cephalometric indexes [Sella-Nasion-A point angle (SNA), A point-Nasion-B point angle (ANB), Sella-Nasion-B point angle (SNB)] and gingival crevicular fluid inflammatory factors were compared between the two groups. Results There was no significant difference in the total effective rate between the two groups (P >0.05). After 6 and 12 months of orthodontics treatment, the dental aesthetic effect score in the observation group was higher than that in the control group (P <0.05). After 12 months of orthodontics treatment, the SNA and ANB in the observation group were higher than those in the control group (P <0.05), but there was no significant difference in SNB between the two groups (P >0.05). After orthodontics treatment, the levels of IL-6 and IL-8 in the two groups were higher than those before orthodontics treatment, but those in the observation group were lower than those in the control group (P <0.05). Conclusion Compared with conventional orthodontics treatment, micro-implant anchorage can achieve a comparable orthodontic effect, and it can improve the dental aesthetic effect, promote the growth of maxilla, and reduce the levels of inflammatory factors in gingival crevicular fluid.

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高爽.微种植钉提升牙齿错牙合正畸治疗患者美学效果的作用[J].医学美学美容,2025,34(7):9-12.

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  • 在线发布日期: 2025-05-16
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