外伤性脱位前牙再植的临床美学观察及探讨
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谢莹(1984.12-),女,安徽淮北人,本科,主治医师,主要从事儿童牙病临床工作

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R782.1


Comparison of Curative Effect of Two Kinds of Traumatic Dislocation of Anterior Teeth Replantation
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    摘要:

    目的 比较两种外伤性脱位前牙再植术的临床效果。方法 选取2022年1月-12月本院收治的外伤性 脱位前牙再植患者80例作为研究对象,根据治疗方法不同分为A组(n =40)与B组(n =40)。A组采用直 丝弓矫正器或正畸结扎丝+树脂固定+去髓+Vitapex糊剂充填根管治疗,B组采用牙弓夹板+结扎丝固定+根 管治疗,比较两组临床疗效、并发症发生情况、美观满意度、生活质量。结果 A组总有效率为92.50%,高 于B组的75.00%(P<0.05);A组并发症发生率为5.00%,低于B组的17.50%(P<0.05);A组美观满意度为 97.50%,高于B组的80.00%(P <0.05);A组治疗后6、12个月SF-36评分均高于B组(P <0.05)。结论 直 丝弓矫正器或正畸结扎丝+树脂固定+去髓+Vitapex糊剂充填根管治疗外伤性脱位前牙的效果较好,与牙弓 夹板+结扎丝固定+根管治疗相比,可提高再植成功率,减少并发症,提升美观满意度,且可改善患者生 活质量,值得临床应用。

    Abstract:

    Objective To compare the clinical effects of two kinds of traumatic dislocation of anterior teeth replantation. Methods A total of 80 patients with traumatic dislocation of anterior teeth replantation admitted to our hospital from January to December 2022 were selected as the research objects. According to different treatment methods, they were divided into group A (n =40) and group B (n =40). Group A was treated with straight wire appliance or orthodontic ligature wire+resin fixation+pulp removal+Vitapex paste filling root canal treatment, and group B was treated with dental arch splint+ligature wire fixation+root canal treatment. The clinical efficacy, complication, aesthetic satisfaction and quality of life were compared between the two groups. Results The total effective rate of group A was 92.50%, which was higher than 75.00% of group B (P <0.05). The incidence of complications in group A was 5.00%, which was lower than 17.50% in group B (P <0.05). The aesthetic satisfaction of group A was 97.50%, which was higher than 80.00% of group B (P <0.05). The SF-36 scores of group A at 6 and 12 months after treatment were higher than those of group B (P <0.05). Conclusion Straight wire appliance or orthodontic ligature wire+resin fixation+pulp removal+Vitapex paste filling root canal is effective in the treatment of traumatic dislocation of anterior teeth. Compared with dental arch splint+ligature wire fixation+root canal therapy, it can improve the success rate of replantation, reduce complications, improve aesthetic satisfaction, and improve the quality of life of patients. It is worthy of clinical application.

    参考文献
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    [10]马心笛,陈蕾.完全脱位牙再植的牙髓,牙周膜愈合: 从生物学基础到牙外伤指南[ J ] . 国际口腔医学杂 志,2020,47(3):336-344.
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谢莹,张闫.外伤性脱位前牙再植的临床美学观察及探讨[J].医学美学美容,2024,33(10):77-80.

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  • 在线发布日期: 2024-06-14