正畸联合自体牙移植治疗前牙埋伏阻生临床探究.docVIP

正畸联合自体牙移植治疗前牙埋伏阻生临床探究[摘要]目的:观察正畸联合自体牙移植术治疗前牙埋伏阻生的临床效果并探讨其适应证。方法:临床就诊患者20例,年龄8～17岁,平均12岁。阻生部位以尖牙最多,所有患者均先行正畸治疗以拓展间隙,之后行手术将牙齿移植于合适位置,不损伤牙周膜及牙乳头,牙根周围骨缺损区可植入适量羟基磷灰石(HA),钢丝或夹板固定。术后3～6个月进一步正畸治疗。结果:20例患者术后随访2～5年移植牙均稳固于牙列中,牙龈形态良好;X线片追踪观察,移植牙牙根无吸收现象。结论:正畸联合自体牙移植术治疗前牙埋伏阻生,可增进美观,恢复牙弓外形及口腔功能,为一种可行的治疗方法。 [关键词]自体牙移植术;口腔正畸;前牙埋伏阻生 [中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)01-0085-03 The combined treatment of the impacted anterior teeth by tooth autotransplantation and orthodontics JIANG Xiao-lei1,JIA Bao-jun2,CHANG Shu-lou3 (1.Department of Stomatology,The 8th Hospital of Qingdao,Qingdao 266100,Shandong,China;2.Department of Stomatology,The 401sh Hospital of CPLA;3.Yinghao Dental Clinic of Qingdao) Abstract:ObjectiveTo explore the clinical effects and indications of treating the impacted anterior teeth by tooth autotransplantation combined with orthodontics. Methods20 patients with impacted anterior teeth were reported in this paper.Mostof impacted teeth are cuspid.All patients were firstly treated by orthodontics to expand the space, followed by teeth autotransplantation.The periodontal membrane and dental papilla must be protected well.After 3～6 months,further orthodontic treatment can be carried on. Results20 patients were followed-up 2～5 years.Allteeth were aligned into the dentition and with a good gum forms. Root absorption can not be observed from X-ray films. ConclusionsThe combined treatment of tooth autotransplantation and orthodontics can restore the dental arch form and oral function,could be an effective way to treat complicated impacted anterior teeth. Key words:tooth autotransplantation;orthodontic;impacted anterior teeth 上前牙埋伏阻生是造成错牙合畸形的常见原因,在临床上,因乳牙滞留,乳牙早脱,多生牙以及牙列拥挤等引起的埋伏阻生十分多见,对口腔功能及美观影响较大[1-2]。以往对轻度埋伏阻生或位置较正常者多采用开窗、弹性牵拉等正畸方法治疗,而对一些横位、倒置阻生者只能拔除后做义齿修复治疗。近年来,国内外有学者报道,对此类患者采用正畸-自体牙移植联合治疗,可减轻病例的复杂性,缩短治疗时间[3-4]。笔者自1998～2009年,对20例此类患者应用此法治疗,经临床应用,效果良好,现报道如下。 1材料和方法 1.1临床资料:本组20例患者(男8例,女12例),年龄8～17岁,平均12岁。阻生部位以尖牙最多,共10例,中切牙阻生5例,侧切牙阻生2例,多个牙