正畸拔牙与不拔牙疗效对比的初步探索.PDFVIP

　　　　　　　　　　　　　　　　　华西口腔医学杂志　WCJS 　2003 年 6 月第 21 卷第 3 期 2·05 · 正畸拔牙与不拔牙疗效对比的初步探索 许天民 　杨敏志 　黄 　微 　张海萍 　林久祥 【摘要】　目的 　比较患者拔牙与不拔牙正畸治疗在牙齿排列、咬合关系、面形和疗程方面的差异。方法 　5 位 正畸专家根据治疗前资料挑选出的既可采用拔牙 ,又可采用不拔牙治疗的 39 例错　畸形患者为研究对象。评价 患者的治疗效果 ,再根据患者实际是否采用拔牙治疗进行分组比较。结果 　拔牙组与不拔牙组患者 ,在牙齿排列、 ( ) 覆　覆盖、中线、侧方咬合关系方面的评分及平均疗程上均无显著性差异 P 005 ; 只有侧貌美观的评分 ,拔牙组 ( ) 高于不拔牙组 ,两组间有显著性差异 P = 0001 。结论 　对于临界病例 ,拔牙与不拔牙治疗在牙齿排列、咬合关系 方面都能在基本相同的治疗时间取得类似的疗效 ;但拔牙患者 ,无论是拔第一前磨牙还是拔第二前磨牙 ,都比不拔 牙患者获得了更加令人满意的面形。 【关键词】　临界病例; 　拔牙治疗 ; 　非拔牙治疗 ; 　疗效评价 Comparison of Extraction versus Non-extraction Orthodontic Treatment Results———A Preliminary Study XU Tianmin , YANGMinzhi , HUANG Wei , et al . ( Department of Orthodontics , School of Stomatology , Peking University ,Beijing 100081 , China) 【Abstract 】　Objective 　The purpose of this study was to make a comparison between extraction and non-extraction orth odontic treatment results concerning teeth alignment , occlusal relation , facial profile and treatment interval.Methods 　39 extrac tion- non-extraction borderline cases were selected by 5 orthodontic specialists through reviewing their pre-treatment records. 5 spe cialists were then asked to rank the results by marking the post-treatment record of each case. And then the samples were divided into different groups according to extraction , non-extraction and extraction pattern by reviewing case history. Results 　No statisti cally significant difference was found in teeth alignment , overbite and overjet , midline symmetry , lateral occlusa