重度氟斑牙不同粘结方式的托槽零落率的临床比拟研讨.docVIP

重度氟斑牙不同粘结方式的托槽零落率的临床比拟研讨 【摘要】 目的 经过正畸临床上重度氟斑牙采用光固化贴面粘结托槽技术和托槽间接粘结技术的临床效果的比拟，为临床氟斑牙的托槽粘结提供一种有效的办法。办法 选取24例重度氟斑牙需求进行正畸的患者，共444颗需求粘结托槽的牙齿。随机选取12例（220颗牙齿）患者进行托槽间接粘结技术，12例患者（224颗牙齿）进行光固化贴面粘结托槽技术。在托槽粘结后的周围、八周、十二周辨别记载两组患者的托槽零落率的状况。后果 氟斑牙间接粘结托槽组的托槽总零落率为37.2%，氟斑牙光固化贴面粘结托槽组的托槽总零落率为3.7%。结论 氟斑牙光固化贴面粘结托槽组的疗效分明好于氟斑牙间接粘结托槽组。 Expulsion rates of brackets bonded by different methods to series fluorotic teeth JIANG Shu-min1, LI Hai-yan2, ZHANG Wen-juan3, HUANG Yan4, ZHANG Jun4 (1. Shandong Soldier Hospital Department of Stomatology, Jinan 250013,China; 2. Hospital of Jinan Tobacco Worker, Jinan 250100, China; 3. Shandong Chinese Medical University Hospital Department of Stomatology, Jinan 250013, China; 4. Shandong University School of Stomatology, Jinan 250012,China) Abstract：Objective: The purposes of this study were to compare the expulsion rates of orthodontic brackets bonded by different methods to series fluorotic teeth and to find a effective method for increasing bonding strength of orthodontic bracket bonded to fluorotic teeth. Methods: 24 patients whose teeth exhibiting severe dental fluorosis and who need orthodontics were chosen, and there were all 444 teeth that orthodontic brackets should be bonded to. Bracket direct bonding technique was used on 12 of the patients (220 teeth ) randomly . The other 12 patients (224 teeth) were carried out with light-cure veneer bonding technique. The expulsion rates of brackets of two groups were recorded respectively on the 4th, 8th,12th weeks after bonding the brackets. Result: The average expulsion rate of brackets of the direct bonding group was 37.2%, and that of the light-cure veneer bonding group was 3.7%. Conclusion: The curative effect of the light-cure veneer bonding group was obviously better than the direct bonding group. Key words：fluorotic teeth；bonding；expulsion rate of bracket 托槽间接粘结技术的运用是正畸界近20年来严重的提高之一。从50年代末以及60年代初，Newman在临床上采用以丙烯酸树醋作为粘结资料结合50％磷酸酸蚀牙釉质外表为特点的托槽粘结技术［1］,直到70年代末，托槽间接粘结技术已在全球范围得到普遍使用。与以往的全带环技术相比拟，托槽间接粘结