微型种植钉支抗在口腔正畸中应用研究.docVIP

微型种植钉支抗在口腔正畸中应用研究 　　[摘要] 目的 探讨分析在口腔正畸中采用微型种植钉支抗的临床效果。方法 方便选取该院2010年1月―2017年1月收治的80例口腔正畸患者，随机分为两组，即对照组和实验组，对照组采取口外弓强支抗治疗，而实验组采取微型种植钉支抗治疗，观察并分析两组口腔正畸患者的临床效果和不良状况。结果 经治疗，实验组患者的磨牙位移为（0.74±0.68）mm，小于对照组（3.72±0.63）mm，另外，实验组的上中切牙倾角减小量为（29.67±6.89）°，凸距减小量为（4.62±0.87）°，均高于对照组，实验组无种植体松动现象，而对照组有2例种植体松动现象，两组数据差异有统计学意义（P0.05 ）。结论 在口腔正畸中采用微型种植钉支抗具有很好的临床效果，矫正效果明显，安全性高，无明显的不良反应。 　　[关键词] 微型种植钉支抗；口腔正畸；口外弓强支抗 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）01（b）-0092-03 　　[Abstract] Objective To study and analyze the clinical effect of mini-implant anchorage in orthodontics. Methods 80 cases of patients with orthodontics in our hospital from January 2010 to January 2017 were randomly selected and randomly divided into two groups， the control group were treated with facebow anchorage， while the experimental group were treated with mini-implant anchorage， and the clinical effect and adverse state were compared and analyzed. Results After treatment， the molar displacement in the experimental group was less than that in the control group， [（0.74±0.68）mm vs （3.72±0.63）mm]， besides， the decrease of obliquity of upper and medial incisors and convex distance in the experimental group were respectively （29.67±6.89）° and （4.62±0.87）°， which were higher than those in the control group， and no case had implant loose in the experimental group and 2 cases had implant loose in the control group， and the differences between groups were statistically significant（P0.05）. Conclusion The clinical effect of mini-implant anchorage in orthodontics is good with obvious correction effect and high safety， but without obvious adverse reactions. 　　[Key words] Mini-implant anchorage； Orthodontics； Facebow anchorage 　　口腔正畸治??可以矫正患者的牙齿，使其排列整齐、美观，有利于增强患者的自信，并且矫正牙齿对于改善患者的牙齿稳定性、咀嚼功能具有一定的作用[1]。根据调查发现，传统的治疗方法主要是颌间牵引、固舌弓、口外弓以及唇挡等，但是这些方法的治疗效果存在不确定性，有的还会导致患者出现后牙前移，为患者造成了一些障碍，患者对其治疗效果不满意[2]。随着现代医疗技术的不断进步，新型科技的不断创新，微型种植体技术逐渐应用于口腔正畸治疗，而且根据临床研究显示，矫正效果非常显著，受到医生以及患者的广泛欢迎。该技术除了具有可靠的疗效，另外，其也具有创伤小、支抗稳定等优势[3]。为了分析口腔正畸中采用微型种植钉支抗的