自锁托槽再粘结前处理对托槽脱落率影响临床观察.docVIP

自锁托槽再粘结前处理对托槽脱落率影响临床观察 　　[摘要]目的:观察脱落自锁托槽喷砂处理后再粘结的脱落率。方法:选择使用自锁托槽矫治的正畸患者60例,随机分为两组,复诊时记录托槽初次脱落例数,记录时间为3个月,A组脱落托槽采用喷砂处理后再粘结,B组使用新托槽再粘结,记录3个月的再次脱落例数。结果:A组与B组初次、再次托槽脱落率均无统计学意义(P0.05),再次脱落率明显高于初次粘结脱落率(P0.01)。结论:喷砂处理的脱落自锁托槽与新托槽再粘结的脱落率相当,可用于自锁托槽脱落后的再粘结。 　　[关键词]自锁托槽;脱落率;再粘结;喷砂处理 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)05-0727-02 　　 　　Clinical observation of the effect to the rate of bond failure of self-ligating brackets rebonding 　　LI Li-guo1,YUAN Dong-hui1,ZUO Yan-ping2 　　(1.Department of Stomatology,The Bethune Internation Peace Hospital,Shijiazhuang 050082,Hebei,China;2.Department of Orthodontics,The First Hospital of Hebei Medical University) 　　 　　Abstract: ObjectiveTo analyze the rate of bond failure of rebonded self-ligating bracks after sandblasting.Methods60 cases were treated with self-ligating bracks.They were divided into two groups randomly. The first rate of bond failure in three months was calculated, then the bonded bracks of group A were reused after sandblasting,while new bracks were bonded in group B.The second rate of bond failure in three months was recoreded.ResultsThere was no statistically significant difference between A and B both in the first and second rate of bond failure(P0.05),while the second rate of bond failure was higher than the first significantly(P0.01).ConclusionThere was no significant difference between the rate of bond failure of sandblasting self-ligating brackets and new brackets,bonded self-ligating brackets can be reused after sandblasting. 　　Key words:self-ligating bracket;the rate of bond failure;rebond;sandblasting 　　 　　自锁托槽矫治器具有摩擦力小、矫治力轻、弓丝结扎方便快捷、椅旁操作时间和矫治疗程缩短、患者的复诊次数减少等优点,逐渐获得医师和患者的青睐,但因自锁托槽成本较高,脱落后若更换新托槽,则会大大增加患者负担。本研究对脱落自锁托槽底板残留粘结剂采取喷砂处理,观察再粘结托槽脱落率的变化,为临床自锁托槽的再粘结提供参考。 　　 　　1资料和方法 　　1.1临床资料:选取白求恩国际和平医院口腔科就诊患者60例(男26例,女34例),年龄12.6～16.8岁。要求:牙体完整,釉质发育正常,唇面釉质无龋坏,无固定正畸治疗史。随机分为两组,A组托槽脱落后喷砂处理再粘结,B组使用新托槽再粘结。材料:德国非凡公司Quick自锁托槽,国产京津釉质粘结剂。 　　1.2托槽的粘结方法 　　1.2.1托槽的初次粘结:用开口器撑开上下唇,充分暴露操作区。常规清洁牙面,酸蚀60s,清水冲洗牙面并吹干,此时