黏结型玻璃离子在埋伏牙正畸牵引中临床应用.docVIP

黏结型玻璃离子在埋伏牙正畸牵引中临床应用 　　[摘要] 目的 探讨应用黏结型玻璃离子在埋伏牙正畸牵引中黏结正畸附件以提高黏结效率。方法 选择2005年3月～2011年12月于我院口腔科行埋伏牙正畸牵引的患者46例（共有46颗黏结正畸牵拉附件埋伏牙），将46颗行闭合牵引助萌手术的埋伏牙分为两组，实验组应用黏结型玻璃离子黏结正畸牵拉附件，对照组常规使用牙釉质黏合树脂黏结牵拉附件，比较两组的首次黏结成功率和半月后正畸牵拉附件脱落率。结果 首次黏结成功率：实验组为100%，对照组为52%。半月后脱落率：实验组为0%，对照组为25%。首次黏结成功率及半月后脱落率两组比较均有统计学意义（P0.01）。 结论 行闭合牵引助萌手术后的埋伏牙应常规应用黏结型玻璃离子黏结正畸牵拉附件，以提高黏结成功率和降低术后脱落率，避免二次手术。 　　[关键词] 黏结型玻璃离子；闭合牵引导萌术；脱落 　　[中图分类号] R78 [文献标识码] B [文章编号] 1673-9701（2014）23-0109-02 　　[Abstract] Objective To study the treatment for orthodontic traction of the impacted tooth with glass ionomer cement to improve adhesion efficiency. Methods A total of 46 orthodontic traction of the impacted tooth cases（46 bonded orthodontic attachments impacted teeth pulled） were selected from March 2005 to December 2012 with traction of impacted tooth in our hospital of stmatology department， 46 orthodontic patients were divided into two groups randomly.Following closed-eruption surgery. Experimental group were bonded with glass ionomer cement， the control group with enamel adhesive resin. Compared the failure rates for the first time and after half months. Results The success rate of the first bond， the experimental group was 100%， the control group was 52%. The expulsion rate after half months，0 for the experimental group， the control group was 25%. Initial success rate and after half months expulsion rates were significantly different between the two groups（P0.01）. Conclusion Impacted teeth should be routinely applied glass ionomer cement bonded orthodontic attachments to improve the success rate and reduce postoperative loss rate， to avoid the second surgery. 　　[Key words] Glass ionomer cement； Closed-eruption surgery technique；Shedding 　　上颌前牙埋伏阻生在正畸临床患者中较为常见，不仅造成牙列的不完整而影响美观，还可形成颌骨囊肿，导致邻牙牙根吸收变形[1，2]。最理想的治疗结果是将埋伏牙牵拉至正常位置，恢复牙列的完整[3]。一般的操作流程为先用固定矫治器排齐牙齿，获得埋伏牙足够萌出的位置，采用外科翻瓣导萌术暴露埋伏牙的牙冠，黏结牵拉正畸附件，通过闭合牵引导萌的方法将埋伏牙导入到正常位置[4]。正畸附件大多采用牙釉质黏合树脂黏结，牙冠暴露后即进行附件的黏结，因止血隔湿困难，临床发现使用牙釉质黏合树脂黏结易脱落，甚至黏结失败，特别当埋伏牙骨创较深时。近年来我们在闭合牵引导萌中采用黏结型玻璃离子