应用咀嚼效能结与PAR指数综与评价正畸治疗术后疗效.docVIP

应用咀嚼效能结与PAR指数综与评价正畸治疗术后疗效 　　【摘要】 目的 通过研究不同特征患者在正畸术后的咀嚼效能和PAR指数,进而探讨可有效预测患者的预后和咀嚼功能改变的重要因子。方法 以正畸术后5~6个月12~35岁的患者110名为研究对象,利用吸光度法测量咀嚼效能,通过多元回归分析判断影响治疗后咀嚼效能的因素。结果 咀嚼次数、覆牙合、错牙合类型都与咀嚼效能有相关性,覆牙合与咀嚼效能成正相关。结论 解除深覆牙合对改善咀嚼功能,获得好的疗效有着重要的意义。将PAR指数和咀嚼效能结和起来看待正畸疗效会更全面。 　　【关键词】 正畸治疗;咀嚼效能;PAR index 　　 　　Use of masticatory efficiency and PAR index in assessing the curative effect of adult patients after orthodontic treatment 　　 　　SHI Kai,LIANG Jun,LI Yun,et al. 　　Department of stomatolog ofthe Fifth Afiliated Hospital of Sun Yat-sen Unwersity,Zhuhai 519000,China 　　 　　【Abstract】 Objective To study the masticatory efficiency and PAR index in patients after orthodontic treatment which have different characteristics, so as to explore the key factors which can influence the masticatory efficiency of patients after orthodontic treatment and effectively predict the prognosis of patients.Methods a selection of 110 patients aged 12~35 years old which in the period of 5~6 months after the orthodontic treatment as study, measure the masticatory efficiency by absorbance method and judge factors which can influence the masticatory efficiency through multiple regression analysis.Results Overbite, type of malocclusion and masticatory efficiency are correlated, overbite and chewing performance are positive correlation.Conclusion Lifting deep overbite to improve the chewing function, access to good effect has an important significance. PAR index is combined with masticatory efficiency,and then the approach to evaluation orthodontic efficacy will be more comprehensive. 　　【Key words】 Orthodontic treatment;Masticatory efficiency;PAR index 　　 　　正畸治疗后形态的畸形得矫正,牙颌颅面形态和功能取得新的平衡和协调,口颌系统功能得到恢复和改善。患者咀嚼功能的改善是衡量错牙合畸形矫治好坏的众多因素之一。本研究横向研究正畸治疗后患者的咀嚼效能、治疗疗效、治疗前患者的牙颌特征等,从而探讨影响正畸治疗后患者咀嚼效能的因素。 　　1 材料和方法 　　1.1 研究对象 　　1.1.1 样本选择 选取正畸科门诊12~35岁经正畸治疗结束后5~6个月的患者110名。 　　 选取标准 ①正畸治疗结束后的达到个别正常牙合者,经咬蜡测试检查咬和接触良好[1];②全身状况良好无修复、创伤、手术史;无明显关节症状,无关节疼痛、无弹响、无压痛; 　　③无牙齿形态、牙体情况、牙周及黏膜情况异常,无牙周炎、牙龈炎、根尖周炎;无夜磨牙、紧咬牙、偏侧咀嚼习惯者。