片段弓技术对外伤脱位牙固定疗效和脱位牙个数关系探讨.docVIP

片段弓技术对外伤脱位牙固定疗效和脱位牙个数关系探讨 　　[摘要]目的:探讨方丝弓托槽片段弓技术对外伤脱位牙固定疗效与脱位牙个数关系。方法:选择外伤性脱位牙患者45例112颗牙(不完全脱位牙、无冠根折及牙槽骨骨折,基牙正常、连续),依据脱位牙个数分成2颗以下组、3颗以上组,采用片段弓技术进行单颌固定,时间6周;记录外伤、固定状况。结果:两组患者牙齿在临床疗效、牙周指标方面有显著差异(P0.01)。结论:片段弓技术对两个以下外伤脱位牙固定疗效确切。 　　[关键词]片段弓;固定疗效;脱位牙个数 　　[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2010)06-0892-02 　　 　　Evaluation of the effect of fixation by segmented arch technique on traumatic dislocation teeth 　　LI cheng1,GU Ze-xu2,DONG Hong-gang3,XUE Hui3 　　(1.Department ofStomatology,ShenmuHospital,Yulin 719300,Shaanxi,China;2.Department of Orthodontics,School of Stomatology,the Fourth Military Medical University;3.Department ofStomatology,Xian Gaoxin Hospital) 　　 　　Abstract: Objective To evaluate the application of segmented arch technique on the stabilization of dislocation teeth caused by trauma and the relationship between such effect and the number of dislocation teeth were analyzed.Methods 112 traumatic distraction or dislocation teeth of45 case(incomplete dislocation teeth,had no crown,root or alveolar bone fracture,adjacentteethnormally and continuously )treated with segmented arch technique for 6 weeks.All cases were treated in the same procedure,but their data were recorded into 2 groups by the number of distractive teeth: group 1 as less than 2 teeth loosing, and group 2 as more than 3 teeth loosing. ResultsSignificant difference were obtained in fixation effect and periodontal index between each group (P0.01).ConclusionSatisfying effect could be achieved by segmented arch technique on traumatic dislocation teeth with less than 2 loosing teeth. 　　Key words:segmented arch;effect of fixation;number of dislocation teeth 　　 　　方丝弓托槽片段弓技术用于外伤性脱位牙固定,取得较好的临床效果。我科将片段弓技术用于外伤脱位牙固定,临床使用中发现脱位牙固定疗效与脱位牙个数关系密切,本资料通过对外伤脱位牙个数研究,对片段弓技术进行脱位牙固定的适应证选择进行探讨,以期为临床提供参考。 　　 　　1资料和方法 　　1.1临床资料:病例选自2004～2007年在我科门诊就诊的外伤性脱位牙患者45例(112颗),年龄12～52岁,恒牙列。所有病例均有明确的外伤史,无全身系统性疾病,病程在24h之内。纳入标准:①不完全脱位牙,无冠根折、牙槽骨骨折及严重牙周疾病;②基牙正常,连续。依据外伤脱位牙个数,两个以下脱位牙为治疗组,3个以上脱位牙为对照组。每组均采用片段弓技术进行单颌固定,固定6周;记录外