树脂球法在固定正畸矫治中防止弓丝滑动的临床效果.docVIP

树月譏法田^正》鞫胎防止弓细动的I酥媒 II II 2018-03-29 10:29:58中国现代医生2018年6期 黄榆媚王海燕 ［摘要］目的探讨树脂小球粘结法在正畸固定矫治中防止弓丝滑动的疗效。方法随机选取 2012年8月?2015年8月于我院就诊的采用固定直丝弓矫治的正畸患者79例。实验组采用树脂小 球粘结法，运用在固定矫治中的各种弓丝上，对照组仅更换弓丝，不做树脂小球的粘结处理，对两组 弓丝滑动率和平均治疗时间进行比较。结果实验组弓丝滑动率为0.2% (2/833),对照组为4.7% (39/832),差异有统计学意义*2二467.81, P0.01) ?两组的平均治疗时间分别为(18.7±2.3) min、(18.8±2.1) min,差异无统计学意义(P0.05)。结论 树脂小球粘结法较对照组可有效防 止固定正畸矫治过程中的弓丝滑动。 ［关键词］正畸；固定矫治；树脂小球；弓丝滑动 ［中图分类号］R783.5 ［文献标识码］A ［文章编1673-9701 (2018) 06-0020-04 ［Abstract］ Objective To investigate the effectiveness of resin ball bonding method on the prevention of archwire slide in the orthodontic treatment with fixed appliance. Methods A total of 79 patients under the orthodontic treatment with fixed applianee in our hospital from August, 2012 to August, 2015 were randomly selected. Resin ball bonding method was applied on the various archwires of orthodontic treatment in patients of study group. Patients in control group were only treated with archwire cha nge without resin ball bon ding. The rate of arch wire slide and the average time of treatment between two groups were compared. Results The rate of archwire slide in study group was 0.2% (2/833) and that in control group was 4.7% (39/832), difference between which was significant(x2=467.81, P0.01) . The time of treatment in two groups was (18.7±2.3) min and (18.8±2.1) min respectively, which was not significantly different(P0.05). Conclusion Resin ball bonding method can prevent archwire slide in the orthodontic treatment with fixed appliances. ［Key words］ Orthodontics； Fixed appliances； Resin balls； Archwire slide 隨看口腔正畸医学的发展及社会生活水平的提高，人们越来越重视口腔的美容和保健，但是在 正畸治疗的过程中会出现不同的疼痛⑴。因此，探索如何防止和减轻矫治过程中的疼痛，一直受到正 畸学界的关注［2］。如何减少正畸治疗过程中的不良损害，固定矫治器佩戴的舒适度，日渐成为临床上 不断关注的重要问题［3］。随着矫治过程的进行，患者的牙齿排列日渐整齐，正畸弓丝发生滑动后会滑 出颊面管，从而导致患者颊黏膜刺痛或刺伤，不仅会增加患者的复诊次数，也降低了患者的生活质量。 因此，合理的临床操作既能减少不适感，也能减少患者复诊次数，从而提高正畸治疗质量及满意度， 促进医患之间的和谐［4］。 近年來许多正畸学者在放置弓丝时预先做了一些防范措施來防止弓丝滑动［5］,如将双侧弓丝末 端进行回弯，弓丝上预先弯制停止曲［6］等，还有结扎丝加锡球制动法［7］,在弓丝上夹停止管，在夹 扁的小管上焊环圈赞等方法［8］,但是上述方法操作繁琐，耗时较多。为此，