玻璃离子或树脂垫治疗乳牙期及混合牙列早期前牙反的效果比较

杨小如; 李旭艳; 庄福涛; 彭 静

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武警医学 ›› 2016, Vol. 27 ›› Issue (6) : 553-556.

论著

玻璃离子或树脂垫治疗乳牙期及混合牙列早期前牙反的效果比较

杨小如¹，李旭艳²，庄福涛¹，彭静¹

作者信息 +

An investigating study of correcting anterior crossbite of deciduous and early mixed dentitions with occlusal guidance of glass ionomer cement or resin

YANG Xiaoru¹, LI Xuyan²,ZHUANG Futao¹,and PENG Jing¹

Author information +

文章历史 +

摘要

目的比较玻璃离子或树脂

垫与传统

垫舌簧矫治器在治疗乳牙期和混合牙列早期前牙反

时的效果。方法选取10位能熟练运用这两种方法治疗前牙反

的医师，设计21个调查项目进行问卷调查，对调查结果进行问卷打分，以评价这两种方法的效果。结果玻璃离子或树脂

垫与传统

垫舌簧矫治器在21项比较内容中，在矫治疗程问卷评分分别为3.90±1.88和3.80±2.10，两者比较无统计学意义;在口腔印模制取、矫治器制作简单性、综合评价等其余20项评价指标，两种治疗方法的评分比较均有统计学差异(P<0.05)。结论在治疗乳牙期及混合牙列早期的前牙反

时，玻璃离子或树脂

垫的疗效优于传统的

垫舌簧矫治器，值得临床推广。

Abstract

Objective To compare the advantage and disadvantage of occlusal guidance of glass ionomer cement or resin with traditional splint and lingual spring in clinical through the questionair for doctor.Methods 21 research items were investigated by 10 clinical doctors who can accomplish the therapy with those two methods to correct anterior crossbite skillfully. And the research items were: whether the oral impression, making appliance simplicity, early period comfort when wearing appliance, the length of appliance adaptation, appliance wearing time, wire broken of appliance, appliance wire scratching gingival mucosa, anterior tooth loose in the treatment, dental pain in the treatment, follow-up interval, oral hygiene, treatment duration, medical cost, the lower anterior teeth correction, cusp and fossa relationship close together, masticatory efficiency, pronunciation, appearance, children with the degree, the acceptance of guardian, comprehensive evaluation.Results Comparing the two treatment methods of 21 research items,the occlusal guidance of glass ionomer cement or resin and the traditional splint lingual spring in the course of orthodontic treatment, the questionnaire scores were 3.90±1.88 and 3.80±2.10, there was no statistically significant difference (P>0.05). However, for the oral impression, making appliance simplicity, comprehensive evaluation and other 20 evaluation items: the scores of the two treatment methods had highly significant difference (P<0.05).Conclusion Compared with the traditional splint and lingual spring to correct anterior crossbite, the occlusal guidance of glass ionomer cement or resin is a fixed functional appliance, which can be easily operated in clinic and has many advantages. This technology is worthy of extensive promotion.

导出引用

杨小如，李旭艳，庄福涛，彭静. 玻璃离子或树脂

垫治疗乳牙期及混合牙列早期前牙反

的效果比较[J]. 武警医学. 2016, 27(6): 553-556

YANG Xiaoru, LI Xuyan,ZHUANG Futao,and PENG Jing. An investigating study of correcting anterior crossbite of deciduous and early mixed dentitions with occlusal guidance of glass ionomer cement or resin[J]. Medical Journal of the Chinese People Armed Police Forces. 2016, 27(6): 553-556

中图分类号： R783.5

参考文献

[1] 傅民魁,张丁,王邦康,等.中国25 392名儿童与青少年错

畸形患病率的调查[J]. 中华口腔医学杂志, 2002, 37(5): 371-373.
[2] Wiedel A P, Bondemark L. Stability of anterior crossbite correction: a randomized controlled trial with a 2-year follow-up[J]. Angle Orthodontist, 2015, 85(2): 189-195
[3] 彭静,陈琳,王诚炜,等.直丝弓矫治技术的临床应用分析[J]. 武警医学, 1997, 8(1): 27-28.
[4] 彭静,邓辉,曹采方. 6-12岁女童头影测量中颅面形态遗传作用的纵向分析[J]. 中华口腔医学研究杂志(电子版), 2009, 3(3): 292-299.
[5] James K H, Lorri A M, Liliana M O, et al. Genetics and non-syndromic facial growth[J]. J Pediatric Genetics, 2013, 2(1): 9-20.
[6] Nagahara K. A study of longitudinal changes in the dentition of the deciduous reverse bite using plaster casts[J]. Jpn J Ped Dent, 1989, 48(3): 275-303.
[7] Peng J, Deng H, Cao C F, et al. Craniofacial morphology in Chinese female twins: a semi-longitudinal cephalometric study[J]. Eur J Orthod, 2005, 27(6): 556-561.
[8] 彭静,邓辉,曹采方. 6～12岁女童头影测量中上颌形态遗传影响的纵向分析[J]. 武警医学, 2009, 20(9): 793-796.
[9] 孙世阁, 李旭艳, 庄福涛, 等. 玻璃离子

垫与传统

垫舌簧矫治器治疗儿童前牙反

的临床应用比较[J/CD]. 中华口腔医学研究杂志: 电子版, 2015, 9(3): 221-225.
[10] Desouzacosta C A,Dpolidorio D P,Puppin-Rontani R M,et al. Mechanical and biological characterization of resin-modified glass-ionomer cement codoxycycline hyclate[J]. Archives Oral Biol,2012,57(2):131-138.
[11] Seren E, Akan H, Toller M O, et al. An evaluation of the condylar position of the temporomandibular joint by computerized tomography in class iii malocclusions: a preliminary study[J]. Am J Orthod Dentofacial Orthop,1994,105(5): 38-48.
[12] Pedrazzi M E. Treating the open bite[J]. J Gen Orthop,1997, 8(1): 5-16.
[13] Blanksma N C. Electromyogr aphic heterogeneity in the humantemporalis and masseter muscles during static biting, open/close excursions and chewing[J]. J Dent Res, 1995, 74(2): 1318-1327.
[14] Behlfelt K, Linder Aronson S, McWilliam J, et al. Dentition in children with enlarged tonsils compared to control children[J]. Eur J Orthod,1989, 11(4): 416-429.
[15] Meikle M C. Remodeling the dentofacial skeleton: the biological basis of orthodontics and dentofacial orthopedics[J]. J Dental Res,2007,86(1): 12-24.
[16] Cevidanes L H,Franco A A,Gerig G,et al. Comparison of relative mandibular growth vectors with high-resolution 3-dimensional imaging[J]. Am J Orthod Dentofacial Orthop,2005,128(1): 27-34.
[17] Cevidanes L H,Franco A A,Gerig G, et al. Assessment of mandibular growth and response to orthopedic treatment with 3-dimensional magnetic resonance images[J]. Am J Orthod Dentofacial Orthop,2005,128(1): 16-26.
[18] Bondemak L,Wiedel A P. Fixed versus removable orthodontic appliances to correct anterior crossbite in the mixed dentition - a randomized controlled trial[J]. Eur J Orthod, 2015, 137(2): 123-127.