[Improvement of the mastication function of orthodontics combined with restoration in the treatment of deep overbite with severe lower anterior teeth attrition].

Q4 Medicine
上海口腔医学 Pub Date : 2024-04-01
Qian Lu, Jing Wang, Shu-Ting Pang, Jian-Ying Zhou, Yan-Fen Feng, Wen-Juan Lu, Qian Zhang
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引用次数: 0

Abstract

Purpose: To observe the effect of orthodontics combined with restoration on masticatory function in deep overbite patients with severe lower anterior teeth attrition.

Methods: From January 2018 to January 2022, a total of 164 deep overbite patients with severe lower anterior teeth attrition were collected and divided into two groups according to different treatment plans: control group(72 patients, with restoration treatment) and experimental group(92 patients, with orthodontics combined with restoration treatment). The chewing efficiency of the two groups was evaluated, temporomandibular joint dysfunction index (DI), muscle palpation index (PI) and cranio-mandibular index (CMI) were calculated. The satisfaction with facial esthetic, the Chinese version of Oral Health Impact Scale-14(OHIP-14) and the repair satisfaction score were evaluated, the occurrence of adverse events between the two groups was compared. SPSS 23.0 software package was used for statistical analysis.

Results: After treatment, the chewing efficiency of the experimental group was significantly improved compared to the control group, while the DI, PI, and CMI were significantly reduced compared to the control group(P<0.05). Compared with the control group, the satisfaction degree with facial esthetic and restoration in the experimental group was significantly higher, while the OHIP-14 score was significantly lower after treatment(P<0.05). The incidence of adverse events in the experimental group was significantly decreased compared with the control group (6.52% vs 25.00%, P<0.05).

Conclusions: Combination of orthodontics and restoration treatment can enhance the effectiveness of restoration treatment for deep overbite with severe lower anterior teeth attrition, improve the mastication function and temporomandibular joint balance,satisfaction and quality of life of patients, as well as reduce the risk of adverse events.

[正畸结合修复治疗深覆颌伴下前牙严重萎缩,改善咀嚼功能]。
目的:观察正畸联合修复对下前牙严重萎缩的深覆颌患者咀嚼功能的影响:2018年1月-2022年1月,共收集164例下前牙重度萎缩深覆颌患者,按照不同治疗方案分为两组:对照组(72例,修复治疗)和实验组(92例,正畸联合修复治疗)。评估两组患者的咀嚼效率,计算颞下颌关节功能障碍指数(DI)、肌肉触诊指数(PI)和颅下颌指数(CMI)。对两组患者的面部美学满意度、中文版口腔健康影响量表-14(OHIP-14)和修复满意度进行评估,并比较两组患者的不良反应发生情况。统计分析采用 SPSS 23.0 软件包:治疗后,实验组的咀嚼效率与对照组相比明显提高,而 DI、PI 和 CMI 与对照组相比明显降低(P<0.05)。与对照组相比,实验组治疗后对面部美观和修复的满意度明显提高,而 OHIP-14 评分明显降低(P<0.05)。实验组不良反应发生率明显低于对照组(6.52% vs 25.00%,P<0.05):正畸与修复联合治疗可提高深覆颌伴严重下前牙萌出修复治疗的效果,改善患者的咀嚼功能和颞下颌关节平衡,提高患者的满意度和生活质量,降低不良反应发生的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
上海口腔医学
上海口腔医学 Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
5299
期刊介绍:
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