微型种植体支抗对青少年口腔正畸疗效及依从性的影响

Effect of mini-implant anchorage on orthodontic treatment and compliance in adolescents

摘要:

目的 分析微型种植体支抗对青少年口腔正畸疗效及依从性的影响。方法 选取该院2013 年 1 月-2016 年1 月收治的青少年口腔正畸患者114 例作为研究对象，将其随机分为观察组和对照组，每组57 例。 观察组采用微型种植体支抗治疗，对照组采用非种植体支抗治疗。对比两组患者的疗效、口腔健康相关生活 质量（OHRQOL）量表评分、不良反应及患者依从性。结果 正畸后，观察组患者上中切牙倾角差及凸距 差小于对照组（P <0.05）；观察组磨牙位移大于对照组（P <0.05）。观察组OHRQOL 量表评分高于对照组 （P <0.05）。正畸治疗后，观察组不良反应总发生率为8.77%，低于对照组的22.81%（P <0.05）。观察组依从性 优良率为94.74%，高于对照组的85.96%（P <0.05）。结论 微型种植体支抗的青少年口腔正畸效果更好，能提 高口腔健康水平，降低不良反应发生率，患者更易接受。

Abstract:

Objective To analyze the effect of mini-implant anchorage on orthodontic treatment and compliance in adolescents. Methods In this study 114 cases receiving orthodontic treatment in our hospital from January 2013 to January 2016 were selected as the research objects, and were randomly divided into observation group and control group with 57 cases in each group. The observation group was treated with mini-implant anchorage, and the control group was treated with non-implant anchorage. The treatment effect, Oral Health-related Quality of Life (OHRQOL) scale score, adverse reactions and patient’s compliance were compared between the two groups. OHRQOL scale was used to evaluate the oral health of the two groups of patients after orthodontic treatment from seven aspects: functional limitations, physiological barriers, physical pain, disability, psychological communication, social difficulties and psychological obstacles. Results After orthodontic treatment, the incision angle difference and the convexity difference of the upper incisors in the observation group were larger than those in the control group (P < 0.05), the molar displacement of the observation group was larger than that of the control group (P < 0.05). It was found that the scores of OHRQOL scale in the observation group were higher than those in the control group (P < 0.05). After orthodontic treatment, the total incidence of adverse reactions in the observation group was 8.77%, which was lower than 22.81% in the control group (P < 0.05). The excellent rate of compliance in the observation group was 94.74%, which was higher than 85.96% in the control group (P < 0.05). Conclusions Compared with the non-implant support, mini-implant anchorage can better ensure the oral orthodontic effect of adolescents, improve the oral health level, reduce the incidence of adverse reactions, and is more conducive for patients to accept.