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3种方法对外伤松动或脱位牙固定的临床疗效评价
http://www.100md.com 《齐鲁医学杂志》 2006年第2期
牙移动,,],牙移动;牙再植术;治疗结果,1资料与方法,2结果,3讨论,[参考文献]
     [摘要] 目的 比较金属丝结扎法、牙弓夹板法和钢丝釉质粘合剂法3种松牙固定方法在外伤严重松动或脱位牙固定中的疗效,探索一种更有效而实用的松动牙或脱位牙固定方法。方法 选择口腔科门诊因外伤导致牙齿Ⅱ~Ⅲ度松动或牙完全脱位的病人87例共计101颗患牙,随机采用金属丝结扎法、牙弓夹板法及钢丝釉质粘合剂法进行固定,观察疗效。结果 在使用钢丝釉质粘合剂法进行固定的患牙中,治疗结果良好率为83%,有效率达到94%,与其他两组间疗效相比有显著性差异(χ2=12.57、16.99,P<0.01)。结论 钢丝釉质粘合剂固定法是一种无牙周刺激性,更清洁美观,更高效的松动牙或脱位牙固定方法。

    [关键词] 牙移动;牙再植术;治疗结果

    CLINICAL EVALUATION OF THREE METHODS ON STABILIZATION OF LOOSE OR DISLOCATED TEETH CAUSED BY TRAUMA

    LIU JUN, LIU XINQIANG, FAN CUNHUI, et al

    (Department of Orthodontics, The Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, China)

    [ABSTRACT]ObjectiveTo evaluate the respective effect of tooth fixation by wire ligature, arch bar splint, and stainless wireenamel adhesion on loose teeth and to find a more effective and practical method for fixation of them.MethodsA total of 101 teeth(87 cases) with Ⅱ-Ⅲ degrees loosening or completely dislocation caused by trauma were randomly treated by either wire ligature, arch bar splint, or stainless wireenamel adhesion. The outcomes were assessed.ResultsOf the three groups, the stainless wireenameladhesive group was the best, 83% of the teeth fixed were regarded as excellent or good, the effective rate reached 94%. The difference was significant as compared with the other two groups (χ2 =12.57, 16.99; P<0.01). ConclusionThe stainless wireenamel adhesion is an effective method for fixation of loose or dislocated teeth with the advantages of clean and beautiful outlook, high performance, and without periodontium irritation. ......

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