219444049_牙体牙髓联合正畸牵引修复治疗恒上前牙龈下牙折的效果

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（收稿日期：2023-04-06）　（本文编辑：马娇）

①晋江市安海医院　福建　晋江　362261

牙体牙髓联合正畸牵引修复治疗恒上前牙龈下牙折的效果

周剑坤①

【摘要】　目的：探究牙体牙髓联合正畸牵引修复治疗恒上前牙龈下牙折的效果。方法：选取2021年1月—2022年3月晋江市安海医院收治的58例恒上前牙龈下牙折患者作为研究对象。根据随机数表法将其分为对照组及试验组，各29例。对照组采取常规修复，试验组采取牙体牙髓联合正畸牵引修复。比较两组临床疗效、并发症、治疗前后疼痛程度、修复满意情况。结果：试验组总有效率高于对照组，差异有统计学意义（P <0.05）。试验组并发症发生率低于对照组，差异有统计学意义（P <0.05）。治疗后，两组视觉模拟疼痛评分（VAS）评分均降低，试验组VAS 评分明显低于对照组，差异有统计学意义（P <0.05）。试验组咀嚼功能评分、稳定性评分、语言功能评分、舒适度评分及美观度评分均高于对照组，差异有统计学意义（P <0.05）。结论：恒上前牙龈下牙折患者采用牙体牙髓联合正畸牵引修复治疗可获得理想效果，并发症少，能够减轻疼痛程度，提高患者满意度。

【关键词】　恒上前牙龈下牙折　牙体牙髓　正畸牵引修复

doi：10.14033/ki.cfmr.2023.15.032 文献标识码　B 文章编号　1674-6805（2023）15-0128-04 Effect of Tooth Body and Pulp Combined with Orthodontic Traction Repair in the Treatment of Permanent Upper Anterior Tooth Gingival Tooth Fracture/ZHOU Jiankun. //Chinese and Foreign Medical Research, 2023, 21(15): 128-131 [Abstract]　Objective: To investigate the effect of tooth body and pulp combined with orthodontic traction repair in the treatment of permanent upper anterior tooth gingival tooth fracture. Method: Fifty-eight patients with permanent upper anterior tooth gingival tooth fracture admitted to Jinjiang Anhai Hospital from January 2021 to March 2022 were selected as the research objects. According to random number table method, the patients were divided into control group and experimental group, 29 cases in each group. The control group taken conventional repair, and the experimental group taken tooth body and pulp combined with orthodontic traction repair. The clinical efficacy, complications, pain degree before and after treatment and repair satisfied condition were compared between the two groups. Result: The total effective rate of experimental group was higher than that of control group, and the difference was statistically significant (P <0.05). The incidence of complication of experimental group was lower than that of control group, and the difference was statistically significant (P <0.05). After treatment, visual analogue scale (VAS) score was decreased of both groups, and VAS score of experimental group was significantly lower than that of control group, and the difference was statistically significant (P <0.05). The scores of mastication function, stability, language function, comfort and aesthetics of experimental group were higher than those of control group, and the differences were statistically significant (P <0.05). Conclusion: For patients with permanent upper anterior tooth gingival tooth fracture, the tooth body and pulp combined with orthodontic traction repair can achieve ideal results, less complications, can reduce the degree of pain, and improve patient satisfaction.

[Key words]　Permanent upper anterior tooth gingival tooth fracture　Tooth body and pulp　Orthodontic traction repair First-author's address: Jinjiang Anhai Hospital, Jinjiang 362261, China