口腔医学研究

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (12): 1182-1186.DOI: 10.13701/j.cnki.kqyxyj.2022.12.016

• 儿童口腔医学研究 • 上一篇    下一篇

全冠式和带环式丝圈保持器应用于单颗乳磨牙早失的回顾性研究

丁月1, 谢玲1,2*, 任乐文1, 汪平1   

  1. 1.安徽医科大学合肥口腔临床学院 安徽医科大学第五临床学院 安徽 合肥 230601;
    2.合肥市口腔医院西区儿童口腔科 安徽 合肥 230601
  • 收稿日期:2022-04-13 出版日期:2022-12-28 发布日期:2022-12-26
  • 通讯作者: *谢玲,E-mail:blinkerling@qq.com
  • 作者简介:丁月(1994~ ),女,安徽合肥人,硕士在读,住院医师,研究方向:儿童口腔医学。

Retrospective Study on Full Crown and Band Loop Space Maintainer for Premature Loss of Single Deciduous Molar

DING Yue1, XIE Ling1,2*, REN Lewen1, WANG Ping1   

  1. 1. Hefei Stomatological Clinical College of Anhui Medical University, The Fifth Clinical College of Anhui Medical University, Hefei 230601, China;
    2. Department of Paediatric Dentistry, Hefei Stomatological Hospital West, Hefei 230601, China
  • Received:2022-04-13 Online:2022-12-28 Published:2022-12-26

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摘要： 目的: 探讨分析全冠丝圈和带环丝圈式间隙保持器在单颗乳磨牙早失中的短期临床疗效。方法: 选取2020年8月~2021年6月期间在合肥市口腔医院西区儿童口腔科的单颗乳磨牙早失行带环丝圈式保持器和全冠丝圈式保持器的189例患儿临床资料,对其回顾性分析6个月后的临床疗效。将两组基牙新发龋的发病率、基牙牙龈红肿的发病率、间隙保持器生存率(脱落、松动、脱焊)进行临床疗效的对比。结果: 全冠丝圈式间隙保持器在基牙新发龋的发病率和保持器生存率上均优于带环丝圈式间隙保持器;以第二乳磨牙作为基牙时,对照组的基牙状态和保持器生存率均优于实验组;第一恒磨牙作为基牙时,对照组的基牙状态优于实验组(P<0.05),两组在基牙牙龈红肿发生率无明显差异,以第一恒磨牙为基牙时,两组的保持器生存率无明显差异(P>0.05)。结论: 单颗乳磨牙早失的间隙保持器中全冠丝圈式保持器的临床效果更有优势。

关键词: 全冠丝圈式间隙保持器, 带环丝圈式间隙保持器, 乳磨牙早失, 回顾性研究

Abstract: Objective: To investigate and analyze the clinical effect of full crown and band loop space maintainer on premature loss of single deciduous molar. Methods: From August 2020 to June 2021, 189 children with premature loss of single deciduous molars restored by band loop space maintainer and full crown space maintainer were analyzed retrospectively. The incidence of new dental caries, the incidence of gingival redness and swelling, and the survival rate of the gap retainer (falling off, loosening, and desoldering) were compared between two groups. Results: The incidence of caries and the survival rate of caries in the full crown group were better than those of band loop space maintainer. When the second deciduous molar was used as the abutment, the abutment status and retention rate of the control group were better than those of the experimental group. When the first permanent molar was used as the abutment, the abutment status of the control group was better than that of the experimental group (P<0.05). There was no significant difference in the incidence of gum swelling between two groups. When the first permanent molar was used as the abutment, there was no significant difference in the survival rate of the retainer between two groups (P>0.05). Conclusion: The full crown space maintainer has more advantages for premature loss of single deciduous molar.

Key words: full crown space maintainer, band loop space maintainer, premature loss of deciduous molars, retrospective study