金属预成冠全冠式远中导板间隙保持器应用于第二乳磨牙早失的回顾性研究

doi:10.13701/j.cnki.kqyxyj.2024.12.009

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (12): 1080-1085.DOI: 10.13701/j.cnki.kqyxyj.2024.12.009

金属预成冠全冠式远中导板间隙保持器应用于第二乳磨牙早失的回顾性研究

肖芳莉^1,2, 谢玲^1,2,3*, 张松营^1,2, 丁月^1,2, 任乐文^1,2, 田文仙^1,3

1.安徽医科大学合肥口腔临床学院安徽合肥 230601;
2.合肥市口腔医院西区儿童口腔科安徽合肥 230601;
3.安徽医科大学第五临床医学院安徽合肥 230601

收稿日期:2024-08-01 出版日期:2024-12-28 发布日期:2024-12-23
通讯作者: *谢玲,E-mail:20246426@qq.com
作者简介:肖芳莉(1990~ )女,安徽安庆人,主治医师,硕士,研究方向:儿童口腔医学。
基金资助:
2021年安徽医科大学校科研基金(编号:2021xkj252)

Retrospective Study on Application of Metal Preformed Full Crown Distal Shoe Space Maintainer in Premature Loss of the Primary Second Molar

XIAO Fangli^1,2, XIE Ling^1,2,3*, ZHANG Songying^1,2, DING Yue^1,2, REN Lewen^1,2, Tian Wenxian^1,3

1. Hefei Stomatological Clinical College of Anhui Medical University, Hefei 230601, China;
2. Department of Pediatric Dentistry, Hefei Stomatological Hospital West Pistrict, Hefei 230601, China;
3. The Fifth Clinical College, Anhui Medical University, Hefei 230601, China

Received:2024-08-01 Online:2024-12-28 Published:2024-12-23

摘要/Abstract

摘要： 目的: 回顾性观察金属预成冠全冠式远中导板间隙保持器(distal shoe space maintainer,DSSM)在第二乳磨牙早失中的临床治疗效果。方法: 收集2021年1月~2024年1月89例因第二乳磨牙早失行全冠式DSSM治疗病例,回顾性分析至少术后1年的临床资料和影像学资料,从DSSM保留率、保留状态、间隙丧失情况及DSSM维持时间4个方面分析临床治疗效果。结果: 对57例完成随访到DSSM拆除病例进行数据分析,平均维持时间15(12.5,18.0)个月,其中16例出现脱落或提前拆除,第一乳磨牙的慢性炎症和脱焊在DSSM脱落失败的危险因素中有统计学意义(P<0.05),第一乳磨牙的慢性炎症在影响DSSM变形移位的危险因素中有统计学意义(P<0.05)。对84例完成1年随访病例进行数据分析,22例移位变形病例平均间隙丧失2.31(2.14, 2.34) mm,62例在位状态良好病例平均间隙丧失0.13(0.09, 0.18) mm,两组数据比较差异有统计学意义(P<0.05)。结论: 全冠式DSSM在在位保留上有优势,在位良好的病例也达到了良好的间隙保持临床效果,对于术前第一乳磨牙根尖周状态的判断及治疗和咬合管理还需予以改进。

关键词: 全冠式远中导板间隙保持器, 第二乳磨牙早失, 第一恒磨牙未萌, 回顾性研究

Abstract: Objective: To analyze the clinical application effect of metal preformed full crown distal shoe space maintainer in premature loss of the primary second molar. Methods: From January 2021 to January 2024, 89 children with premature loss of the primary second molar restored by metal preformed full crown distal shoe space maintainer in Hefei Stomatological Hospital West were collected.Clinical and imaging data were retrospectively analyzed at least 1 year after surgery.The effect of clinical treatment was analyzed from four aspects: retention rate, retention status, loss of space, and maintenance time. Results: The data of 57 patients who completed follow-up to distal shoe space maintainer (DSSM) were analyzed. Average maintenance time was 15(12.5,18.0) months and 16 cases appeared fall off or removed in advance. Chronic inflammation of the first primary molarand the DSSM desoldering were risk factors of the retention failure (P<0.05). Chronic inflammation of the first primary molar was risk factors of the retention status (P<0.05). Data of 84 patients with 1-year follow-up were analyzed. It was found that the average gap loss of 22 cases with DSSM position deformation was 2.31mm, however, 62 cases with good position was 0.13mm.The difference between the two groups was statistically significant (P<0.05). Conclusion: The metal preformed full crown distal shoe space maintainer treatment in premature loss of the primary second molar had a good retention rate. Good gap preservation clinical results were also achieved in well-positioned cases. Preoperative diagnosis and treatment of chronic inflammation of the first primary molar and occlusal management should be improved.

Key words: metal preformed full crown distal shoe space maintainer, premature loss of the primary second molar, the first permanent molar noneruption, retrospective study

肖芳莉, 谢玲, 张松营, 丁月, 任乐文, 田文仙. 金属预成冠全冠式远中导板间隙保持器应用于第二乳磨牙早失的回顾性研究[J]. 口腔医学研究, 2024, 40(12): 1080-1085.

XIAO Fangli, XIE Ling, ZHANG Songying, DING Yue, REN Lewen, Tian Wenxian. Retrospective Study on Application of Metal Preformed Full Crown Distal Shoe Space Maintainer in Premature Loss of the Primary Second Molar[J]. Journal of Oral Science Research, 2024, 40(12): 1080-1085.

参考文献

[1] Reddy NV, Daneswari V, Shruti G, et al. Premature loss of primary teeth on arch dimensions in 6- to 10-year-old schoolchildren in Khammam town, Telangana state[J]. Pedod Rehabil, 2018, 3(2):67.
[2] Sonu A, Raju B. Body image in preschool children following prema ture loss of primary teeth:a cross-sectional study[J]. Int J Clin Pediatr Dent, 2022, 15(3):293-298.
[3] 邵玲,周昆山,石炜,等.第二乳磨牙早失后缺隙变化的临床观察[J].北京口腔医学,1994,2(2):80-81.
[4] Cardoso AC, Arcari GM, Zendron MV, et al. The use of natural teeth to make removable partial prostheses and complete prostheses: case reports[J]. Quintessence Int, 1994, 25(4):239.
[5] 王兴. 第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2018.12-13.
[6] 王郁,葛立宏,刘鹤.儿童第一恒磨牙异位萌出的治疗及相关进展[J].中华口腔医学杂志,2012,47(8):507-509.
[7] 葛立宏. 儿童口腔医学[M]. 第5版. 北京:人民卫生出版社,2020.220-225.
[8] Dean JA, McDonald RE, Avery DR. McDonald's and avery's dentistry for the child and adolescent[M]. 9th ed. St. Louis, Mo.: Mosby/Elsevier, 2011. 704.
[9] Frazier-Bowers SA, Koehler KE, Ackerman JL, et al. Primary failure of eruption: further characterization of a rare eruption disorder[J]. Am J Orthod Dentofacial Orthop, 2007, 131(5):578.e1-578.e11.
[10] 丁月,谢玲,任乐文,等.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[J]. 口腔医学研究,2022,38(12): 1182-1186.
[11] Tunc ES, Bayrak S, Tuloglu N, et al. Evaluation of survival of 3 different fixed space maintainers[J]. Pediatr Dent, 2012, 34(4): e97-e102.
[12] Setia V, Kumar Pandit I, Srivastava N, et al. Banded vs bonded space maintainers: Finding better way out[J]. Int J Clin Pediatr Dent, 2014, 7(2): 97-104.
[13] Garg A, Samadi F, Jaiswal JN, et al. 'Metal to resin': a comparative evalution of conventional band and loop space maintainer with the fiber reinforced composite resin space maintainer in children[J]. J Indian Soc Pedod Prev Dent, 2014, 32(2):111-116.
[14] Qudeimat MA, Sasa IS. Clinical success and longevity of band and loop compared to crown and loop space maintainers[J]. Eur Arch Paediatr Dent, 2015, 16(5):391-395.
[15] Mazhari F, Valizadeh M. Distal guide as a substitute for distal shoe space maintai-iner: A case series study[J]. Clin Pediatr Dent, 2022, 46(6): 58-62.
[16] 杨程,曹娟,孟庆楠.3D打印个性化远中导板式间隙保持器临床应用初探[J].宁夏医学杂志,2022,12(44): 1175-1176.
[17] Alexander SA, Maaskari, Lewis P. The premature loss of primary first molars: space loss to molar occlusal relationships and facial patterns[J]. Angel Orthodontist, 2015, 85(2):218-223.
[18] AlMeedani S, AlMeedani L, AlGhanim H, et al. Prevalence of premature loss of primary teeth among children in Damman City and parents' awareness toward space maintainers[J]. Saudi J Oral Sci, 2020, 7(2):85.
[19] Reddy N, Daneswari V, Shruti G, et al. Premature loss of primary teeth on arch dimensions in 6 to 10 year old school childrean in Khammam town, Telangana stae[J]. Int J Pedod Rehabil, 2018, 3(2):67.

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金属预成冠全冠式远中导板间隙保持器应用于第二乳磨牙早失的回顾性研究

Retrospective Study on Application of Metal Preformed Full Crown Distal Shoe Space Maintainer in Premature Loss of the Primary Second Molar

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