本文選題：正畸學(xué) + 矯正�。� 參考：《重慶醫(yī)學(xué)》2017年26期

【摘要】：目的探討固定正畸患者首次治療后24h正畸疼痛評分與咬合功能相關(guān)性。方法選取自愿受試者78例,統(tǒng)一采用MBT直絲弓矯治技術(shù)矯治,分別計測粘戴固定矯治器前(T0)與粘戴24h后(T1)靜息牙痛視覺模擬評分(SO-VAS)和用力緊咬時的咬合牙痛視覺模擬評分(BO-VAS)、咀嚼效能(ME)、咀嚼次數(shù)(MT)、最大咬合力(MF)及咬合速率(SO),觀察矯治前后上述指標(biāo)變化并探討指標(biāo)間相關(guān)性。結(jié)果 (1)固定正畸24h后患者BO-VAS和SO-VAS均上升,且BO-VAS[(59.49±19.06)mm]明顯高于SO-VAS[(23.21±20.80)mm]。固定矯治24h后,患者出現(xiàn)咬合功能障礙,表現(xiàn)為ME、MT、MF及SO與T0比較均降低(P0.05)。(2)BO-VAS與ME、MT、MF均呈負(fù)相關(guān)關(guān)系(P0.05)。SO-VAS與咬合功能障礙之間未表現(xiàn)相關(guān)關(guān)系。結(jié)論固定正畸后首日,咬合功能障礙分級與疼痛分級之間無明顯量級對應(yīng)關(guān)系,VAS分級尚不能完全代表咬合功能障礙等級,但用BO-VAS反映患者咬合功能障礙程度的可信度高于SO-VAS。
[Abstract]:Objective to investigate the correlation between orthodontic pain score and occlusal function 24 h after first treatment of fixed orthodontic patients. Methods 78 volunteers were treated with MBT straight wire appliance. The visual analogue score of resting toothache (SO-VAS-VASS) and the visual analogue score of occlusal pain (BO-VASA), masticatory efficiency, mastication times, maximum bite force (MFF) and occlusal rate (so) were measured before and 24 hours after adhesive wear respectively, and the occlusal pain visual analogue score (BO-VAS-VAS-VASA) and the occlusal rate (MFM) and occlusal rate (MFM) were measured, respectively. To observe the changes of the above indexes before and after treatment and to explore the correlation between them. Results (1) after 24 hours of fixed orthodontic treatment, both BO-VAS and SO-VAS increased, and BO-VAS [59.49 鹵19.06)mm] was significantly higher than SO-VAS [23.21 鹵20.80)mm]. After 24 hours of fixation, the occlusal dysfunction appeared in the patients, which showed that there was a negative correlation between MEG MTMF and so compared with T0. There was a negative correlation between MEG MTMF and MEA MTMF. There was no significant correlation between MEM MTMF and MEP 0.05. SO-VAS was not correlated with occlusal dysfunction. Conclusion on the first day after fixed orthodontic treatment, there is no significant correlation between the grade of occlusal dysfunction and the grade of pain. The grade of VAS does not fully represent the grade of occlusal dysfunction, but the reliability of using BO-VAS to reflect the degree of occlusal dysfunction is higher than that of SO-VASS.
【作者單位】： 貴州醫(yī)科大學(xué);貴州醫(yī)科大學(xué)附屬醫(yī)院口腔正畸科;貴陽中醫(yī)學(xué)院針灸推拿學(xué)院;
【基金】：貴州省科技廳聯(lián)合基金(黔科合LG字[2012]048號) 貴州省中醫(yī)藥管理局專項經(jīng)費(QZYY2010-56)
【分類號】：R783.5

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