異常吞咽對牙根吸收及口呼吸的影響
發(fā)布時間：2018-12-06 16:51
【摘要】：目的 應用全頜曲面斷層片對異常吞咽患者前牙牙根吸收等級進行測量分析,探討異常吞咽對牙根吸收的影響；通過對異常吞咽患者口呼吸的研究,探討異常吞咽對口呼吸的影響,為錯(?)畸形的早期矯治提供參考。方法研究一： 選取2007-2012年間在北京新華醫(yī)院口腔正畸科就診的患者。通過臨床檢查篩選,根據(jù)樣本納入標準選擇其中96人作為研究對象,異常吞咽組48人,正常吞咽組48人。年齡13-16歲,漢族。均為男16人,女32人。均采用北京通州新華醫(yī)院放射科Planmeca Promax全景X射線系統(tǒng)拍攝,條件標準統(tǒng)一。應用姜若萍的改良牙根吸收分級法,在全頜曲面斷層片上進行牙根吸收等級評判。將牙根吸收等級對應的牙數(shù)按牙根吸收與否進行合并,應用SPSS13.0進行卡方檢驗,比較異常吞咽組與正常吞咽組間有牙根吸收的牙數(shù)差異；應用秩和檢驗比較上下切牙、上頜中切牙與側切牙及下頜中切牙及側切牙牙根吸收的差異。研究二： 選取2007-2012年期間在北京新華醫(yī)院口腔正畸科就診的患者。通過臨床檢查篩選,根據(jù)樣本納入標準選擇其中76人作為研究對象,包括異常吞咽組38人,正常吞咽組38人(注：研究一與研究二樣本不交叉)。年齡11-14歲,漢族。均為男7人,女31人。將存在口呼吸標為1,將不存在口呼吸標為0,應用SPSS13.0軟件對兩組數(shù)據(jù)進行卡方檢驗。 結果 1.統(tǒng)計顯示異常吞咽組與正常吞咽組間牙根吸收差異有統(tǒng)計學意義(P0.05)。 2.統(tǒng)計顯示異常吞咽組與正常吞咽組口呼吸人數(shù)差異有統(tǒng)計學意義(P0.01)。 結論 1.異常吞咽是牙根吸收的危險因素。 2.異常吞咽容易誘發(fā)口呼吸。 3.在錯(?)畸形早期矯治中應關注異常吞咽的危害,訓練患者正常吞咽,降低牙根吸收發(fā)生的機率。矯治異常吞咽也是主動矯治口呼吸的方法,建立正常的鼻呼吸,對行使正常的咀嚼、吞咽功能有積極的意義。早期矯治對減少口呼吸繼發(fā)的錯(?)畸形患病率,引導青少年兒童(?)頜面正常發(fā)育有積極的意義。
[Abstract]:Objective to investigate the effect of abnormal swallowing on root resorption in patients with abnormal swallowing. The effect of abnormal swallowing on oral respiration was studied in patients with abnormal swallowing. Early correction of malformation provides reference. Methods one: selected patients in the orthodontic department of Beijing Xinhua Hospital from 2007 to 2012. According to the inclusion criteria, 96 patients were selected as study subjects, 48 patients in abnormal swallowing group and 48 patients in normal swallowing group. The age is 13-16 years, Han nationality. All were 16 men and 32 women. All of them were taken by Planmeca Promax panoramic X-ray system of radiology department of Beijing Tongzhou Xinhua Hospital. Using Jiang Ruoping's improved method of root resorption classification, the root resorption grade was evaluated on the whole maxillary surface section. The number of teeth corresponding to the grade of root resorption was combined according to root absorption or not, and chi-square test was performed with SPSS13.0 to compare the difference of tooth number with root resorption between abnormal swallowing group and normal swallowing group. The root resorption of upper and lower incisors, maxillary central incisors, lateral incisors and mandibular central incisors and lateral incisors were compared by rank sum test. Study 2: selected patients in orthodontics department of Beijing Xinhua Hospital from 2007 to 2012. According to the inclusion criteria, 76 patients were selected as the study subjects, including 38 patients in abnormal swallowing group and 38 patients in normal swallowing group (note: study 1 is not intersected with study 2). Age 11-14 years, Han nationality. All were 7 males and 31 females. Using SPSS13.0 software, two groups of data were checked by chi-square test. Result 1. The difference of root resorption between abnormal swallowing group and normal swallowing group was statistically significant (P0.05). 2. Statistical analysis showed that there was significant difference between abnormal swallowing group and normal swallowing group (P0.01). Conclusion 1. Abnormal swallowing is a risk factor for root resorption. 2. Abnormal swallowing is easy to induce oral respiration. 3. Wrong (?) Attention should be paid to the harm of abnormal swallowing in early correction of malformation, and patients should be trained to swallow normally and reduce the probability of root resorption. Correction of abnormal swallowing is also a method of active correction of oral respiration. The establishment of normal nasal respiration is of positive significance for the exercise of normal chewing and swallowing function. Early correction of secondary to oral respiratory reduction (?) Prevalence rate of malformation, leading adolescents and Children (?) Normal maxillofacial development has positive significance.
【學位授予單位】：天津醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R783.5
本文編號：2366342
[Abstract]:Objective to investigate the effect of abnormal swallowing on root resorption in patients with abnormal swallowing. The effect of abnormal swallowing on oral respiration was studied in patients with abnormal swallowing. Early correction of malformation provides reference. Methods one: selected patients in the orthodontic department of Beijing Xinhua Hospital from 2007 to 2012. According to the inclusion criteria, 96 patients were selected as study subjects, 48 patients in abnormal swallowing group and 48 patients in normal swallowing group. The age is 13-16 years, Han nationality. All were 16 men and 32 women. All of them were taken by Planmeca Promax panoramic X-ray system of radiology department of Beijing Tongzhou Xinhua Hospital. Using Jiang Ruoping's improved method of root resorption classification, the root resorption grade was evaluated on the whole maxillary surface section. The number of teeth corresponding to the grade of root resorption was combined according to root absorption or not, and chi-square test was performed with SPSS13.0 to compare the difference of tooth number with root resorption between abnormal swallowing group and normal swallowing group. The root resorption of upper and lower incisors, maxillary central incisors, lateral incisors and mandibular central incisors and lateral incisors were compared by rank sum test. Study 2: selected patients in orthodontics department of Beijing Xinhua Hospital from 2007 to 2012. According to the inclusion criteria, 76 patients were selected as the study subjects, including 38 patients in abnormal swallowing group and 38 patients in normal swallowing group (note: study 1 is not intersected with study 2). Age 11-14 years, Han nationality. All were 7 males and 31 females. Using SPSS13.0 software, two groups of data were checked by chi-square test. Result 1. The difference of root resorption between abnormal swallowing group and normal swallowing group was statistically significant (P0.05). 2. Statistical analysis showed that there was significant difference between abnormal swallowing group and normal swallowing group (P0.01). Conclusion 1. Abnormal swallowing is a risk factor for root resorption. 2. Abnormal swallowing is easy to induce oral respiration. 3. Wrong (?) Attention should be paid to the harm of abnormal swallowing in early correction of malformation, and patients should be trained to swallow normally and reduce the probability of root resorption. Correction of abnormal swallowing is also a method of active correction of oral respiration. The establishment of normal nasal respiration is of positive significance for the exercise of normal chewing and swallowing function. Early correction of secondary to oral respiratory reduction (?) Prevalence rate of malformation, leading adolescents and Children (?) Normal maxillofacial development has positive significance.
【學位授予單位】：天津醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R783.5
【參考文獻】
相關期刊論文 前10條
1 王智;靳淑梅;張君;;牙根吸收的原因與機制[J];國際口腔醫(yī)學雜志;2010年01期
2 高雪梅,趙穎,曾祥龍,傅民魁;北京地區(qū)鼾癥和睡眠呼吸暫停綜合征的流行病學研究[J];口腔正畸學;1997年04期
3 姜若萍,張丁,傅民魁;正畸治療前后牙根吸收的臨床研究[J];口腔正畸學;2001年03期
4 王劍鋒,林新平,黃奎,倪振宇;骨性Ⅱ,Ⅲ類錯鉭舌大小位置及姿勢位的比較研究[J];口腔醫(yī)學研究;2005年05期
5 謝蕾;袁小平;;舌異常與錯鉭畸形的關系[J];瀘州醫(yī)學院學報;2011年02期
6 Sahibzadi Uzma Noor;;A Study of Factors Inducing Root Resorption During Functional Occlusion in Pre-orthodontic Patients[J];口腔醫(yī)學研究;2009年02期
7 楊凱,曾祥龍,俞夢孫;口呼吸與鼻呼吸兒童牙弓、基骨形態(tài)差異的研究[J];實用口腔醫(yī)學雜志;2003年06期
8 朱燕,段銀鐘,錢紅,黃道慶,宋建國,韓長安;異常吞咽與口周力相關性的研究[J];牙體牙髓牙周病學雜志;2003年03期
9 許天民,SBaumrind;青少年期正畸治療與上中切牙牙根吸收的關系[J];中華口腔醫(yī)學雜志;2002年04期
10 楊凱,曾祥龍,俞夢孫;兒童呼吸方式與顱面、氣道、牙鉭形態(tài)的相關性研究[J];中華口腔醫(yī)學雜志;2005年06期
，本文編號：2366342
本文鏈接：http://sikaile.net/yixuelunwen/kouq/2366342.html
最近更新
教材專著
