Clinical effect of orthodontics combined with restorative treatment in patients with malocclusion (occlusal)deformity and dentition defect
口腔正畸结合修复治疗在错（牙合）畸形伴牙列缺损患者的临床效果

摘要

目的 分析口腔正畸结合修复治疗在错（牙合）畸形伴牙列缺损患者的临床效果。方法 入组我科2017年6月至2022年6月收治的错（牙合）畸形伴牙列缺损患者共16例，采取口腔正畸治疗结合修复治疗，作为研究组，另外选择同期单纯进行修复治疗的16例患者作为对照组。比较两组治疗总有效率、患者对患牙修复美观评价和咬（牙合）抬高、食物嵌塞等情况发生率，并比较治疗前后患者的菌斑、软垢指数。结果 研究组治疗总有效率、患者对患牙修复美观评价高于对照组，咬（牙合）抬高、食物嵌塞等情况发生率低于对照组，P＜0.05。治疗前两组菌斑、软垢指数无显著差异，P＞0.05。治疗后研究组菌斑、软垢指数优于对照组，P＜0.05。结论 正畸联合修复治疗对于错（牙合）畸形伴牙列缺损患者的治疗效果确切，可有效提高治疗效果，降低咬（牙合）抬高、食物嵌塞等情况的发生率，且可提高患者对患牙修复美观评价和牙周健康水平，值得推广。

Abstract

Objective To analyze the clinical effect of orthodontics combined with prosthetic treatment in patients with malocclusion (occlusal) deformity and dentition defect.
Methods A total of 16 patients with malocclusion (occlusal) deformity and dentition defect who were treated in our department from June 2017 to June 2022 were enrolled. Orthodontic treatment combined with restoration treatment was used as the research group. The 16 treated patients served as the control group. The total effective rate of treatment, the patient's aesthetic evaluation of the restoration of the affected teeth, the incidence of occlusal (occlusal) elevation, food impaction, etc., were compared between the two groups, and the plaque and soft scale indexes of the patients before and after treatment were compared.
Results The total effective rate of treatment and the aesthetic evaluation of patients' teeth restoration in the study group were higher than those in the control group. Before treatment, there was no significant difference in plaque and soft scale index between the two groups, P>0.05. After treatment, the plaque and soft scale indexes of the study group were better than those of the control group, P<0.05.
Conclusion   Combined orthodontic prosthetic treatment is effective in treating malocclusion (occlusal) deformity with dentition defect, which can effectively improve the treatment effect, reduce the incidence of occlusal (occlusal) elevation, food impaction, etc., and can improve the The patients' evaluation of the aesthetic appearance of the affected teeth and the level of periodontal health are worthy of promotion.