口腔正畸联合牙周基础治疗牙周病致前牙移位的效果

分析对牙周病致前牙移位患者采用口腔正畸联合牙周基础治疗的临床效果。方法 选取苏州卫生职业技术学院附属口腔医院2020年11月-2021年11月收治的60例牙周病致前牙移位患者作为研究对象,按随机数字表法将其分为观察组与对照组,各30例。观察组行口腔正畸联合牙周基础治疗,对照组行牙周基础治疗,比较两组前牙功能指标、炎症因子水平及临床疗效。结果 两组治疗后前牙深覆盖、前牙深覆牙合距离、牙槽骨高度均优于治疗前,且观察组优于对照组（P ＜0.05）;两组治疗后TNF-α、IL-6、IL-8水平均低于治疗前,且观察组低于对照组（P＜0.05）;观察组临床治疗总有效率为96.67%,高于对照组的70.00%（P＜0.05）。结论 在牙周病致前牙移位患者的治疗中,采用口腔正畸治疗联合牙周基础治疗的临床效果较为理想,不仅能有效改善患者前牙功能指标,还能降低其炎症因子水平,值得临床应用。     

牙周炎致前牙移位通过牙周正畸联合治疗的临床分析

目的:评价牙周炎致前牙移位通过牙周正畸联合治疗的临床效果。方法:对26例因牙周炎造成前牙移位的患者,经过牙周基础治疗、牙周手术治疗,待牙周炎症基本控制后,再采用直丝弓矫治技术内收、平整、排齐因牙周炎导致移位的前牙,同时配合牙周护理及调牙合等措施,从而达到消除炎症、牙合创伤,建立正常的咬合关系,恢复美观。治疗前后分别记录患牙的牙龈指数、牙周袋探针深度、附着水平等。所得数据采用采用χ2检验进行统计学分析。结果:对比治疗前后患者的牙龈指数、牙周袋探针深度、临床附着水平等,治疗后有明显的改善,差异有统计学意义(PO.05),正畸治疗效果稳定、良好。结论:通过牙周-正畸联合治疗能够有效控制牙周炎,消除牙合创伤,排齐牙列,恢复美观。     

正畸联合牙周夹板在牙周炎所致前牙扇形移位治疗中的美学效果

探讨在牙周炎所致前牙扇形移位患者中应用正畸联合牙周夹板治疗的效果。方法 选择2021年 5月-2023年5月我院收治的70例牙周炎所致前牙扇形移位患者为研究对象,根据治疗方案不同分为对照组 的研究组,各35例。对照组使用牙周夹板治疗,研究组使用正畸联合牙周夹板治疗,比较两组临床疗效、 牙周状况、炎性因子水平、牙齿美观度及咀嚼功能。结果 研究组治疗总有效率为97.14%,高于对照组的 80.00%（P＜0.05）;研究组治疗后AL、SBI、PLI、PD及牙齿松动度均优于对照组（P＜0.05）;研究组治疗 后CRP、MCP-1、sICAM-1、IL-6水平均低于对照组（P＜0.05）;研究组治疗后牙齿色泽、牙齿形状、与 邻牙关系评分均高于对照组（P ＜0.05）;研究组治疗后咀嚼功能评分高于对照组（P＜0.05）。结论 在牙周 炎所致前牙扇形移位患者中应用正畸联合牙周夹板治疗的效果良好,可协同性抑制炎症,改善患者的牙周 状况,有利于提高牙齿美观度及咀嚼功能,值得临床应用。     

口腔正畸治疗牙周病致前牙移位的临床疗效

分析口腔正畸治疗牙周病致前牙移位的临床效果。方法 选取2020年1月-2022年12月永州职业技术学院附属医院收治的82例牙周病致前牙移位患者,依据治疗方法不同分为观察组和对照组,各41例。观察组接受牙周正畸联合治疗,对照组接受单纯牙周基础治疗,比较两组牙周指标、临床疗效和治疗满意度。结果 观察组治疗后牙周袋深度、前牙覆盖和牙周出血指数均优于对照组,差异有统计学意义（P ＜0.05）;观察组临床治疗总有效率为92.68%,优于对照组的73.17%（P ＜0.05）;观察组满意度评分高于对照组（P ＜0.05）。结论 口腔正畸治疗在改善牙周病致前牙移位患者的牙周指标、临床治疗效果和满意度方面具有积极作用,值得在临床应用。     

口腔正畸对牙周病致前牙移位患者牙周出血指数及咀嚼功能的影响

目的探讨口腔正畸对牙周病致前牙移位患者牙周出血指数及咀嚼功能的影响。方法随机将70例牙周病致前牙移位的患者分为2例,各35例。对照组行牙周治疗,观察组在对照组基础上联合正畸治疗。结果观察组前牙覆盖、牙周袋深度、出血指数及咀嚼功能、舒适功能、美观功能评分均优于对照组,差异有统计学意义(P<0.05)。结论牙周治疗联合口腔正畸治疗牙周病致前牙移位,可有效改善牙周出血指数,提高患者咀嚼功能和面部美观。     

GTR联合正畸治疗在牙周组织缺损伴前牙移位中的应用及对牙周功能的影响

目的：探讨引导性组织再生术（Guidedtissueregeneration,GTR）联合正畸治疗在牙周组织缺损伴前牙移位中的应用及对牙周功能的影响。方法：选取笔者医院2018年1月-2021年9月收治的牙周组织缺损伴前牙移位患者92例,按照随机数字表法分为研究组和对照组,每组46例,对照组给予GTR治疗,研究组在对照组的基础上联合正畸治疗。比较两组患者的出血指数（Bleeding index,BI）、探诊出血（Probing bleeding,BOP）、菌斑指数（Plaque index,PLI）、牙周探诊深度（Probing depth,PD）、附着丧失水平（Attachment loss,AL）、咀嚼功能、美观满意度、不良反应发生率以及临床疗效。结果：治疗前,两组患者BI、BOP、PLI、PD、AL比较,差异无统计学意义（P>0.05）;治疗后,研究组患者BI、BOP、PLI、PD、AL及不良反应发生率均低于对照组,咀嚼效率、咬合能力、美观、口腔清洁、牙龈健康、整体满意度及治疗总有效率均高于对照组（P<0.05）。结论：GTR联合口腔正畸治疗牙周组织缺损伴前牙移位患者...     

口腔正畸治疗牙周病致前牙移位患者的临床疗效

分析口腔正畸治疗牙周病致前牙移位的临床效果。方法 选取岳阳市口腔医院2022年2月-2023年1月收治的65例牙周病致前牙移位患者为研究对象,采取抽签法分为参照组（32例）和试验组（33例）。参照组予以常规牙周治疗治疗,试验组予以常规牙周治疗联合口腔正畸治疗,比较两组临床疗效、牙周健康指标及生活质量。结果 试验组临床总有效率为93.94%,高于参照组的71.88%,差异有统计学意义（P ＜0.05）;试验组治疗后牙槽骨高度、牙周袋深度、探诊出血率低于参照组,咬合关系、牙齿排列整齐状况、美观度评分高于参照组,差异有统计学意义（P＜0.05）;试验组咀嚼能力、美观程度、积极感受、总体健康评分高于参照组,差异有统计学意义（P ＜0.05）。结论 口腔正畸能够促进牙周病致前牙移位患者的临床疗效提升,改善牙周健康状态,恢复咬合关系,提高其生活质量。     

口腔正畸联合牙周夹板与单纯牙周夹板治疗对牙周病致前牙移位患者牙齿功能及美学效果的影响

目的：探究口腔正畸联合牙周夹板与单纯牙周夹板治疗对牙周病致前牙移位患者牙齿功能及美学效果的影响。方法：选取2015年1月-2020年1月于笔者医院治疗的因牙周病致前牙移位的80例患者为研究对象,采用简单随机分组法将患者分为联合组和对照组,每组40例。对照组采用单纯牙周夹板治疗,联合组在对照组基础上联合正畸治疗。观察比较两组患者治疗前后各相关临床指标、牙齿松动度、血清炎性因子水平以及患者满意度。结果：治疗后,联合组探诊深度、探诊出血位点百分比、临床附着丧失和临床牙冠长度均明显低于对照组(P<0.05),牙齿松动度明显小于对照组(P<0.05);联合组患者白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)和C反应蛋白(CRP)水平均明显低于对照组(P<0.05);联合组患者功能性、舒适性和美观性评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论：口腔正畸联合牙周夹板治疗牙周病致前牙移位患者矫正效果较为理想,可有效改善其临床症状,抑制炎症反应,且美学效果好,患者满意度高。     

牙周 - 正畸联合治疗牙周病的效果

目的 探究牙周-正畸联合治疗牙周病的效果。方法 选取2020年1月-2022年12月本院收治的90例 牙周病患者作为研究对象,随机分为观察组和对照组,各45例。对照组实施单纯性牙周治疗,观察组 实施牙周-正畸联合治疗,比较两组牙周健康指数、咀嚼功能、牙齿美观状况、临床疗效及并发症发生 率。结果 观察组治疗后BOP、AL、SBI、PD及PIL值均低于对照组,差异有统计学意义（P＜0.05）;观察 组治疗后咀嚼功能优于对照组,差异有统计学意义（P＜0.05）;观察组牙前牙覆盖距离、牙间隙均低于对 照组,龈乳头高度高于对照组,差异有统计学意义（P＜0.05）;观察组总有效率高于对照组,差异有统计 学意义（P＜0.05）;观察组并发症发生率低于对照组,差异有统计学意义（P＜0.05）。结论 牙周-正畸 联合治疗牙周病患者疗效确切,可改善患者牙周状况,提升患者牙齿美观,且安全性较高。     

牙周-正畸联合治疗在重度牙周病伴前牙错颌畸形患者中的应用效果

分析牙周-正畸联合治疗应用于重度牙周病伴前牙错颌畸形患者中的效果。方法 选取2020年1月-2022年8月湖南省人民医院收治的76例重度牙周病伴前牙错颌畸形患者为研究对象,随机分为对照组和试验组,每组38例。对照组实行牙周基础治疗,试验组实行牙周-正畸联合治疗,比较两组临床疗效、口腔指标、炎性因子水平及并发症发生情况。结果 试验组治疗总有效率为97.37%,高于对照组的78.95%（P ＜0.05）;试验组治疗后牙龈指数、菌斑指数、龈沟出血指数均低于对照组（P ＜0.05）;试验组治疗后IL-8、TNF-α水平均低于对照组（P ＜0.05）;两组并发症发生率比较,差异无统计学意义（P ＞0.05）。结论 牙周-正畸联合治疗重度牙周病伴前牙错颌畸形的效果良好,能够改善患者的口腔指标,降低炎性因子水平,且并发症少,安全性高。     

前牙龈下冠根折正畸牵引联合修复的治疗分析

目的：观察冠根折至龈下的前牙正畸牵引联合修复治疗方法的临床疗效。方法：将患牙进行完善根管治疗后在根管内粘固长度小于根长1/2的0.5mm的不锈钢丝,在两侧健康牙面上粘托槽,采用不锈钢方丝作主弓丝并加牵引钩,链状橡皮圈牵引。3个月后牙根牵引到位,6个月后行桩冠修复。结果：2005～2009年共治疗36颗患牙,其中1颗失败,其余治疗效果满意。结论：对于前牙冠根折至龈下的病例,采用正畸牵引后桩冠修复的方法可以增加保留机会,获得较为满意的功能和美学效果。     

A clinical and electrophysiological investigation of anterior transposition for ulnar neuropathy at the elbow

Previous studies have shown good clinical results following anterior transposition of the ulnar nerve for compression neuropathy. However, no studies have examined all patients pre- and post-operatively with both clinical and electrophysiological studies to determine if a correlation exists. Twenty-three of 24 (96%) anterior transpositions performed consecutively over 6 years were followed up at a mean of 33.2 months with clinical and electrophysiological examinations. All patients were male "blue-collar" workers with a mean age of 52.1 years. The mean duration of preoperative symptoms was 11.3 months. Preoperatively, 30% were graded moderate and 70% severe. The motor conduction velocity (MCV) across the elbow and electromyography (EMG) correlated with the severity of the clinical findings. Postoperatively, 70% of patients improved, with 40% having a good result and 30% fair, and the MCV improved to a highly significant degree (P less than 0.0005). Thirty percent had a poor result with no clinical improvement, yet the MCV improved to a significant degree (P less than 0.05). There was no correlation between the clinical result and the distal motor or sensory latencies, MCV below the elbow, or EMG. Advanced age, duration of preoperative symptoms, diabetes, hypertension, alcoholism, etiology, type of transposition, tourniquet time, and atrophy did not correlate with a poor result, either clinically or electrophysiologically. Severe clinical findings confirmed by electrophysiological studies do not contraindicate surgery and have a reasonable success rate. In conclusion, preoperative electrophysiological studies correlate with the clinical findings but postoperative ones do not, including the MCV. The MCV improves after anterior transposition of the ulnar nerve regardless of the clinical outcome.(ABSTRACT TRUNCATED AT 250 WORDS)     

A clinical and electrophysiological investigation of anterior transposition for ulnar neuropathy at the elbow

Summary Previous studies have shown good clinical results following anterior transposition of the ulnar nerve for compression neuropathy. However, no studies have examined all patients pre- and post-operatively with both clinical and electrophysiological studies to determine if a correlation exists. Twenty-three of 24 (96%) anterior transpositions performed consecutively over 6 years were followed up at a mean of 33.2 months with clinical and electrophysiological examinations. All patients were male blue-collar workers with a mean age of 52.1 years. The mean duration of preoperative symptoms was 11.3 months. Preoperatively, 30% were graded moderate and 70% severe. The motor conduction velocity (MCV) across the elbow and electromyography (EMG) correlated with the severity of the clinical findings. Postoperatively, 70% of patients improved, with 40% having a good result and 30% fair, and the MCV improved to a highly significant degree (P < 0.0005). Thirty percent had a poor result with no clinical improvement, yet the MCV improved to a significant degree (P < 0.05). There was no correlation between the clinical result and the distal motor or sensory latencies, MCV below the elbow, or EMG. Advanced age, duration of preoperative symptoms, diabetes, hypertension, alcoholism, etiology, type of transposition, tourniquet time, and atrophy did not correlate with a poor result, either clinically or electrophysiologically. Severe clinical findings confirmed by electrophysiological studies do not contraindicate surgery and have a reasonable success rate. In conclusion, preoperative electrophysiological studies correlate with the clinical findings but postoperative ones do not, including the MCV. The MCV improves after anterior transposition of the ulnar nerve regardless of the clinical outcome. Surgeons are cautioned not to weigh the electrophysiological studies too heavily as predictors of results when looking at surgical outcomes.     

正畸与烤瓷贴面在前牙美容修复中的联合应用

目的：将正畸与烤瓷贴面联合应用进行前牙美容修复。方法：采用正畸直丝弓矫治技术和烤瓷贴面联合治疗52颗前牙（21例患者）,包括错位、扭转、过小、牙间隙,或伴牙齿部分缺损、色泽异常。结果：6～24个月随访显示：修复体边缘密合度良好,色泽形态自然,修复体和基牙边缘过渡自然,未发生敏感或其他牙髓症状,患者对治疗效果满意。结论：对于单纯采用正畸或修复都不能彻底解决的前牙美容修复问题,采用正畸与烤瓷贴面联合治疗是一种良好的方法。     

阻生上前牙的正畸牵引治疗

目的:评价阻生上前牙矫治的临床疗效。方法:收集2007～2009年宝鸡市口腔医院正畸科收治的上前牙阻生矫治患者30例,阻生牙44颗,采用固定矫治器牵引矫治。结果:40颗阻生前牙牵引入牙弓,成功率91%。结论:前牙阻生应尽量采取保存治疗。     

尺神经肌下前置术与皮下前置术治疗肘管综合征的Meta分析

目的 :通过Meta分析对尺神经皮下前置术(ASCT)与肌下前置术(ASMT)治疗肘管综合征的有效性和安全性进行比较。方法:按照Cochrane系统评价方法,计算机检索Medline,荷兰医学文摘(EMBase),Cochrane图书馆、Cochrane协作网专业实验数据库、中国生物医学文献数据库(CBM)、CNKI等,并采用手工检索方法收集相关随机对照试验及半随机对照试验。采用Review Manager 5.3软件进行Meta分析。结果:共纳入7个研究,Meta分析结果显示:尺神经皮下前置术与肌下前置术治疗肘管综合征在手术后小指指端两点辨别觉、手术优良率、手术并发症、手术切口长度方面差异无统计学意义。在手术时间方面,皮下前置术较肌下前置术短。结论:皮下前置术(ASCT)与肌下前置术(ASMT)均是治疗肘管综合征的有效方法。尺神经皮下前置术操作简单,手术后无须进一步固定,恢复较快,尤其适用于肥胖及老年患者。尺神经肌下前置术适用范围较广但操作较复杂。由于部分文献质量不高,可能存在各种偏移,需要更多高质量的随机对照试验来得出更可靠的结论。     

Subcutaneous anterior transposition versus decompression and medial epicondylectomy for the treatment of cubital tunnel syndrome

A review of the literature often fails to uncover the best procedure for the treatment of cubital tunnel syndrome. This article compares 2 frequently used methods (subcutaneous anterior transposition vs decompression and medial epicondylectomy) for their effectiveness in relieving both subjective and objective symptoms of cubital tunnel syndrome. Between August 1991 and October 1993, nineteen patients underwent surgical decompression by a single surgeon for ulnar neuropathy at the elbow. Factors evaluated included upper extremity range of motion, elbow valgus stress, grip strength, pinch, 2-point discrimination, and pre- and postoperative nerve conduction. A standardized questionnaire was administered to assess subjective relief of symptoms.In the transposition group, grip strength averaged 71.2% of normal and pinch strength 86.6% of normal, and 2-point discrimination averaged 8.0 mm. The derived subjective assessment score was 23.2 of a possible 40. The average ulnar motor conduction velocity across the elbow was 50.1 m/sec preoperatively and 56.3 m/sec postoperatively. In the medial epicondylectomy group, grip strength averaged 79.5% of normal and pinch strength 81.7% of normal, and 2-point discrimination averaged 8.0 mm. The average ulnar motor conduction velocity across the elbow was 45.7 m/sec preoperatively and 55.7 m/sec postoperatively. No statistically significant difference existed between the 2 groups for the aforementioned indexes. These results do not indicate a difference between the outcomes of the patients undergoing either of the procedures. Because epicondylectomy is less technically demanding, with less soft tissue dissection of the nerve, it may be preferred over ulnar transposition.     

Revision anterior submuscular transposition of the ulnar nerve for failed subcutaneous transposition.

We evaluated the results of revision surgery for persistent cubital tunnel syndrome after failed surgical treatment. Eighteen patients were evaluated with an average age of 44 years. The majority of the primary procedures were subcutaneous transpositions (15 patients). The average follow-up time was 34 months. All patients were treated with a submuscular transposition of the ulnar nerve and Z-lengthening of the flexor-pronator origin. The most common operative findings were perineural scarring (16), retained medial intermuscular septum (10) and common flexor aponeurosis (9). Pre-operative and post-operative data were compared. The majority of patients improved their postoperative grade and their ability to do daily activities or work and stated that the surgery met some or all of their expectations. Most patients had partial relief of their pain and the satisfaction rate was 78%. Our study suggests that although these results are less favorable than those for the primary procedure, submuscular transposition is a useful technique for revision of failed cubital tunnel syndrome surgery.     

Posterior transposition of anterior ectopic anus

A method of posterior transposition of anterior ectopic anus is described in which the ectopic anus is incorporated in one flap of a Z-plasty. When the flaps are transposed the anus is brought into its normal anatomical position with the added advantages that the mucocutaneous junction and part of the innervation and the blood supply are preserved. The results of 24 girls treated with this technique are presented. In spite of a high incidence of sepsis resulting from less than ideal operative conditions, the repair remained intact.