不同年龄组上颌埋伏阻生尖牙正畸牵引的疗效比较

目的:比较成人与青少年上颌埋伏阻生尖牙患者,采用正畸牵引治疗的成功率及其治疗所需时间的差异。方法:选择17例成人和17例青少年患者各21颗上颌埋伏阻生尖牙,2组上颌埋伏阻生尖牙在三维CT片上的位置、三维方向和埋伏阻生程度均相似。对2组正畸牵引治疗的成功率及其治疗所需时间进行比较,分别采用χ2检验和配对t检验进行统计学处理。结果:成人组正畸牵引治疗的成功率为85.71%,青少年组为100%,两者存在显著的差异(P<0.01)。正畸牵引治疗所需时间,成人组长于青少年组,有显著差异(P<0.001)。结论:正畸加开窗牵引上颌埋伏阻生尖牙的成功率,成人组显著低于青少年组,且正畸牵引治疗所需时间也显著长于青少年组。

Orthodontic traction of impacted maxillary canine:a comparison of different ages

PURPOSE: To evaluate the success rate and the length of orthodontic treatment of impacted maxillary canines in adult and adolescent patients. METHODS: 17 adults who had been treated for a total of 21 impacted maxillary canines,was compared with a younger control group. The control group were chosen for a similar degree of impaction by carefully matching the positions of the impacted canines in 3 dimension. SPSS11.0 software package was used for Chi-square and paired t test. RESULTS: The success rate among the adults was 85.71% compared with 100% among the control group. There was significant difference between the two groups(P<0.01).The adults showed significant increase in the duration of treating the impacted canines(P<0.001). CONCLUSION: The success rate for orthodontic resolution of an impacted canine in an adult is significantly lower than in a younger patient and the duration of treatment in adults is expected to take considerably longer.