摘要
目的探讨微种植钉联合自我效能干预对青少年骨性Ⅱ类高角露龈笑患者侧貌、面型及心理状态的影响。方法2016年4月至2018年11月招募就诊于正畸科的90例露龈笑患者,均采用直丝弓矫治技术进行正畸治疗,并采用随机数字表的方法分三组,每组30例,常规治疗组(常规组)采用高位J钩牵引治疗,微种植钉组(微钉组)接受微种植钉法治疗,联合组在微种植钉法治疗基础上加用自我效能干预治疗。比较三组牙龈暴露量、侧貌和面型指标及心理状态。结果三组治疗前牙龈暴露量相比无差异(P>0.05),与常规组相比,治疗后4、6、8个月,微钉组牙龈暴露量均显著降低(P<0.05),而联合组改善效果更优于微钉组(P<0.05)。治疗后8个月,微钉组侧貌、面型指标变化优于常规组(P<0.01),而联合组与微钉组无差异(P>0.05)。常规组治疗前后心理焦虑、抑郁评分无显著差异(P>0.05),微钉组、联合组治疗后显著降低(P<0.01),且联合组优于微钉组(P<0.01)。与常规组相比,微钉组满意度显著提高(P<0.05),联合组满意度为93.3%,微钉组为70.0%,两组相比差异显著(P<0.05)。结论微种植钉联合自我效能干预显著改善口腔正畸患者牙龈暴露量,对患者侧貌、面型也有一定效果,且治疗过程负面情绪有效缓解。
Objective To explore the effect of micro-implant nail combined with self-efficacy intervention on the profile,facial shape and psychological status of adolescents with gingival laughter.Methods From April 2016 to November 2018,90 patients with gingival laughter were recruited in orthodontic department.After fixed orthodontic appliances,they were divided into three groups according to the principle of 1∶1,30 cases in each group.The conventional treatment group(conventional group)was treated with high J hook traction,and the micro-implant nail group(micro-nail group)was treated with micro-implant nail method.The combined group was treated with self-efficacy intervention on the basis of micro-implant nailing.The gingival exposure,profile,facial profile and psychological status of the three groups were compared.Results There was no difference in gingival exposure among the three groups before treatment(P>0.05).Four,six and eight months after treatment,gingival exposure in the micro-nail group was significantly lower than that in the conventional group(P<0.05),while the combined group was better than that in the micro-nail group(P<0.05).After 8 months of treatment,the changes of lateral appearance and facial shape index in the micro-nail group were better than those in the conventional group(P<0.01),while there was no difference between the combined group and the micro-nail group(P>0.05).There was no significant difference in the scores of anxiety and depression before and after treatment in the routine group(P>0.05).After treatment,the scores of anxiety and depression in the micro-nail group and the combined group decreased significantly(P<0.01),and the combined group was better than the micro-nail group(P<0.01).Compared with the conventional group,the satisfaction of the micro-nail group was significantly improved(P<0.05).The satisfaction of the combined group was 93.3%,and that of the micro-nail group was 70.0%.The difference between the two groups was significant(P<0.05).Conclusion Microimplant nail combined with self-efficacy intervention can significantly improve gingival exposure in patients with orthodontic treatment.It also has certain effects on patients’profile and facial shape,and can effectively alleviate negative emotions in the treatment process.
作者
刘进
冯道宽
LIU Jin;FENG Daokuan(Department of Orthodontics,Nanjing Maternity and Child Health Care Hospital,Nanjing 210004,China)
出处
《口腔医学》
CAS
2020年第10期922-926,共5页
Stomatology
关键词
微种植钉
自我效能干预
口腔正畸
软组织
心理状态
micro-implant nail
self-efficacy intervention
orthodontics
soft tissue
psychological state
