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1、68 exception of traumatic tooth mobilityfixed-clinical efficacy of AnalysisAbstractObjective:Toinvestigatetheclinicaleffectsofdifferentfixationmethodsoftreatmentoftraumaticteethloose.Methods:A retrospectiveanalysisofourdepartmentinAugust 2007toMay2011resinsplint + stainless steel wire fixation for t
2、he treatment of 68patients(80traumaThe natureofthe clinicaldataofpatients with loose teeth, arch splint therapy in 68 patients(82patientsinthecontrolgroupandinthepast,werecomparedtopatientoutcomes.Results:groupwassignificantlybetterthanthecontrolgroup,groupdifferencewasstatisticallysignificant( 2=3.
3、632,P<0.05, two groupsof patients with teeth and adjacentteethandsulcusbleedingindex,gingivalindexandplaqueindexdifferencebetweenthegroupswasstatistically significant (P <0.05. conclusions: resin splint+ stainless steel wire fixation for the treatmentoftraumatic teeth loose curative ef
4、fect, worthy of promotion.1KeyWordstraumaticlooseteeth;resinplywood, stainless steel wire arch splint Dental trauma is a common maxillofacial trauma due to external impact, periodontal gum recession elderly gums nutrition atrophyand other reasons can cause loose teeth, affect the function of traumat
5、ic loose teeth above incisors loose the most common 1,2. take effective way to fixed treatment isthe key to solve the loose teeth to restore chewing function.Our hospital with a resin splint + stainless steel wire fixation for the treatment of 68 patients (80 traumatic incisor teeth loose, and achie
6、ved satisfactory results are as follows:An object with methods1.1 The object of study:To observe the group of 68 patients were in August 2007to May2011,theDentalClinicof thehospitaladmittedtraumaticincisorteeth loose, including 45males and 23females, aged from 17 to 51 years, the average age (33.5 +
7、 -5.9 years old. each patient is injured tooth 2, loose teeth degree, a total of 80 control group 68 patients oftheDentalClinicofourhospitaloverthesameperiod2weretreatedfortraumatic cutlooseteethpatients42casesweremaleand26femalepatients,aged18 to49years old, average age (32.7 + -6.4 years old. each
8、 patientwereinjuredtwoteeth,looseteeth degree,atotalof 82patientsweregender,age,loose teeth,theextentof the differencewas notstatisticallysignificant,werecomparable(P>0.05,twogroupsofpatientsbeforesigningtheinformedconsentandethicalrequirements.1.2 treatment: control group, the arch splinting
9、looseteeth:Takethefinishedarchbarsplint,lengthofloose teeth on both sides of at least two solid teeth, 0.25mmdiameter stainlesssteeljunction ligationwirealongthetoothneckligationsplints,fixed4to6weeksobservationgroup were treated with resinsplint+stainless steel wire fixed loose tooth teeth made: Fi
10、rst, thefinisheddiameterof1.0mmstainlesssteelroundwirebent to the shape and arch form, length, including at leasttwo loose teeth on both sides a solid teeth, lips and buccalsurfaces of teeth fit appropriate, and then the lip surfacecleaningoflooseteeth,separatedfrom thewet,acid3etching, rinsing and
11、drying with a resin bonded fixedtothe teeth, lips and buccal / 3, the resin cover wire to keepthe adjacent gap is smooth, smooth surface. a fixed timeof 4 to 6 weeks.1.3 OUTCOME MEASURES: The patients were compared between the two groups there is always efficient, two groups were compared to the rem
12、oval of fixtures teeth and adjacent teeth and sulcus bleeding index (SBI), gingival index (GI) and plaque index (PLI).1.4 Clinical evaluation: after the end of treatment, both groups were followed up for 6 months tocomparetreatmentefficacyevaluationcriteria:(1)markedly: no loose teeth, chewing funct
13、ion returned to normal, X-ray showed apical and alveolar bone absorption The turn for the better: loose grade I or less, patientswithmasticatoryfunctionrecoveredX-rayfilmofteethwith apical and alveolar bone absorption, but absorptionof <2mm(3) invalid:teethlooseII III, affectingthenormal chew
14、ing function, X-rayto see theapex and thealveolar bone absorption of> = 2 mm.41.5StatisticalMethods:Clinicalevaluationofcasesthenumberandpercentagebetweenthetwogroups were compared using the2 test. SBI, GI and PLImean+- standarddeviationbetweenthetwogroupswere compared using the u test, P &am
15、p;lt;0.05 for differencestatistically significance.2 Results2.1 treatment six months later, twogroups of patient outcomes in Table 1.2.2 Treatment of6 months after the two groups of patients of SBI, GI andPLI is shown in table 2.3Theprincipleoflooseteethfixedtreatmenttheinjured afterthe shiftandloos
16、eteeth andhealthyteethligationfixedasa whole,sothatthe formationof amulti-root teeth, joint single tooth to play the function ofthemulti-rootteeth,andwiththeadjacenthealthyfixationofthe teeth,the chewingforcetoformagoodsolidforce,effectivelydispersedthebiteforce,therebyreducingtheocclusaltrauma,inor
17、dertopromotethelooseningoftheteeth,alveolarboneregenerationandhealing of periodontal tissue. joint due to the number of5teeth, fixed, and was bent, curved and meet the teeth anatomical location and function of request, an increase of the stability and resistance of the teeth, loose teeth and reliabl
18、e fixed and provide good conditions for the tooth torepair itself 3,4 .Share in the free paperTable 1 two groups of patients treatment n (%Note: 2 = 3.632, P <0.05Table 2 groups after 6 months of treatment in patients with SBI, GI and PLI compareThe observation group of 68 patients, 80 teeth
19、aremade of resin plywood fixed + stainless steel wire fixation,resinsplint +stainlesssteelwirefixationoflooseteethloose front tooth and both sides are not fixed into a stableoverall, the formation of a new chewing units masticatoryfunctioncanbequicklyrestored.resinsplint+stainlesssteelfixationontheg
20、umsto stimulatemorearchbarsplintfixation,teethwith periodontaltissuehealth.archsplinting loose teeth, you need the finished arch splint forligationfixedplusligationfilaments,becauseofitsstructure is more complex and difficult to clean, to prevent6oral self-cleaning, leading to gingival index, plaque
21、 index,sulcusbleedingindexincreased5.dentalarch splintgroupbeforeandaftertreatmentweekindex issignificantlydifferent,theefficiencywas significantlyhigherintheobservationgrouptreatmentdifferencebetween groups was statistically significant.The above summary, the use of resin splint + stainless steel wire fixation for the treatment of traumaticloose teeth, clinical efficacy, is worthy of clinical res
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