自锁托槽正畸矫治对青少年牙列拥挤患者唇部突度指标及面部美学指标的影响
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盐城市第一人民医院 江苏盐城

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    摘要:

    目的 探讨自锁托槽正畸矫治对青少年牙列拥挤患者唇部突度、面部美学的优化价值。方法 选择2023年1月至2024年8月于我院就诊的80例青少年牙列拥挤患者,将其按双色球法随机分两组,对照组40例给予传统直丝弓托槽正畸矫治,研究组40例自锁托槽正畸矫治。比较两组唇部突度指标[上唇突度(ULP)、下唇突度(LLP)、颏唇沟深度(SLD)、鼻唇角(NLA)]、面部美学指标[面型角、全面突角、Z角、下唇突点至审美平面距(E线-LL)]、矫治相关指标[矫治时间、矫治期间疼痛评分(VAS)]。结果 矫治后,研究组ULP、LLP、SLD、E线-LL均低于同期对照组,NLA、面型角、全面突角、Z角均大于同期对照组(P<0.05);研究组平均矫治时间短于对照组,矫治期间VAS评分低于对照组(P<0.05)。结论 自锁托槽正畸矫治可显著改善青少年牙列拥挤患者唇部突度和面部美学,缩短矫治周期,减轻矫治期间疼痛程度。

    Abstract:

    Objective, To explore the optimization value of self-ligating bracket orthodontic treatment on lip protrusion and facial aesthetics in adolescents with dental crowding. Methods: A total of 80 adolescent patients with dental crowding treated in our hospital from January 2023 to August 2024 were selected and randomly divided into two groups using the double-color ball method. The control group (40 cases) received traditional straight-wire bracket orthodontic treatment, while the study group (40 cases) underwent self-ligating bracket orthodontic treatment. The lip protrusion indices [upper lip protrusion (ULP), lower lip protrusion (LLP), chin-lip sulcus depth (SLD), nasolabial angle (NLA)], facial aesthetics indices [facial angle, overall protrusion angle, Z-angle, distance from lower lip protrusion point to aesthetic plane (E-line-LL)], treatment-related indicators [treatment duration, pain score during treatment (VAS)] were compared between the two groups. Results: After treatment, the ULP, LLP, SLD, and E-line-LL in the study group were all lower than those in the control grou while the NLA, facial profile angle, total facial protrusion angle, and Z-angle were all greater than those in the control grou (P < 0.05). The average treatment duration in the study group was shorter than that in the control group, and the VAS score during treatment was lower in the study group (P < 0.05). Conclusion:Self-ligating bracket orthodontic treatment can significantly improve lip protrusion and facial aesthetics in adolescents with dental crowding, shorten the treatment cycle, reduce pain levels during treatment.

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  • 收稿日期:2026-04-23
  • 最后修改日期:2026-04-27
  • 录用日期:2026-04-27
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