自锁托槽非拔牙矫治对恒牙列重度拥挤患者根尖吸收量及治疗时效的影响
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吴定银(1974.3-),男,湖北恩施人,本科,主治医师,主要从事口腔医学相关工作

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R783.5

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Effect of Self-ligating Bracket Non-extraction Orthodontics on Apical Root Resorption and Treatment Time in Patients with Severe Crowding in Permanent Dentition
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    摘要:

    目的 探究自锁托槽非拔牙矫治对恒牙列重度拥挤患者根尖吸收量及治疗时效的影响。方法 选取2024年5月-2025年5月建始县中医医院收治的80例恒牙列重度拥挤患者作为研究对象,按照随机数字表法将其分为传统组和自锁组,各40例。传统组采用传统OPA-K直丝弓托槽系统拔牙矫治,自锁组采用自锁托槽非拔牙矫治,比较两组牙根长度、根尖吸收量、治疗时效。结果 自锁组矫治后1个月上颌中切牙、上颌侧切牙、下颌中切牙及下颌侧切牙牙根长度均高于传统组(P<0.05);自锁组矫治后1个月根尖吸收量优于传统组(P<0.05);自锁组整体疗程时间、牙列恢复平齐时间、间隙闭合时间均少于传统组(P<0.05)。结论 对于恒牙列重度拥挤的矫治,自锁托槽非拔牙矫治不仅能提升治疗效率、缩短治疗时效,还能更好地保护牙根,有效减轻牙根吸收程度并降低重度吸收的发生风险。

    Abstract:

    Objective To explore the effect of self-ligating bracket non-extraction orthodontics on apical root resorption and treatment time in patients with severe crowding in permanent dentition. Methods A total of 80 patients with severe crowding in permanent dentition admitted to Jianshi County Hospital of Traditional Chinese Medicine from May 2024 to May 2025 were selected as the research subjects, and they were divided into the traditional group and the self-ligating group by the random number table method, with 40 patients in each group. The traditional group received extraction orthodontics with traditional OPA-K straight wire bracket system, and the self-ligating group received self-ligating bracket non-extraction orthodontics. The root length, apical root resorption and treatment time were compared between the two groups. Results The root lengths of maxillary central incisors, maxillary lateral incisors, mandibular central incisors and mandibular lateral incisors in the self-ligating group at 1 month after orthodontics were higher than those in the traditional group (P<0.05). The apical root resorption in the self-ligating group at 1 month after orthodontics was better than that in the traditional group (P<0.05). The overall course of treatment, dentition alignment time and space closure time in the self-ligating group were shorter than those in the traditional group (P<0.05). Conclusion For the treatment of severe crowding in permanent dentition, self-ligating bracket non-extraction orthodontics can not only improve treatment efffciency and shorten treatment time, but also better protect the root, effectively reduce the degree of root resorption and lower the risk of severe resorption.

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吴定银.自锁托槽非拔牙矫治对恒牙列重度拥挤患者根尖吸收量及治疗时效的影响[J].医学美学美容,2026,35(5):5-8.

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  • 在线发布日期: 2026-04-09
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