正畸术后不同保持方式保持效果的对比研究
Comparison of the effects of different maintenance methods after orthodontic treatment
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摘要: 目的 比较不同保持器和保持方式对正畸患者治疗后保持效果的影响。方法 收集2019年1月到2019年9月非拔牙固定正畸治疗结束患者60例,随机分为4组,A组患者使用Hawley保持器全天保持,B组患者使用透明压膜保持器全天保持,C组患者使用固定舌侧保持器结合Hawley保持器夜间保持,D组患者使用固定舌侧保持器结合透明压膜保持器夜间保持。每位患者在正畸治疗结束时和保持1年后进行数字化口内扫描,打印3D模型。分别在模型上测量保持前后的PAR指数评价保持情况。结果 保持器戴用1年后,4组患者的PAR指数各指标差异无统计学意义(P>0.05)。A组患者保持1年后的PAR指数总分值高于保持前,差异有统计学意义(P<0.05),C组患者保持1年后的不齐和PAR总分值均较保持前增加,差异有统计学意义(P<0.05),其余各指标保持前后的差异无统计学意义(P>0.05)。结论 对于非拔牙矫治的患者,推荐使用透明压膜保持器来维持正畸治疗效果。Abstract: Objective To compare the effects of different retainers and maintenance methods on orthodontic patients after treatment. Methods A total of 60 patients undergoing non-extraction fixed orthodontic treatment from January 2019 to September 2019 were enrolled. They were randomly divided into four groups: group A using a Hawley retainer, group B using a vacuum formed retainer, group C using a fixed lingual retainer combined with a Hawley retainer at night, and group D using a fixed lingual retainer combined with a vacuum formed retainer at night. Each patient underwent intraoral scanning to print a 3-D model after orthodontic treatment and maintenance for one year. Their peer assessment rating (PAR) indexes before and after maintenance were measured on the model to evaluate the effects of maintenance. Results There was no significant difference in PAR index among the four groups after wearing retainer for one year (P>0.05). Patients in group A showed a higher total score of PAR index after maintenance for one year than those before maintenance (P<0.05). Patients in group C presented remarkable increases in disprepancy and total PAR score after maintenance for one year than those before maintenance (P<0.05). There were no statistical differences in other indicators. Conclusions For non-extraction orthodontic patients, vacuum formed retainer is recommended to maintain orthodontic treatment effect.