李源正畸固定矫治后牙釉质脱矿相关危险因素分析888

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1、正畸固定矫治后牙釉质脱矿相关危险因素分析Analysisofriskfactorsassociatedwithenameldemineralizationafterfixedorthodonticappliances【摘要】目的:研究正畸闹定娇治后牙釉质脱矿的相关危险因素及处理方法，为临床提供依据。方法：选取2014年2月-2016年3月医院诊治的正畸固定矫治治疗患者116例，采用拟问卷调查表对患者治疗时相关危险因素进行分析，采用SPSS18.0软件进行单因素和多因素非条件Logistic分析，分析正畸固定矫治后牙釉质脱矿的相关危险因素。结果：正畸固定矫

2、治后牙釉质脱矿发生率与性别差异无统计学意义(P>0.05);正畸固定矫治后牙釉质脱矿发生率与年龄、正畸疗程、刷牙频率、含氟牙膏、饮食甜食及饮用碳酸饮料关系密切(P<0.05)；正畸固定矫治后牙釉质脱矿非条件Logistic分析显示：正畸固定矫治后牙釉质脱矿发生率与年龄、不良饮食习惯、刷牙次数及正畸疗程关系密切(P<0.05)。结论：正畸固定矫治后牙釉质脱矿的相关危险因素较多，应根据危险因素采取积极有效的措施应对，捉尚临床治愈率。【关键词】正畸固定；后牙釉质脱矿；危险因素；处理方法；治愈率[Abstract]Objective:Studyoffixedor

3、thodontictreatmentofenameldemineralizationofrelatedriskfactorsandtreatmentmethods，forclinicalprovidesthebasis.Methods:February2014to2016years3monthsinthehospitalfortreatmentoforthodonticfixedappliancetreatmentinpatientswith116cases，carriesontheanalysistothetreatmentofpatientswith

4、associatedriskfactorsbyself-madequestionnaire,usingSPSS18.0softwaretocarryonthesinglefactorandmultifactornonconditionallogisticregressionanalysis,analyzingoffixedorthodontictreatmentofenameldemineralizationrelatedriskfactors.Results:fixedorthodontictreatmentofenameldemineralizati

5、onincidencerateandthegenderdifferencewasnotstatisticallysignificant(P>0.05);fixedorthodontictreatmentofenameldemineralizationrateandage,orthodontictreatment,frequencyoftoothbrushing，containingfluoridetoothpaste，eatingsweetsanddrinkingcarbonateddrinksrelationshipclosely(P<0.05);fi

6、xedorthodontictreatmentofenameldemineralizationofnonconditionallogisticanalysisshowedthatthefixedorthodontictreatmentofenameldemineralizationhadaratewithage,poordietandbrushingandorthodontictreatmentrelationshipclosely（P<0.05）.Conclusion:fixedorthodontictreatmentofenameldemineral

7、izationofmanyriskfactors，shouldbebasedonriskfactorstotakeactiveandeffectivemeasurestodealwithandimprovetheclinicalcurerate.［Keywords］fixedorthodontic;enameldemineralization;riskfactors;treatmentmethod;curerate固定娇治器是临床上常见的治疗方法，该方法在门腔正畸治疗屮使用较多，并取得了良好的治疗效果［lj。但是，部分患者治疗过程中由于固定矫治器中的托槽

8、、弓丝等导致牙齿表面的软垢不容易被清理，再加上患者不良的生活爱好，患者治疗后由于