Clinical study of the effect of combined orthodontic and restoration treatment for introverted deep overbite patients with severe wear

doi:10.19439/j.sjos.2023.06.017

Abstract

Abstract: PURPOSE: To investigate the effectiveness of combined orthodontic and restoration treatment for introverted deep overbite patients with severe wear. METHODS: A total of 86 introverted deep overbite patients with severe wear admitted to Cangzhou People's Hospital from December 2020 to June 2022 were collected and divided into the control group and the experimental group by gender, age, degree of wear and tear, with 43 cases in each group. The control group received orthodontic treatment, while the experimental group received combined orthodontic and restoration treatment. The gingival index (GI), periodontal index(PI), smile index, temporomandibular joint space [anterior space, superior space, posterior space and In (P/A)], tooth function (chewing function, pronunciation function, dental occlusal function) and chewing efficiency of 2 groups before and after treatment were compared. Statistical analysis was performed with SPSS 22.0 software package. RESULTS: Compared with the control group, the orthodontic treatment time of the experimental group patients was significantly reduced(P<0.05). Before treatment, there was no significant difference in GI, PI, smile index, buccal gap rate, temporomandibular joint space, swallowing function and chewing efficiency between 2 groups(P>0.05). After treatment, compared with the control group, the GI, PI, anterior space were significantly reduced(P<0.05); the smile index, posterior space and In (P/A), chewing function, pronunciation function, tooth occlusion and chewing efficiency significantly increased (P<0.05). CONCLUSIONS: Both orthodontic treatment and combined orthodontic and restoration treatment can be used to treat introverted deep overbite patients with severe wear. However, combination of orthodontic and restoration treatment has significant advantages.

Key words: Orthodontic, Restoration, Introverted deep overbite, Wear

CLC Number:

R783.5

WANG Jing, LU Qian, ZHOU Jian-ying, PANG Shu-ting, FENG Yan-fen, LU Wen-juan, ZHANG Qian. Clinical study of the effect of combined orthodontic and restoration treatment for introverted deep overbite patients with severe wear[J]. Shanghai Journal of Stomatology, 2023, 32(6): 656-660.

References

[1] Bozkaya E, Kaygisiz E, Tortop T, et al.Mandibular posterior space in class II division 1 and 2 malocclusion in various age groups[J]. J Orofac Orthop, 2020, 81(4): 249-257.
[2] 吴可, 王林, 于剑南, 等. 上前牙区微种植支抗矫治成人内倾型深覆机制的临床研究[J]. 实用口腔医学杂志, 2020, 36(6): 944-948.
[3] De Stefani A, Bruno G, Conte E, et al.Prevalence and patterns of tooth agenesis in Angle Class II division 2 malocclusion in Italy: a case-control study[J]. Int Orthod, 2019, 17(3): 538-543.
[4] Hemmatpour S, Molladavoodi P, Oliadarani FK, et al.Effects of Sabbagh Universal Spring 2 appliance on cephalometric indices in patients with Class II division 1 versus division 2 malocclusions: a preliminary before-after clinical trial[J]. Dent Res J (Isfahan), 2021, 18(4): 38-49.
[5] Cruz RM.Orthodontic traction of impacted canines: concepts and clinical application[J]. Dental Press J Orthod, 2019, 24(1): 74-87.
[6] Hasan HS, Elkolaly MA, Marya A, et al.Interdisciplinary orthodontics-implants management of a challenging hypodontia case complicated by a Class II division 2, bimaxillary retroclination[J]. Int Orthod, 2023, 21(3): 100783.
[7] Jowett AC.The British Orthodontic Society MOrth Cases Prize 2019[J]. J Orthod, 2021, 48(2): 144-155.
[8] 傅民魁. 口腔正畸学[M]. 北京: 人民卫生出版社, 2008: 49-123.
[9] Donachie MA, Walls AW.The tooth wear index: a flawed epidemiological tool in an ageing population group[J]. Community Dent Oral Epidemiol, 1996, 24(2): 152-158.
[10] 朱智敏, 曾宪涛. 口腔修复学与美学[M]. 北京: 人民卫生出版社, 2016: 144-147.
[11] 杨平. 正畸及修复应用于治疗牙列缺损合并牙颌畸形的临床疗效分析[J]. 世界最新医学信息文摘, 2014, 14(4): 102-102.
[12] 高莹, 马明宇, 张晓虹, 等. 成人安氏Ⅱ类2分类错畸形患者正畸排齐整平后的咬合特征[J]. 河南医学研究, 2021, 30(13): 2335-2339.
[13] Kaitsas R, Kaitsas F, Paolone G, et al.Ortho-perio risk assessment and timing flowchart for lingual orthodontics in an interdisciplinary adult ortho-perio patient: a case report of "Perio-Guided" orthodontic treatment[J]. Int Orthod, 2022, 20(1): 100598.
[14] Yamamoto T, Kaku M, Ono S, et al.Correction of severe skeletal Class II high angle with mandibular retrusion and gummy smile by double-jaw surgery[J]. Bull Tokyo Dent Coll, 2023, 63(4): 177-187.
[15] Swarnalatha C, Paruchuri U, Babu JS, et al.Prevalence of congenitally missing upper lateral incisors in an orthodontic adolescent population[J]. J Orthod Sci, 2020, 9(11): 15-20.
[16] Toz-Akalin T, Öztürk-Bozkurt F, Kusdemir M, et al.Clinical evaluation of low-shrinkage bioactive material giomer versus nanohybrid resin composite restorations: a two-year prospective controlled clinical trial[J]. Oper Dent, 2023, 48(1): 10-20.