Improvement of the mastication function of orthodontics combined with restoration in the treatment of deep overbite with severe lower anterior teeth attrition

doi:10.19439/j.sjos.2024.02.015

Abstract

Abstract: PURPOSE: To observe the effect of orthodontics combined with restoration on masticatory function in deep overbite patients with severe lower anterior teeth attrition. METHODS: From January 2018 to January 2022, a total of 164 deep overbite patients with severe lower anterior teeth attrition were collected and divided into two groups according to different treatment plans: control group(72 patients, with restoration treatment) and experimental group(92 patients, with orthodontics combined with restoration treatment). The chewing efficiency of the two groups was evaluated, temporomandibular joint dysfunction index (DI), muscle palpation index (PI) and cranio-mandibular index (CMI) were calculated. The satisfaction with facial esthetic, the Chinese version of Oral Health Impact Scale-14(OHIP-14) and the repair satisfaction score were evaluated, the occurrence of adverse events between the two groups was compared. SPSS 23.0 software package was used for statistical analysis. RESULTS: After treatment, the chewing efficiency of the experimental group was significantly improved compared to the control group, while the DI, PI, and CMI were significantly reduced compared to the control group(P< 0.05). Compared with the control group, the satisfaction degree with facial esthetic and restoration in the experimental group was significantly higher, while the OHIP-14 score was significantly lower after treatment(P< 0.05). The incidence of adverse events in the experimental group was significantly decreased compared with the control group (6.52% vs 25.00%, P< 0.05). CONCLUSIONS: Combination of orthodontics and restoration treatment can enhance the effectiveness of restoration treatment for deep overbite with severe lower anterior teeth attrition, improve the mastication function and temporomandibular joint balance,satisfaction and quality of life of patients, as well as reduce the risk of adverse events.

Key words: Orthodontics, Restoration, Deep overbite, Attrition, Mastication function

CLC Number:

R783.5

LU Qian, WANG Jing, PANG Shu-ting, ZHOU Jian-ying, FENG Yan-fen, LU Wen-juan, ZHANG Qian. Improvement of the mastication function of orthodontics combined with restoration in the treatment of deep overbite with severe lower anterior teeth attrition[J]. Shanghai Journal of Stomatology, 2024, 33(2): 190-194.

References

[1] Bartlett D, O'Toole S. Tooth wear and aging[J]. Aust Dent J, 2019, 64(Suppl 1): S59-S62.
[2] El-Khoder A, Pia JP, Soenen A, et al.A brief history of tooth wear[J]. J Hist Dent, 2023,71(1):50-57.
[3] Millett DT, Cunningham SJ, O'Brien KD, et al. Orthodontic treatment for deep bite and retroclined upper front teeth in children[J]. Cochrane Database Syst Rev, 2017,10(10):CD005972.
[4] Shahabuddin N, Kang J, Jeon HH.Predictability of the deep overbite correction using clear aligners[J]. Am J Orthod Dentofacial Orthop, 2023,163(6):793-801.
[5] Elbarnashawy SG, Keesler MC, Alanazi SM, et al.Cephalometric evaluation of deep overbite correction using anterior bite turbos[J]. Angle Orthod, 2023, 93(5):507-512.
[6] Smith BG, Knight JK.An index for measuring the wear of teeth[J]. Br Dent J, 1984, 156(12): 435-438.
[7] 梁倩, 吕瑾茹, 轩亚茹, 等. 玻璃纤维桩结合BisCem树脂水门汀对接受残根残冠修复患者牙齿咬合力及咀嚼效率的影响[J]. 中国医疗美容, 2020, 10(1): 60-64.
[8] 中华口腔医学会颞下颌关节病学组. 推荐使用的颞下颌关节紊乱病门诊病历[J]. 中华口腔医学杂志, 2002, 37(4): 304-305.
[9] Hussein MO, Alruthea MS.Marginal bone level changes and oral health impact profile (14) score of smokers treated by mandibular mini implant overdentures: a 5-year follow-up study[J]. Eur J Dent, 2020, 14(4): 590-597.
[10] 李蕴聪, 陈璐, 瞿黎阳, 等. CEREC数字化椅旁修复与传统热压铸技术在全瓷髓腔固位冠修复中的临床效果比较[J]. 临床口腔医学杂志, 2019, 35(6): 346-351.
[11] Uzuner FD, Aslan BI, Dinçer M. Dentoskeletal morphology in adults with Class I, Class II Division 1, or Class II Division 2 malocclusion with increased overbite[J]. Am J Orthod Dentofacial Orthop, 2019, 156(2):248-256.e2.
[12] 林东, 徐欣. 牙列重度磨耗伴颞下颌关节骨关节病的功能和美学重建[J]. 中华口腔医学杂志, 2019, 54(6): 399-402.
[13] 李波. 咬合重建修复中的相关学问题[J].中国实用口腔科杂志, 2019, 12(1): 6-9.
[14] 李蕴聪, 刘瑞瑞, 王方, 等. 粘接功能性美学原型技术在牙列重度磨耗咬合重建修复中的应用[J]. 现代口腔医学杂志, 2019, 33(3): 129-133.
[15] 赵郑莉, 董庆旭, 刘冰. 固定义齿咬合重建对牙列重度磨耗伴缺损患者咀嚼功能及牙齿松动度的影响[J].四川生理科学杂志, 2022, 44(9): 1652-1654.
[16] 马玉新, 刘哲, 赵楠, 等. 正畸-修复联合治疗美学修复1例[J].中国临床案例成果数据库, 2023, 5(1): E00486-E00486.
[17] 许振峰. 口腔正畸联合修复治疗先天性缺牙的效果及对咀嚼功能的影响[J]. 临床医学, 2019, 46(9): 60-62.
[18] 董海文, 张铁良, 赵芳萍, 等. 口腔正畸+口腔修复治疗对先天性缺牙患者语言功能、咀嚼功能的影响[J]. 临床医学研究与实践, 2020, 5(15): 93-95.
[19] 徐维宁, 汪虹虹, 张琴琛. 成人凹面畸形美学联合诊治1例报告[J].上海口腔医学,2023,32(4):443-448.
[20] 赵华翔, 于敏, 李峥, 等. 正畸联合多学科治疗牙列重度磨耗伴磨牙缺失和牙周炎一例[J]. 中国口腔医学继续教育杂志, 2022, 25(3): 174-179.