| Abstract |
Objective To investigate the clinical effect of orthodontic traction combined with multidisciplinary comprehensive treatment for residual tooth roots, aiming to improve the retention rate of residual tooth roots and enhance patients oral function and aesthetics. Methods A total of 100 patients with residual tooth roots unsuitable for direct post-and-core crown restoration admitted between November 2022 and November 2024 were selected and randomly divided into a control group and a study group, with 50 patients in each. The control group received conventional treatment, including post-and-core crown restoration directly after endodontic treatment; the study group received orthodontic traction treatment on the basis of conventional treatment. Observational indicators were set as gingival papillary index (GPI), probing depth (PD), attachment loss (AL), mobility of teeth (MTD), and patient satisfaction score (PSS). All data were statistically analyzed before and after treatment. Results After treatment, the GPI in the study group decreased from an average of 3.6 to 1.2, PD decreased from an average of 4.5 mm to 2.8 mm, AL decreased from an average of 2.9 mm to 1.4 mm, MTD improved from an average grade of 2 to grade 1, and PSS increased from an average of 65 to 89. The improvement in these indicators was smaller in the control group, specifically with GPI decreasing from 4.6 to 2.7, PD decreasing to 3.7 mm, AL decreasing to 2.3 mm, MTD stabilizing at grade 1.5, and PSS increasing to 76. Comparison between the two groups showed that the improvement in various indicators was more significant in the study group, with a statistically significant difference (P<0.05). Conclusion The combination of orthodontic traction technology and multidisciplinary comprehensive treatment for cases of residual tooth roots unsuitable for direct post-and-core crown restoration can effectively enhance the success rate of residual tooth root preservation, promote the healthy recovery of periodontal tissues, and improve patients quality of life and satisfaction with treatment outcomes. This treatment provides a new therapeutic approach for residual tooth roots and demonstrates its clinical application value.
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