[摘 要]目的 评估上前牙埋伏阻生患者接受口腔正畸联合外科导萌手术的临床效果及对不良反应发生率的影响。方法 选取2020年6月-2023年11月于我院接受治疗的86例上前牙埋伏阻生患者为研究对象，随机分为对照组和观察组，每组43例。对照组采用外科导萌手术治疗，观察组采用口腔正畸联合外科导萌手术治疗，比较两组临床疗效、不良反应发生情况、咀嚼效率、破龈时间、牙齿美观度及疼痛程度。结果观察组治疗总有效率为95.35%，高于对照组的79.07%(P<0.05)；观察组不良反应发生率为2.33%，低于对照组的18.60%(P<0.05)；观察组治疗后咀嚼效率高于对照组(P<0.05)；观察组破龈时间短于对照组(P<0.05)；观察组治疗后PES评分高于对照组(P<0.05)；观察组治疗后VAS评分低于对照组(P<0.05)。结论 口腔正畸联合外科导萌手术可以缩短上前牙埋伏阻生患者破龈时间，改善咀嚼效率，缓解患牙疼痛感，提高整体疗效、美学效果，加之不良反应少，有临床借鉴意义。

    [关键词] 上前牙埋伏阻生；口腔正畸；外科导萌手术；破龈时间

    [中图分类号] R783 [文献标识码] A [文章编号] 1004-4949(2024)15-0011-04

    Clinical Effect of Orthodontics Combined with Surgical Guided Eruption Surgery in the Treatment of Impacted Upper Anterior Teeth

    HUANG Jie-neng， ZHAO Hai-qiang， LIN Qiu-ting

    (Department of Stomatology， Yangjiang People’s Hospital， Yangjiang 529500， Guangdong， China)

    [Abstract]Objective To evaluate the clinical effect of orthodontics combined with surgical guided eruption surgery in patients with impacted anterior teeth and its effect on the incidence of adverse reactions. Methods A total of 86 patients with impacted upper anterior teeth treated in our hospital from June 2020 to November 2023 were randomly divided into control group and observation group ......