【摘要】目的：分析研究牙體牙髓联合正畸治疗恒上前牙冠根折的疗效分析及有效率。方法：研究时段选取范围2017年01月～2021年01月，入选此次研究100例患者均为我院接收治疗的恒上前牙冠根折，结合此间恒上前牙冠根折患者应用治疗方法的差异，将其分别纳入对照组和观察组，各50例，依次实施常规治疗及牙体牙髓联合正畸治疗，比较在不同干预措施应用下的治疗效果、并发症发生率、生活质量、各项功能、VAS评分。结果：分析治疗效果，经治疗后，观察组恒上前牙冠根折患者的有效率（98.00%）得到了显著提升，和对照组（82.00%）相比，P<0.05。在并发症方面，和对照组（14.00%）相比，观察组（2.00%）更低，P<0.05。观察组生活质量及各项功能评分较对照组更高，P<0.05。分析VAS评分，和对照组相比，观察组评分更低，P<0.05。结论：在恒上前牙冠根折治疗期间，通过予以牙体牙髓联合正畸治疗方法，改善患者咀嚼功能的同时有助于提高美观舒适度，且降低了并发症发生率，患者的疼痛感减少，生活质量有所提升，很大程度上提高了治疗水平，在临床中值得应用和推广。
【关键词】牙体牙髓;正畸治疗;恒上前牙冠根折;治疗效果;并发症;生活质量
【Abstract】 Objective： To analyze and study the curative effect and effective rate of dental pulp combined with orthodontic treatment for crown and root fractures of permanent upper anterior teeth. Method： The study period was selected from January 2017 to January 2021. All 100 patients selected for this study were permanent upper anterior teeth crown and root fractures treated in our hospital， combined with the treatment of patients with permanent upper anterior teeth crown and root fractures. The difference of the method was divided into the control group and the observation group， 50 cases in each， routine treatment and dental pulp combined orthodontic treatment were carried out in sequence， and the treatment effect， complication rate and quality of life under the application of different intervention measures were compared. ， Various functions， VAS score. Result： The treatment effect was analyzed. After treatment， the effective rate （98.00%） of patients with permanent upper anterior tooth crown and root fracture in the observation group was significantly improved， compared with the control group （82.00%）， P<0.05. In terms of complications， compared with the control group （14.00%）， the observation group （2.00%） was lower， P<0.05. The quality of life and various function scores of the observation group were higher than those of the control group， P<0.05. Analyzing the VAS score， compared with the control group， the observation group had a lower score， P<0.05. Conclusion： During the treatment of permanent upper anterior teeth with crown and root fractures， the combination of dental pulp combined with orthodontic treatment can improve the patient's masticatory function and at the same time help improve aesthetics and comfort， and reduce the incidence of complications and patients’ pain The quality of life has been improved and the level of treatment has been improved to a large extent. It is worthy of application and promotion in clinical practice.