无托槽隐形矫治与固定矫治对于成人牙周状况的对比研究  

Comparative Study of Invisible Orthodontic Treatment and Fixed Orthodontic Treatment for Adult Periodontal Conditions

作　　者：张瑾[1] 王小亮 马金骥 ZHANG Jin;WANG Xiao-liang;MA Jin-ji(Department of Orthodontics,High-tech Institute,Jinan Stomatological Hospital,Liaocheng,Shandong Province,250001 China;Department of Prosthetics,Jinan Stomatological Hospital,Dezhou,Shandong Province,250001 China)

机构地区：[1]济南市口腔医院高新院区正畸科,山东聊城250001 [2]济南市口腔医院高新院区修复科,山东德州250001

出　　处：《中外医疗》2018年第28期77-79,共3页China & Foreign Medical Treatment

摘　　要：目的对比研究无托槽隐形矫治与固定矫治对于成人牙周状况的影响。方法 2016年9月—2017年12月期间,方便选择该院收治的口腔正畸患者共42例,采用双盲法将其平均分为对照组与研究组,每组21例。对照组,予以固定矫治,研究组,予以无托槽隐形矫治,基于不同时间段,比较两组患者牙周状况。结果 (1)矫治前与矫治完成后3月,两组患者的PLI、GBI、PD无明显差异(t=0.132、0.151、0.080,P=0.895、0.881、0.936;t=0.094、0.163、0.135,P=0.925、0.871、0.892)。(2)矫治1月与矫治3月,研究组PLI、GBI、PD分别为(1.74±0.59)、(0.95±0.27)、(2.67±0.51)与(2.01±0.72)、(1.09±0.37)、(2.41±0.53),对照组分别为(2.34±0.61)、(1.24±0.42)、(3.24±0.47)与(2.76±0.34)、(1.34±0.42)、(2.75±0.36),组间差异有统计学意义(t=3.239、2.661、3.766,P=0.002、0.011、0.001;t=4.316、2.046、2.431,P=0.000、0.047、0.019)。(3)矫治6月、矫治完成时,研究组PLI、GBI明显优于对照组(t=5.854、4.354,P=0.000、0.000;t=4.895、4.017,P=0.000、0.000)。结论相比固定矫治,无托槽隐形矫治更有助于维护牙周健康。Objective This paper tries to compare the effects of invisible orthodontic treatment and fixed orthodontic treatment on adult periodontal conditions. Methods From September 2016 to December 2017, a total of 42 orthodontic patients admitted to the hospital were selected conveniently and divided into a control group and a study group by double-blind method, with 21 cases in each group. In the control group, fixed orthodontic treatment was performed. The study group was treated with braeketless invisible correction. The periodontal status of the two groups was compared based on different time periods. Results 1.Before and after the correction, there was no significant difference in PLI, GBI and PD between the two groups （t=0.132,0.151、0.080, P=0.895,0.881、0.936; t=0.094、0.163、0.135, P= 0.925,0.871、0.892）. 2.In January and March, the PLI, GBI and PD of the study group were （1.74±0.59）, （0.95±0.27）, （2.67±0.51） and （2.01±0.72）, （1.09±0.37）, （2.41± 0.53）, the control group were （2.34±0.61）, （1.24±0.42）, （3.24±0.47） and （2.76±0.34）, （1.34±0.42）, （2.75±0.36）, and the differences between the groups were statistically significant significance （t=3.239.2.661、3.766, P=0.002,0.011、0.001; t=4.316, 2.046、2.431, P=0.000,0.047、0.019）. 3.In June of treatment and the completion of the treatment, the PLI and GBI of the study group were significantly better than the control group （t=5.854,4.354, P=0.000、0.000; t=4.895,4.017, P=0.000、0.000）. Conclusion Compared with fixed correction, bracketless invisible correction is more helpful to maintain periodontal health.

关 键 词：无托槽隐形矫治 固定矫治 成人 牙周状况 

分 类 号：R783.5[医药卫生—口腔医学]