个体化口腔健康宣教对无托槽隐形矫治青少年患者口腔卫生状况的影响  

Effect of individual oral health education on the oral hygiene status of adolescents with invisible aligners

作　　者：柯正建 黄诗言[2] 徐舒豪 李小兵[2] Ke Zhengjian;Huang Shiyan;Xu Shuhao;Li Xiaobing(Outpatient Department of Chongwen,Wuxi Stomatological Hospital in Jiangsu Province,Wuxi 214000,China;State Key Laboratory of Oral Diseases&National Clinical Research Center for Oral Diseases&Dept.of Pediatric Dentistry,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]江苏无锡口腔医院崇文门诊部,无锡214000 [2]口腔疾病研究国家重点实验室,国家口腔疾病临床医学研究中心,四川大学华西口腔医院儿童口腔科,成都610041

出　　处：《国际口腔医学杂志》2018年第5期534-538,共5页International Journal of Stomatology

摘　　要：目的研究青少年无托槽隐形矫治患者的口腔卫生状况,揭示对其进行个体化口腔健康宣教的影响及重要性,为其临床应用提供理论依据。方法 ??选择60例进行无托槽隐形矫治的青少年患者,根据口腔健康宣教方式及强度随机分为试验组和对照组,选择20例未进行正畸治疗的青少年作为空白组,于矫治前、治疗后1个月及6个月时分别检查菌斑指数(PLI)和牙龈出血指数(BI)。结果 ??矫治开始前试验组、对照组及空白组PLI最高的牙位均为16牙,最低的是21牙。矫治1个月及6个月后试验组PLI显著下降,BI无明显变化;而对照组PLI无明显变化,BI略有增高;空白组PLI及BI均有所降低。同一检查时间点,试验组分别与对照组、空白组比较,PLI和BI有不同程度的差异。结论 ??进行个体化口腔健康宣教对改善接受无托槽隐形矫治的青少年患者的口腔卫生状况具有显著作用。Objective To reveal the oral hygiene status of adolescents with invisible appliances,identify the importance of individual health education,and provide a theoretical basis for clinical practice.Methods Sixty adolescent patients with invisible appliances were divided into two groups according to health education mode.Twenty adolescents without any orthodontic treatment were enrolled to the blank group.Plaque index(PLI)and bleeding index(BI)were used to describe the status of oral hygiene before,1 month after,and 6 months after treatment.Results Before treatment,the highest PLI was recorded in the right maxillary first molar of all groups,and the lowest PLI was observed in the left maxillary central incisor.After treatment,the PLI of the experimental group significantly decreased while that of the control group showed no significant change.The BI in the experimental group did not change,but an increase in this index was observed in the control group.Both PLI and BI tended to decrease in the blank group.At the same check-points,statistical differences in terms of PLI and BI were observed between the experimental and control or blank groups.Conclusion Intensified individual oral health education can improve the oral hygiene status of adolescents with invisible appliances.

关 键 词：无托槽隐形矫治 口腔卫生 健康宣教 青少年 

分 类 号：R783.5[医药卫生—口腔医学]