口腔精细护理对固定矫正器正畸患者牙龈指数及牙釉质脱矿的影响探讨  

Effect of Fine Oral Care on Gingival Index and Enamel Demineralization in Orthodontic Patients with Fixed Appliance

作　　者：王馨妍 王欢欢[2] WANG Xin-yan;WANG Huan-huan(Department of Stomatology,First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China;Department of Cardiovascular Surgery,First Affiliated Hospital of Harbin Medical University,Harbin 150001,Heilongjiang,China)

机构地区：[1]哈尔滨医科大学附属第一医院口腔科,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第一医院心脏大血管外科,黑龙江哈尔滨150001

出　　处：《中国美容医学》2020年第5期171-173,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究口腔精细护理对固定正畸矫治患者牙龈指数及牙釉质脱矿的影响。方法:选取笔者医院接受固定正畸矫治的378例患者,随机分为对照组和观察组,每组189例。对照组予以常规口腔护理,观察组予以口腔精细护理,随访6个月,比较两组患者托槽脱落率,牙龈指数(GI)、牙釉质脱矿指数(EDI)及牙菌斑指数。结果:观察组托槽脱落率为3.17%,明显低于对照组(12.70%),差异具有统计学意义(P<0.05)。护理1个月后,观察组患者GI和EDI水平均明显低于对照组,差异具有统计学意义(P<0.05)。护理1月后、6个月后观察组牙菌斑指数较护理前明显降低,且治疗6个月后观察组牙菌斑指数明显低于对照组,差异具有统计学意义(P<0.05)。结论:口腔精细护理能够有效改善固定正畸矫治患者牙龈健康情况,降低GI,减少牙釉质脱矿情况的发生。Objective To explore the effect on gingival index and enamel demineralization in patients undergoing fixed orthodontic treatment using fi ne oral care.Methods 378 patients undergoing fi xed orthodontic treatment in our hospital were selected and randomly divided into the control group and the observation group,with 189 cases in each group.The control group received routine oral care,while the observation group received fine oral care.The patients were followed up for 6 months.The bracket loss rate,gingival index(GI),enamel demineralization index(EDI)and plaque index were compared between the two groups.Results The rate of bracket detachment in the observation group was 3.17%,signifi cantly lower than that in the control group(12.70%),the difference was statistically signifi cant(P<0.05).After one month of nursing,the levels of GI and EDI in the observation group were signifi cantly lower than those in the control group(P<0.05).After one month and 6 months of nursing,the plaque index in the observation group was signifi cantly lower than those before nursing,and after 6 months of treatment,the plaque index in the observation group was signifi cantly lower than that in the control group(P<0.05).Conclusion Fine oral care can effectively improve the gingival health of patients undergoing fi xed orthodontic treatment,reduce GI and reduce enamel demineralization.

关 键 词：口腔精细护理 常规口腔护理 固定正畸矫治 牙龈指数 牙釉质脱矿指数 牙菌斑指数 

分 类 号：R473.78[医药卫生—护理学]