正畸患者口臭患病率及影响因素的研究  

An investigation on the prevalence and influencing factors of halitosis in orthodontic patients

作　　者：任昊天 刘倩 王怡迪 REN Haotian;LIU Qian;WANG Yidi(Department of Stomatology,Changhai Hospital,the Second Military Medical University,China,Shanghai 200433;State Key Laboratory of Military Stomatology and National Clinical Research Center for Oral Diseases and Shaanxi Clinical Research Center for Oral Diseases,Department of Orthodontics,School of Stomatology,the Fourth Military Medical University,Xian;Orofacial Surgery,Teikyo Hospital,Japan)

机构地区：[1]海军军医大学附属长海医院口腔科,上海200433 [2]军事口腔医学国家重点实验室,口腔疾病国家临床医学研究中心,陕西省口腔疾病临床医学研究中心,第四军医大学口腔医院正畸科 [3]日本帝京大学医学部附属病院颌面外科

出　　处：《实用口腔医学杂志》2020年第4期652-657,共6页Journal of Practical Stomatology

摘　　要：目的:调查就诊于口腔正畸科的年轻成人患者口臭患病率并分析影响因素。方法:纳入18~30岁成人患者724例,对受试者进行问卷调查、鼻闻法感官测试(OS)及挥发性硫化合物(VSC)的测量,并记录牙周及舌苔状况。卡方检验和Logistic回归分析口臭与正畸治疗、问卷内容、牙周指数之间的关系。结果:652例受试者完成了问卷调查,其中453例进行了正畸治疗,199例未进行治疗。652例受试者中,36.19%的OS≥2,23.47%的VSC≥110ppb。固定矫治患者(n=266)、无托槽隐形矫治患者(n=187)在正畸治疗后3个月内和3~6个月内口臭检出率比未正畸者(n=199)相对较高(P<0.001)。每日刷牙频率、牙龈指数、菌斑指数、牙周袋深度、舌苔厚度是口臭发生的相关因素。结论:固定矫治及无托槽隐形矫治患者口臭发病率均高于未治疗者。正畸后口臭与舌苔厚度、牙周健康程度、刷牙次数、正畸治疗的持续时间有关。Objective:To investigate the prevalence and the factors associated with halitosis in young adult patients who visited the orthodontics department.Methods:652 subjects(aged 18-30 years)completed the questinaire survey and were enrolled in this study.The level of halitosis was measured by volatile sulphur compound(VSC)and organoleptic scores(OS).The status of periodontal and tongue coating were observed and recorded.Chisquare test and Logistic regression were used to identify the factors associated halitosis.Results:It was found that,of all the subjects,36.19%with OS≥2 and 23.47%with VSC≥110 ppb;the percentages of those who with OS≥2 and VSC≥110 ppb were relatively higher in patients underwent fixed treatment(n=266)and clear aligner(n=187)for0-3 months and 3-6 months,compared with untreated population(n=199)(P<0.001).Frequency of tooth brushing,gingival in-dex,plaque index,periodontal pocket depth and tongue coating thickness were related factors of halitosis.Conclusion:The incidence and level of halitosis were relatively higher in patients with orthodontic treatment.Duration of orthodontic treatment is one of the factors associated with postorthodontic halitosis.

关 键 词：口臭 正畸 固定矫治器 无托槽矫治器 牙周指数 舌苔 

分 类 号：R783.5[医药卫生—口腔医学]