成人正畸患者佩戴传统金属托槽与金属自锁托槽对牙周微环境的影响及美观性评价  

Effect and Aesthetic Evaluation of Wearing Traditional Metal Brackets and Metal Self-locking Brackets on Peridental Microenvironment in Adult Orthodontic Patients

作　　者：姚甜 孙冬梅 张国梅 YAO Tian;SUN Dongmei;ZHANG Guomei(Department of Stomatology,Renhe Hospital,Baoshan District,Shanghai 200431,China)

机构地区：[1]上海市宝山区仁和医院口腔科,上海200431

出　　处：《中国美容医学》2023年第3期124-128,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究成人正畸患者佩戴不同矫治器对牙周微环境及美观性的影响。方法:选取笔者医院2018年2月-2020年2月收治的80例成人正畸患者,采用随机数字表法分为对照组(n=40)和观察组(n=40)。对照组行传统托槽矫治器治疗,观察组行自锁托槽矫治器治疗。比较两组治疗前后牙周指数[菌斑指数(Plaqueindex,PLI)、出血指数(Sulcusbleeding Index,SBI)、探诊深度(Probingdepth,PD)]及龈沟液炎症因子[白介素-1β(Interleukin-1β,IL-1β)、白介素-17(Interleukin-17,IL-17)、前列腺素E_(2)(ProstaglandinE_(2),PGE_(2))、肿瘤坏死因子-α(Tumornecrosisfactoralpha,TNF-α)],对比两组不同时点牙髓活力,观察两组并发症发生率及美观满意度。结果:两组治疗后PD、SBI、PLI水平较治疗前升高,观察组PD、SBI、PLI水平低于对照组,差异均有统计学意义(P<0.05);治疗后,两组IL-1β、TNF-α、IL-17、PGE_(2)水平较治疗前升高,但观察组治疗后IL-1β、TNF-α、IL-17、PGE_(2)水平低于对照组,差异均有统计学意义(P<0.05)。与两组治疗后3个月的牙髓活力值比较,治疗后6个月的牙髓活力值无明显变化(P>0.05),治疗后9、12、18、24个月的牙髓活力值均明显升高,差异有统计学意义(P<0.05),但治疗后9、12、18、24个月的牙髓活力值两两比较差异无统计学意义(P>0.05);观察组治疗后3、6、9、12、18个月牙髓活力值明显高于对照组(P<0.05),治疗后24个月牙髓活力值与对照组比较差异无统计学意义(P>0.05)。观察组并发症发生率为5.00%,低于对照组的20.00%,观察组美观满意度高于对照组,差异均有统计学意义(P<0.05)。结论:自锁托槽矫治器用于成人正畸中更利于牙周健康,可降低龈沟液炎症反应,提升牙髓活力,减少并发症的发生风险,患者美观满意度高,可临床推广。Objective To study the infl uence of wearing diff erent orthodontic devices on the peridental microenvironment and aesthetics in adult orthodontic patients.Methods A total of 80 adult orthodontic patients admitted to the author's hospital from February 2018 to February 2020 were selected and randomly divided into control group(n=40)and observation group(n=40)by digital table method.The control group was treated with traditional bracket appliance,and the observation group was treated with self-locking bracket appliance.The periodontal index[plaque index(PLI),bleeding index(SBI),probing depth(PD)]and gingival crevicular fl uid infl ammatory factors[interleukin-1β(IL-1β),IL-17,prostate Element E_(2)(PGE_(2)),tumor necrosis factor-α(TNF-α)],compared the pulp vitality of the two groups at diff erent time points,and observed the incidence of complications and aesthetic satisfaction of the two groups.Results The levels of PD,SBI and PLI in the two groups after treatment were higher than those before treatment(P<0.05);the levels of PD,SBI and PLI in the observation group after treatment were lower than those in the control group(P<0.05).The levels of IL-1β,TNF-α,IL-17 and PGE_(2) in the two groups after treatment were higher than those before treatment(P<0.05).The levels of IL-1β,TNF-α,IL-17 and PGE_(2) in the observation group after treatment were lower than those in the control group group(P<0.05).Compared with the value of pulp vitality after 3 months of treatment,there was no signifi cant change in the value of pulp vitality after 6 months of treatment(P>0.05),and the value of pulp vitality after 9,12,18 and 24 months of treatment was signifi cantly increased.(P<0.05),but there was no signifi cant diff erence in the value of pulp vitality after 9,12,18 and 24 months(P>0.05).The pulp vitality value of the observation group was signifi cantly higher than that of the control group at 3,6,9,12 and 18 months after treatment(P<0.05),and there was no signifi cant diff erence in the pulp vitality value at 24 months c

关 键 词：成人正畸 自锁托槽矫治器 传统托槽矫治器 龈沟液 白介素-17 牙周微环境 美观性 

分 类 号：R783.5[医药卫生—口腔医学]