增龄性因素对固定矫正患者初粘后疼痛的影响  

Effect of Age-related Factors on Pain after Initial Adhesion in Patients with Fixed Appliance

作　　者：顾铭 徐辉[1] GU Ming;XU Hui(Department of Orthodontics,School of Stomatology,Capital Medical University,Beijing 100050,China;Department of Stomatology,Peking University International Hospital,Beijing 102206,China)

机构地区：[1]首都医科大学附属北京口腔医院正畸科,北京100050 [2]北京大学国际医院口腔科,北京102206

出　　处：《口腔医学研究》2023年第4期350-352,共3页Journal of Oral Science Research

基　　金：北京市医院管理中心“登峰”计划专项经费资助(DFL20191501)。

摘　　要：目的:初步探查年龄因素对于正畸患者初戴托槽后疼痛水平的影响,为正畸疼痛个性化防治提供临床证据。方法:共纳入青少年(11~14岁)、成年(18~25岁)唇侧固定矫治患者各18例,选取初次粘接托槽后7个不同时间点(加力即刻、4 h、12 h、1 d、2 d、3 d、7 d)进行视觉模拟评分(visual analog scale, VAS)评估年龄因素对正畸疼痛水平的影响。结果:对初次加力后VAS基于广义估计方程进行统计分析,加力时间主效应显著(F=94.294,P<0.01),年龄和加力时间交互效应显著(F=54.114,P<0.01),初次加力后4 h、2 d、3 d增龄性效应显著(4 h时P<0.01;2 d时P<0.05;3 d时P<0.01)。结论:戴固定矫治器的青少年患者对机械力反应迅速而敏感,成年组患者对机械力施加后的炎性疼痛反应迟缓但更为持久。Objective:To explore the influence of age on the pain level of orthodontic patients after initial bracket wearing.Methods:A total of 18 adolescents(11-14 years old)and 18 adults(18-25 years old)with straight wire appliance were enrolled in this study.Visual analog scale(VAS)was used to evaluate the effect of age on orthodontic pain at 7 different time points after the first bracket bonding(immediately,4 h,12 h,1 d,2 d,3 d,and 7 d).Results:The time effect was significant(F=94.294,P<0.01),the main effect of age was not significant(P>0.05),and the interaction effect of age and time was significant(F=54.114,P<0.01).The age-related effects were significant at 4 h,2 d,and 3 d after the first loading(P<0.01 at 4 h,P<0.05 at 2 d,and P<0.01 at 3 d).Conclusion:Adolescent patients with fixed appliances respond quickly and sensitively to mechanical force,while adult patients respond slowly but more persistently to inflammatory pain after mechanical force.

关 键 词：正畸疼痛 视觉模拟评分 增龄性 

分 类 号：R783.5[医药卫生—口腔医学]