自锁托槽矫治器对儿童患者矫治效果及龈沟液炎性因子水平的影响  

Effect of Self-locking Bracket Appliance on Correction Effect and Gingival Crevicular Fluid Infl ammatory Factor Level in Children

作　　者：刘晓青 刘颖萍 郭冠英 王文亮 葛日芳 LIU Xiaoqing;LIU Yingping;GUO Guanying;WANG Wenliang;GE Rifang(Department of Stomatology,Shanxi Children's Hospital(Shanxi Maternal and Child Health Hospital),Taiyuan 030006,Shanxi,China)

机构地区：[1]山西省儿童医院(山西省妇幼保健院)口腔科,山西太原030006

出　　处：《中国美容医学》2023年第7期126-130,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨自锁托槽矫治器对错(牙合)畸形患儿的矫治效果。方法:选取2019年3月-2021年3月笔者医院收治的60例错(牙合)畸形患儿,按照正畸方案不同分为对照组(n=28)和实验组(n=32),对照组给予传统金属托槽矫正技术治疗,实验组给予自锁托槽矫正技术治疗。比较两组患儿治疗前后疼痛、牙周指标、龈沟液(Gingival crevicular fluid,GCF)炎性因子水平、疗效及生活质量。结果:治疗7 d后,两组视觉模拟量表(Visual analogue scal,VAS)评分较治疗1d后均降低,且实验组VAS评分较对照组更低(P<0.05);治疗6个月后,两组龈沟出血指数(Sulcus bleeding index,SBI)、菌斑指数(Plaque index,PLI)及临床附着丧失(Clinical attachment loss,CAL)水平均较治疗前降低,牙龈退缩(gingival recess ion,GR)、前列腺素E2(Prostaglandin E2,PGE2)、肿瘤坏死因子(Tumor necros is factor-α,TNF-α)、白细胞介素-1β (Interleukin-1,IL-1β)、白细胞介素6 (Interleukin-6,IL-6)水平较治疗前均升高,且实验组SBI、PLI、CAL、PGE2、TNF-α、IL-1β及IL-6水平较对照组低,GR水平较对照组高(P<0.05);实验组治疗总有效率高于对照组(P<0.05);两组口腔健康影响程度量表各项评分较治疗前均升高,且实验组较对照组更高(P<0.05)。结论:自锁托槽矫治器应用于儿童正畸治疗中,有助于减少患儿炎症反应,有效改善患儿牙周状况和口腔健康、减轻疼痛,提高其生活质量,值得临床推广应用。Objective To explore the effect of self-locking bracket appliance on children with malocclusion.Methods A total of 60 children with malocclusion who were treated in author's hospital from March 2019 to March 2021 were selected and divided into control group(n=28)and experimental group(n=32)according to the orthodontic plan.The control group was given traditional metal brackets correction technology were used for treatment,and the experimental group was treated with self-locking brackets correction technology.The pain,periodontal indexes,levels of infl ammatory factors in gingival crevicular fluid,curative effect and quality of life were compared between the two groups before and after treatment.Results After 7 days of treatment,the visual analog scale scores in both groups were lower than those after 1 day of treatment,and the VAS score in the experimental group was lower than that in the control group(P<0.05).After 6 months of treatment,the levels of gingival crevicular bleeding index(SBI),plaque index and clinical attachment loss in the two groups were all lower than those before treatment,and the levels of gingival recession(GR),prostaglandin E2(PGE2),the levels of tumor necrosis Factor-α,Interleukin-1β,and interleukin-6 were all higher than those before treatment.In addition,the levels of SBI,PLI,CAL,PGE2,TNF-α,IL-1β and IL-6 in the experimental group were lower than those in the control group,and the level of GR was higher than that in the control group(P<0.05).The total eff ective rate of treatment in the experimental group was higher than that in the control group(P<0.05).The scores of oral health impact profi le in the two groups were higher than those before treatment,and the scores of OHIP in the experimental group were higher than those in the control group(P<0.05).Conclusion Self-locking brackets correction technology can help reduce the inflammatory response in children,effectively improve the periodontal status and oral health,relieve pain,and improve the quality of life in children.It is worthy

关 键 词：错(牙合)畸形 自锁托槽 正畸 龈沟液 炎性因子 

分 类 号：R783.5[医药卫生—口腔医学]