自锁托槽、无托槽及Tip-Edge-Plus托槽对牙周炎正畸治疗患者牙周状况的影响  

Effect of Self-ligating Bracket,No Brackets and Tip-Edge-Plus Brackets on the Periodontal Status of Patients Undergoing Orthodontic Treatment for Periodontitis

作　　者：郑刚 ZHENG Gang(Stomatology Department,Jingzhou Third People's Hospital,Jingzhou 434000,China)

机构地区：[1]荆州市第三人民医院口腔科,湖北荆州434000

出　　处：《中国医学创新》2024年第21期148-152,共5页Medical Innovation of China

摘　　要：目的:探讨自锁托槽、无托槽及Tip-Edge-Plus托槽对牙周炎正畸治疗患者牙周状况的影响。方法:选取2021年11月—2023年1月在荆州市第三人民医院进行治疗的牙周炎伴错畸形患者60例,按照入院先后顺序及自愿原则分为自锁托槽组(A组),无托槽组(B组)及Tip-Edge-Plus托槽组(C组),各20例(每组436颗牙),记录正畸治疗前和治疗6个月后牙周状况。结果:B组成功率显著高于A组、C组,差异均有统计学意义(χ^(2)=6.364、8.224,P<0.05),总有效率显著高于C组,差异有统计学意义(χ^(2)=4.379,P<0.05)。治疗后,B组牙周探诊深度(PD)、临床附着丧失(CAL)、探诊出血指数(BOP)、出血指数(BI)均显著低于C组,差异均有统计学意义(P<0.05),而牙龈萎缩指数(GR)高于C组,差异有统计学意义(P<0.05)。治疗后,A组、B组TM在Ⅲ度显著低于C组,差异均有统计学意义(P<0.05);B组牙齿松动度(TM)在Ⅱ度显著均低于A组、C组,差异均有统计学意义(χ^(2)=4.624、5.101,P<0.05)。结论:无托槽隐形矫治对于牙周炎患者的正畸治疗可能更加优于自锁托槽、Tip-Edge-Plus托槽。Objective:To investigate the effects of self-ligating bracket,no brackets and Tip-Edge-Plus brackets on the periodontal status of patients undergoing orthodontic treatment for periodontitis.Method:A total of sixty patients with periodontitis with malocclusion who were treated at the Jingzhou Third People's Hospital from November 2021 to January 2023 were selected,the patients were divided into the self-ligating bracket group(group A),the bracketless group(group B),and the Tip-Edge-Plus bracket group(group C)in accordance with the order of admission and the principle of voluntariness,with 20 patients in each group(436 teeth in each group),periodontal status before orthodontics treatment and six months later were recorded.Result:The success rate of group B was higher than that of group A and group C,the differences were statistically significant(χ^(2)=6.364,8.224,P<0.05),and the total effective rate was higher than that of group C,the difference was statistically significant(χ^(2)=4.379,P<0.05).After treatment,the probing depth(PD),clinical attachment loss(CAL),bleeding on probing index(BOP)and bleeding index(BI)in group B were significantly lower than those in group C,the differences were statistically significant(P<0.05);the gingival recession index(GR)was higher than that in group C,the difference was statistically significant(P<0.05).After treatment,tooth looseness(TM)Ⅲdegree in group A and group B were significantly lower than those in group C,the differences were statistically significant(P<0.05);TMⅡdegree in group B was significantly lower than that in group A and group C,the differences were statistically significant(χ^(2)=4.624,5.101,P<0.05).Conclusion:Invisible braces without brackets may be more preferable to self-ligating brackets and Tip-Edge-Plus brackets for orthodontic treatment of patients with periodontitis.

关 键 词：自锁托槽 无托槽 Tip-Edge-Plus托槽 牙周炎 牙周状况 

分 类 号：R783.5[医药卫生—口腔医学] R781.42[医药卫生—临床医学]