并发症预防性治疗对于不可摘矫治器治疗的口腔正畸患者牙釉质脱矿的影响  

Effect of preventive treatment of complications on enamel demineralization in orthodontic patients treated with non-removable appliance

作　　者：李可欣[1] LI Ke-xin(Department of Orthodontics,Zhoukou Central Hospital,Zhoukou,Henan 466000,China)

机构地区：[1]周口市中心医院口腔正畸科,河南周口466000

出　　处：《医药论坛杂志》2024年第16期1750-1754,共5页Journal of Medical Forum

摘　　要：目的探讨对于不可摘矫治器治疗的口腔正畸患者使用并发症预防性治疗对患者牙釉质脱矿的影响。方法选取2021年2月—2022年2月在周口市中心医院治疗的86例不可摘矫治器治疗的口腔正畸患者,采用随机数字表法分为对照组、观察组。对照组使用常规治疗,观察组在此基础使用并发症预防性治疗,对比患者的牙釉质脱矿指数、软垢指数、正畸菌斑指数、自我护理能力以及并发症情况。结果正畸后6个月、12个月,观察组中牙釉质脱矿指数明显要比对照组低,差异有统计学意义(P<0.05);观察组牙釉质软垢指数明显要比对照组低,差异有统计学意义(P<0.05);观察组牙齿中正畸菌斑指数(1.91±0.41)、(1.73±0.37)均明显低于对照组(2.12±0.29)(1.92±0.31),数据差异有统计学意义(P<0.05);正畸后,观察组患者的自护技能(38.39±4.85)、健康知识水平(49.32±6.61)、责任感(19.07±2.09)、概念(24.62±4.27)以及总评分(132.03±14.93)明显比对照组(33.08±5.24)、(42.23±6.12)、(22.27±4.98)、(16.50±3.04)、(114.12±15.51)高,差异有统计学意义(P<0.05);观察组中的并发症例数明显比对照组低,差异有统计学意义(P<0.05)。结论对于不可摘矫治器治疗的口腔正畸患者使用并发症预防性治疗能够显著降低患者的牙釉质脱矿、软垢指数,提高患者自护能力,值得推广。Objective This study consider the consequences of applying a comprehensive preventive treatment for orthodontic patients,who cannot be removed,for patients with dental enamel.Methods Totally 86 non-archic-orthodontic patients treated in the Zhoukou Central Hospital from February 2021 to February 2024 were selected.The control group used regular treatment,based on which the follow-up group used preventive treatment of complications.The enamel,soft clay,orthodox maculite,the possibility of self-treatment and complications in patients were compared.Results The rate of enamel demineralization was significantly lower in the observation group than that in the control group 6 and 12 months after orthodontics,with significant differences(P<0.05);the soft scale index of enamel was significantly lower in the observation group than that in the control group,with a significant difference(P<0.05);the orthodontic plaque index in the teeth of the observation group was significantly lower than that of the control group(2.12±0.29 vs 1.92±0.31),and the data were statistically different(P<0.05);after orthodontics,self-care skills(38.39±4.85),level of health awareness(49.32±6.61),responsibili-ty(19.07±2.09),conception(24.62±4.27),and total score(132.03±14.93)were significantly higher in the observation group than that in the control group(33.08±5.24),(42.23±6.12),(22.27±4.98),(16.50±3.04),(114.12±15.51),with significant differences(P<0.05);the number of complications was significantly lower in the observation group than that in the control group,with a significant difference(P<0.05).Conclusion For the dental orthodontist who can not be removed,the application of a comprehensive preventive treatment of complications can significantly reduce the level of enamel in patients,the index of dirt blan,increase self-preservation of patients,which deserves encouragement.

关 键 词：口腔正畸 不可摘矫治器 并发症预防性治疗 

分 类 号：R783.5[医药卫生—口腔医学]