无托槽隐形矫治器在牙周炎伴错[牙合]畸形患者中的应用效果  

Application of invisible appliances without brackets in patients with periodontitis and malocclusion deformity

作　　者：刘倩 安娜娜 侯镇婷 Liu Qian;An Nana;Hou Zhenting(Department of Orthodontics,Hospital of Stomatology,Air Force Military Medical University,Xi'an 710032,China;Department of Orthodontics,Xi'an Cunji Stomatology Hospital,Xi'an 710018,China)

机构地区：[1]空军军医大学口腔医院正畸科,西安710032 [2]西安存济口腔医院正畸科,西安710018

出　　处：《国际医药卫生导报》2024年第23期3905-3909,共5页International Medicine and Health Guidance News

基　　金：陕西省重点研发计划(2021SF-048)。

摘　　要：目的探讨无托槽隐形矫治器对牙周炎伴错[牙合]畸形患者的矫治效果及对牙周健康的影响。方法前瞻性研究,选取2022年1月至2024年1月在空军军医大学口腔医院治疗的牙周炎伴错[牙合]畸形患者100例作为研究对象,按照随机数字表法分为对照组(50例)和观察组(50例)。对照组男28例、女22例,年龄(32.15±3.94)岁,病程(25.45±4.16)个月,采取直丝弓矫治器矫治;观察组男30例、女20例,年龄(32.52±3.88)岁,病程(25.62±4.08)个月,采取无托槽隐形矫治器矫治。对比两组矫治效果、口腔健康指标[探诊深度(PD)、临床附着水平(CAL)、菌斑指数(PLI)、龈沟出血指数(SBI)]、龈沟液炎症因子[白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、人基质金属蛋白酶-8(MMP-8)、肿瘤坏死因子-α(TNF-α)]、外观功能满意度及并发症发生情况。统计学方法采用t检验、χ^(2)检验。结果观察组总有效率为96.00%(48/50),高于对照组的80.00%(40/50),差异有统计学意义(χ^(2)=6.222,P=0.012)。治疗前,两组患者PD、CAL、PLI、SBI及IL-1β、IL-6、MMP-8、TNF-α水平比较,差异均无统计学意义(均P>0.05);治疗后,观察组PD、CAL、PLI、SBI及IL-1β、IL-6、MMP-8、TNF-α水平均低于对照组[(2.28±0.26)mm比(2.60±0.32)mm、(3.72±0.45)mm比(4.38±0.62)mm、(2.38±0.44)分比(2.84±0.50)分、(1.80±0.27)分比(2.12±0.34)分、(10.62±2.06)ng/L比(17.15±3.84)ng/L、(5.75±1.42)ng/L比(8.45±2.14)ng/L、(2008.62±50.12)ng/L比(2416.71±56.15)ng/L、(15.55±2.12)ng/L比(25.87±3.17)ng/L],差异均有统计学意义(t=5.487、6.091、4.883、5.211、10.596、7.433、38.339、19.135,均P<0.05)。观察组矫治后美观满意度为98.00%(49/50),高于对照组的82.00%(41/50),差异有统计学意义(χ^(2)=7.111,P=0.008)。观察组并发症发生率为2.00%(1/50),低于对照组的16.00%(8/50),差异有统计学意义(χ^(2)=4.395,P=0.036)。结论无托槽隐形矫治器治疗牙周炎伴错[牙合]畸形患者可提高矫治�Objective To investigate the effect of invisible appliances without brackets on periodontal health in patients with periodontitis and malocclusion deformity.Methods A total of 100 patients with periodontitis and malocclusion deformity treated at Hospital of Stomatology,Air Force Military Medical University from January 2022 to January 2024 were selected for the randomized controlled trail.The patients were divided into a control group and an observation group by the random number table method,with 50 cases in each group.There were 28 males and 22 females in the control group;they were(32.15±3.94)years old;their disease course was(25.45±4.16)months.There were 30 males and 20 females in the observation group;they were(32.52±3.88)years old;their disease course was(25.62±4.08)months.The control group were treated with straight wire appliances,and the observation group with invisible appliances without brackets.The therapeutic effects,periodontal health indicators[probing depth(PD),clinical attachment level(CAL),plaque index(PLI),and sulcus bleeding index(SBI)],gingival crevicular fluid inflammatory factors[interleukin-1β(IL-1β),interleukin-6(IL-6),human matrix metalloproteinase 8(MMP-8),and tumor necrosis factor-α(TNF-α)],appearance and function satisfaction,and incidence rates of complications were compared between the two groups.t andχ^(2) tests were applied.Results The total effective rate in the observation group was higher than that in the control group[96.00%(48/50)vs.80.00%(40/50)],with a statistical difference(χ^(2)=6.222;P=0.012).Before the treatment,there were no statistical differences in the PD,CAL,PLI,SBI,and levels of IL-1β,IL-6,MMP-8,and TNF-αbetween the two groups(all P>0.05).After the treatment,the PD,CAL,PLI,SBI,and levels of IL-1β,IL-6,MMP-8,TNF-αin the observation group were lower than those in the control group[(2.28±0.26)mm vs.(2.60±0.32)mm,(3.72±0.45)mm vs.(4.38±0.62)mm,(2.38±0.44)vs.(2.84±0.50),(1.80±0.27)vs.(2.12±0.34),(10.62±2.06)ng/L vs.(17.15±3.84)ng/L,(5.75±1.42)n

关 键 词：牙周炎 错[牙合]畸形 无托槽隐形矫治器 矫治效果 牙周健康 

分 类 号：R781.42[医药卫生—口腔医学]