无托槽隐形与传统托槽对合并牙周炎正畸患者牙周健康及龈沟液炎性因子水平的影响  

Influence of bracketless invisible appliance and traditional bracket on periodontal health and gingival crevicular fluid inflammatory factors in orthodontic patients with periodontitis

作　　者：丁平 Ding Ping(Department of Stomatology,Ruichang People's Hospital,Ruichang 332200,Jiangxi,China)

机构地区：[1]江西省瑞昌市人民医院口腔科,江西瑞昌332200

出　　处：《四川生理科学杂志》2024年第12期2779-2781,共3页

摘　　要：目的:探讨无托槽隐形与传统托槽对合并牙周炎正畸患者牙周健康及龈沟液炎性因子水平的影响。方法:选取2021年3月至2023年12月我院收治的牙周炎正畸患者60例作为研究对象,根据不同矫正方法将患者分为传统组(n=27,接受传统托槽正畸)和隐形组(n=33,接受无托槽隐形正畸)。矫正6m后,对比两组患者的牙周健康、龈沟液炎性因子水平及并发症。结果:矫治前,两组患者的牙周健康水平相近,对比差异无统计学意义(P>0.05),矫治6m后,传统组患者牙龈指数(Gingival index,GI)、附着丧失水平(Clinical attachment loss,CAL)、菌斑指数(Plaque index,PLI)及龈沟出血指数(Sulcus bleeding index,SBI)均高于矫治前(P<0.05),隐形组患者矫治前后GI、CAL、PLI、SBI评分比较差异无统计学意义(P>0.05),但隐形组患者矫治后的GI、CAL、PLI、SBI评分均低于传统组(P<0.05);矫治6 m后,两组患者肿瘤坏死因子(Tumor necrosis factor,TNF-α)、白细胞介素1-β(Interleukin-1-β,IL-1β)、白细胞介素6(Interleukin-6,IL-6)水平与矫治前相比均有所下降,且隐形组低于传统组(P<0.05);隐形组并发症总发生率为3.03%,低于传统组的22.22%(P<0.05)。结论:相比于传统托槽,对合并牙周炎正畸患者应用无托槽隐形矫治器的作用更显著,能够有效维持牙周健康,改善牙周炎症,减轻并发症状。Objective:To explore the influence of bracketless invisible appliance and traditional bracket on periodontal health and inflammatory factors in gingival crevicular fluid of orthodontic patients with periodontitis.Methods:60 patients with periodontitis orthodontics in the hospital were selected from March 2021 to December 2023 as the research subjects.According to different orthodontic methods,the patients were divided into traditional group(n=27,receiving traditional bracket orthodontics)and invisible group(n=33,receiving bracketless invisible orthodontics).After 6 months of orthodontics,the periodontal health,gingival crevicular fluid inflammatory factors levels and complications of the two groups were compared.Results:Before orthodontics,the periodontal health level in the two groups was similar(P>0.05).After 6 months of orthodontics,the gingival index(GI),clinical attachment loss(CAL),plaque index(PLI)and sulcus bleeding index(SBI)in traditional group were higher than those before orthodontics(P<0.05).There were no statistical differences in GI,CAL,PLI and SBI in invisible group before and after orthodontics(P>0.05),but GI,CAL,PLI and SBI in invisible group were lower than those in traditional group(P<0.05).After 6 months of orthodontics,the levels of tumor necrosis factor(TNF-α),interleukin-1-β(IL-1β)and interleukin-6(IL-6)in both groups were decreased compared with those before orthodontics,and the levels in invisible group were lower than those in traditional group(P<0.05).The total incidence rate of complications in invisible group with 3.03%was lower than 22.22%in traditional group(P<0.05).Conclusion:Compared with traditional bracket,the application of bracketless invisible appliance in orthodontic patients with periodontitis is more effective,which can more effectively maintain periodontal health,improve periodontal inflammation,and reduce complications.

关 键 词：无托槽隐形 传统托槽 牙周炎正畸 牙周健康 龈沟液炎性因子 

分 类 号：R783.5[医药卫生—口腔医学]