摘要
目的:探讨隐形矫治器正畸的临床效果以及对患者牙周状况及龈沟液内炎性因子的影响。方法:选取2017年2月~2019年1月在我院行正畸矫治的患者300例,根据矫治方法分为观察组(n=176)和对照组(n=124),观察组给予隐形矫治器正畸治疗,对照组给予传统矫治器正畸治疗。观察矫治情况,检测两组牙周指数及龈沟液内白细胞介素-1β(interleukin-1β,IL-1β)、肿瘤坏死因子α(tumor necrosis factorα,TNF-α)和细胞核因子κB受体活化子配体(nuclear factorκB receptor activator ligand,RANKL)。结果:观察组倾斜牙扶正时间、扭转牙转正时间和矫正总时间均明显少于对照组(P<0.05)。观察组矫治后牙龈指数(gingival index,GI)、龈沟出血指数(sulcus bleeding index,SBI)和菌斑指数(plaque index,PLI)均明显低于对照组(P<0.05)。两组矫正前后龈沟探诊深度(probing depth of gingival sulcus,SPD)比较差异无统计学意义(P>0.05)。观察组矫正后龈沟液内IL-1β、TNF-α和RANKL均明显低于对照组(P<0.05)。结论:隐形矫治器正畸有较好的效果,对患者牙周状况及龈沟液内IL-1β、TNF-α和RANKL水平影响小。
Objective:To explore the clinical effect of Invisalign and its influence on periodontal status and inflammatory factors in gingival crevicular fluid.Methods:Totally 300 patients who underwent orthodontic therapy in our hospital in February 2017 and January 2019 were selected.According to the correction method,the patients were divided into observation group(n=176)and control group(n=124),the observation group was treated with invisalign,while the control group was treated with traditional appliance.The periodontal index,interleukin-1β(IL-1β),tumor necrosis factorα(TNF-α)and nuclear factorκB receptor activator ligand(RANKL)in gingival crevicular fluid of the two groups were measured.Results:The centralization time of tilted teeth,the orthogonalization time of torsion teeth and the total time of correction in the observation group were significantly less than that in the control group(P<0.05).The gingival index(GI),sulcus bleeding index(SBI)and plaque index(PLI)of the observation group after correction were significantly lower than those of the control group(P<0.05).There was no significant difference in probing depth of gingival sulcus(SPD)between the observation group and the control group before and after correction(P>0.05).The levels of IL-1β,TNF-αand RANKL in gingival creval fluid in the observation group after correction were significantly lower than those in the control group(P<0.05).Conclusion:Invisalign has better effect,has little effect on periodontal condition and IL-1β,TNF-αand RANKL levels in gingival crevicular fluid.
作者
石丹
SHI Dan(Stomatological center of Henan people's Hospital,Henan Zhengzhou 450000,China)
出处
《临床口腔医学杂志》
2020年第1期46-49,共4页
Journal of Clinical Stomatology
关键词
隐型矫正器正畸
临床效果
牙周状况
龈沟液
炎性因子
Invisalign
Clinical effect
Periodontal condition
Gingiva groove liquid
Inflammatory cytokines
