摘要
目的:比较无托槽隐形矫治器与自锁托槽矫治器治疗错[牙合]畸形伴牙周病患者的效果。方法:回顾性分析2018年7月至2021年1月该院收治的70例错畸形伴牙周病患者的临床资料,根据治疗方式不同分为对照组和观察组各35例。对照组采用自锁托槽矫治器治疗,观察组采用无托槽隐形矫治器治疗,比较两组临床疗效,治疗前后牙周健康指数[菌斑指数(PLI)、牙龈出血指数(SBI)、牙周探诊深度(PD)]水平、龈沟液炎性因子[白细胞介素1β(IL-1β)、肿瘤坏死因子-α(TNF-α)]水平及并发症发生率。结果:两组治疗总有效率比较,差异无统计学意义(P>0.05);治疗后,观察组PLI、SBI、PD水平均低于对照组,差异有统计学意义(P<0.05);治疗后,两组龈沟液IL-1β、TNF-α水平比较,差异均无统计学意义(P>0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:无托槽隐形矫治器与自锁托槽矫治器治疗错畸形伴牙周病患者的正畸效果相似,但无托槽隐形矫治器对牙周健康的改善效果优于自锁托槽矫治器。
Objective:To compare effects of non bracket invisible appliance and self-locking bracket appliance in treatment of malocclusion and periodontal disease.Methods:The clinical data of 70 patients with malocclusion and periodontal disease admitted to this hospital from July 2018 to January 2021 were retrospectively analyzed,and they were divided into control group and observation group according to different treatment methods,35 cases in each group.The control group was treated with self-locking bracket appliance,while the observation group was treated with non bracket invisible appliance.The clinical efficacy,the periodontal health index[plaque index(PLI),gingival bleeding index(SBI),periodontal probing depth(PD)],the inflammatory factor levels in gingival crevicular fluid[interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α)],and the incidence of complications were compared between the two groups.Results:There was no significant difference in the total effective rate between the two groups(P>0.05).After the treatment,the levels of PLI,SBI and PD in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,there were no significant differences in the levels of IL-1βand TNF-αin the gingival crevicular fluid between the two groups(P>0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Non bracket invisible appliance and self-locking bracket appliance in the treatment of malocclusion and periodontal disease have similar effects;however,non bracket invisible appliance can reduce the levels of PLI,SBI,and PD.Therefore,it is superior to self-locking bracket appliance.
作者
谢超
XIE Chao(Department of Stomatology of Yucheng County People’s Hospital,Shangqiu 476300 Henan,China)
出处
《中国民康医学》
2022年第16期154-157,共4页
Medical Journal of Chinese People’s Health
关键词
错畸形
牙周病
无托槽隐形矫治器
自锁托槽矫治器
牙周健康
Malocclusion
Periodontal disease
Non bracket invisible appliance
Self-locking bracket appliance
Periodontal health
