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颌畸形伴牙周病的效果。方法抽取2018年5月至2022年9月郑州大学附属郑州中心医院收治的错颌畸形伴牙周病患者60例,所有患者均予以矫治器治疗,根据应用的矫治器类型分为隐形矫治器组与自锁矫治器组,每组30例。比较两组临床疗效;比较两组患者治疗前后的牙周健康指数[菌斑指数(PLI)、龈沟出血指数(SBI)、牙周探诊深度(PD)]、龈沟液炎性因子水平[白细胞介素1β(IL-1β)、肿瘤坏死因子-α(TNF-α)]及并发症发生情况。结果隐形矫治器组总有效率(96.67%,29/30)与自锁矫治器组(90.00%,27/30)比较差异未见统计学意义(P>0.05)。治疗前,两组牙周健康指数、龈沟液炎性因子水平比较差异未见统计学意义(P>0.05);治疗后,隐形矫治器组PLI、SBI、PD均少于自锁矫治器组(P<0.05),但两组IL-1β、TNF-α水平比较差异未见统计学意义(P>0.05)。隐形矫治器组并发症发生率(16.67%,5/30)与自锁矫治器组(26.67%,8/30)比较差异未见统计学意义(P>0.05)。结论错颌畸形伴牙周病患者采用无托槽隐形矫治器与自锁托槽矫治器治疗,二者在临床疗效、对龈沟液炎性因子的影响及并发症发生情况方面均相似,但无托槽隐形矫治器治疗可更好地改善患者的牙周健康。
Objective To compare the effect of non-bracket invisible appliance and self-locking bracket appliance in the treatment of malocclusion patients with periodontal disease.Methods A total of 60 patients with malocclusion complicated by periodontal disease admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from May 2018 to September 2022 were selected.All patients were treated by appliances,and they were divided into self-locking appliance group and invisible appliance group according to type of appliance used,with 30 cases in each group.The clinical efficacy,periodontal health indexes including plaque index(PLI),sulcus bleeding index(SBI)and probing depth(PD),gingival crevicular fluid inflammatory factors including interleukin-1β(IL-1β)and tumor necrosis factor-α(TNF-α),and incidence of complications were compared between the two groups.Results There was no significant difference in the total effective rate between the invisible appliance group(96.67%,29/30)and the self-locking appliance group(90.00%,27/30),P>0.05.Before treatment,there was no significant difference in periodontal health indexes and gingival crevicular fluid inflammatory factors between the two groups(P>0.05).After treatment,the PLI,SBI and PD in the invisible appliance group were lower than those in the self-locking appliance group(P<0.05),however,there was no statistically significant difference in levels of IL-1βand TNF-αbetween the two groups(P>0.05).There was no significant difference in the incidence of complications between the invisible appliance group(16.67%,5/30)and the self-locking appliance group(26.67%,8/30),P>0.05.Conclusions Both non-bracket invisible appliance and self-locking bracket appliance,in the treatment of patients with malocclusion complicated by periodontal disease,have comparable clinical effects,effects on inflammatory factors in gingival crevicular fluid and complications.However,non-bracket invisible appliance can better improve the periodontal health of patients.
作者
姚海亮
刘惠莉
程慧
杨龙
陈卓
Yao Hailiang;Liu Huili;Cheng Hui;Yang Long;Chen Zhuo(Department of Stomatology,Zhengzhou Central Hospital Affiliated to Zhengzhou University,Zhengzhou 450007,China.)
出处
《中国实用医刊》
2023年第4期17-20,共4页
Chinese Journal of Practical Medicine
基金
河南省医学教育研究项目(Wjlx2021416)。
关键词
牙周病
错颌畸形
无托槽隐形矫治器
自锁托槽矫治器
牙周健康指数
Periodontal disease
Malocclusion
Non-bracket invisible appliance
Self-locking bracket appliance
Periodontal health index
