摘要
目的比较3D打印无托槽隐形矫治器与固定矫治器在口腔正畸治疗患者中的应用效果。方法以我院2019年4月至2021年4月收治的86例口腔正畸治疗患者为研究对象,根据随机数字表法将其分为对照组(n=43,固定矫治器)和研究组(n=43,3D打印无托槽隐形矫治器)。比较两组的临床疗效、龈下致病菌检出情况、血清指标和口腔功能。结果研究组的治疗总有效率显著高于对照组(P<0.05)。治疗后,研究组的牙龈卟啉单胞菌、具核梭杆菌、变异链球菌、福赛坦氏菌检出率低于对照组(P<0.05)。治疗后,研究组的前列腺素E2(PGE2)、白细胞介素-1β(IL-1β)、可溶性细胞间黏附分子-1(sICAM-1)、基质金属蛋白酶-8(MMP-8)水平均低于对照组(P<0.05)。治疗后,研究组的咀嚼效能、最大咬合力和咬合速率显著高于对照组(P<0.05)。结论相较于固定矫治器,3D打印无托槽隐形矫治器对口腔正畸治疗患者口腔功能影响小,且能改善口腔菌群及血清指标,有助于获得良好的矫治效果。
Objective To compare the application effects of 3D printed invisible appliance without brackets and fixed appliance in patients undergoing orthodontics treatment.Methods A total of 86 patients undergoing orthodontics treatment admitted in our hospital from April 2019 to April 2021 were selected as the study objects.According to random number table method,the patients were divided into control group(n=43,fixed appliance)and study group(n=43,3D printed invisible appliance without brackets).The clinical efficacy,detection of subgingival pathogens,serum indexes and oral function of the two groups were compared.Results The total effective rate of treatment in the study group was significantly higher than that in the control group(P<0.05).After treatment,the detection rates of Porphyromonas gingivalis,Fusobacterium nucleatum,Streptococcus mutans and Tannerella forsythia in the study group were lower than those in the control group(P<0.05).After treatment,the levels of prostaglandin E2(PGE2),interleukin-1β(IL-1β),soluble intercellular adhesion molecule-1(sICAM-1)and matrix metalloproteinase-8(MMP-8)in the study group were lower than those in the control group(P<0.05).After treatment,the masticatory efficacy,maximum bite force and bite rate of the study group were significantly higher than those of the control group(P<0.05).Conclusion Compared with the fixed appliance,the 3D printed invisible appliance without brackets has little effect on the oral function of patients undergoing orthodontics treatment,and can improve the oral flora and serum indexes,which is conducive to obtaining good therapeutic effect.
作者
王楠
席锦
WANG Nan;XI Jin(Tuberculosis Hospital of Shaanxi Province/the Fifth People's Hospital of Shaanxi Province,Xi'an 710100,China)
出处
《临床医学研究与实践》
2024年第1期107-110,共4页
Clinical Research and Practice
