摘要
目的探讨牙周病患者应用传统固定矫治技术以及无托槽隐形矫治器的效果。方法选取2022年1月至2023年1月张家口市口腔医院收治的牙周病患者100例,随机分为对照组和研究组,每组50例。对照组采用传统固定矫治技术,研究组采用无托槽隐形矫治器,对比2组的不良反应发生率、生活质量以及矫治前后的炎性因子水平变化情况和牙周健康情况。结果研究组矫治后肿瘤坏死因子α(TNF-α)、C反应蛋白(CRP)、白介素6(IL-6)水平低于对照组,IL-2水平高于对照组(P<0.05);矫治前2组的菌斑指数(PLI)、牙龈指数(GI)、龈沟探诊出血指数(SBI)、探针深度(PD)比较,差异无统计学意义(P>0.05),研究组矫治后PLI、GI、SBI、PD以及不良反应发生率均低于对照组(P<0.05)。研究组心理沟通、社交困难、功能受限、生理障碍评分均高于对照组高(P<0.05)。结论牙周病患者应用无托槽隐形矫治器不仅可以改善患者的牙周情况,降低发生不良反应的概率以及炎性因子水平的同时有利于患者生活质量的提高。
Objective To investigate the effect of bracketless invisible appliance versus traditional fixed orthodontic appliance in periodontal disease patients.Methods One hundred patients with periodontal disease admitted to Zhangjiakou Stomatolgical Hospital from January 2022 to January 2023 were recruited,they were randomized 1:1 to traditional fixed orthodontic appliance(the control group)or bracketless invisible appliance(the study group).The incidence of adverse reactions(ARs),quality of life,and changes in inflammatory factor levels and periodontal health before and after orthodontic treatment in both groups were compared.Results After orthodontic treatment,the levels of tumor necrosis factorα(TNF-α),C-reactive protein(CRP)and interleukin 6(IL-6)were significantly lower in the study group than in the control group,but IL-2 levels were significantly higher(P<0.05).The differences in plaque index(PLI),gingival index(GI),sulcus bleeding index(SBI),and probing depth(PD)between the two groups before orthodontic treatment were not statistically significant(P>0.05),and the incidences of PLI,GI,SBI,PD,and ARs were significantly lower in the study group than in the control group after orthodontic treatment(P<0.05).The scores of mental communication,social difficulties,functional limitations,and physical impairment were higher in the study group than in the control group(P<0.05).Conclusion The application of bracketless invisible appliance in patients with periodontal disease not only improves the periodontal situation of patients,but also reduces the incidences of ARs as well as the level of inflammatory factors,thus contributing to the improvement of patients’quality of life.
作者
许珊
张金琳
王宝玲
XU Shan;ZHANG Jinlin;WANG Baoling(Sterilization Supply Center,Zhangjiakou Stomatological Hospital,Hebei,Zhangjiakou 075000,China)
出处
《河北医药》
CAS
2024年第18期2780-2783,共4页
Hebei Medical Journal
基金
张家口市重点研发计划项目(编号:2221086D)。
关键词
传统固定矫治技术
无托槽隐形矫治器
牙周病
炎性因子
不良反应发生率
生活质量
traditional fixed orthodontic appliance
bracketless invisible appliance
periodontal disease
inflammatory factor
incidence of adverse reactions
quality of life