首页|无托槽隐形矫正器对牙周炎伴错颌畸形患者牙周健康及龈沟液炎性因子的影响

无托槽隐形矫正器对牙周炎伴错颌畸形患者牙周健康及龈沟液炎性因子的影响

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目的 探讨无托槽隐形矫正器对牙周炎伴错颌畸形患者牙周健康及龈沟液炎性因子的影响.方法 选取2020 年 1 月—2023 年 1 月枣庄市口腔医院收治的 72 例牙周炎伴错颌畸形患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 36 例.对照组采用唇侧固定矫正器治疗,观察组采用无托槽隐形矫正器治疗.对比两组的牙周情况、炎性因子、并发症发生情况.结果 治疗前,两组牙周情况、炎性因子对比,组间差异无统计学意义(P﹥0.05);治疗后,观察组探诊深度短于对照组,牙龈指数、菌斑指数均低于对照组,组间差异有统计学意义(P﹤0.05);观察组白细胞介素-6、C-反应蛋白、肿瘤坏死因子水平均低于对照组,组间差异有统计学意义(P﹤0.05);观察组并发症发生率为5.56%,低于对照组的 25.00%,差异有统计学意义(P﹤0.05).结论 无托槽隐形矫正器更能够保护牙周炎伴错颌畸形患者的牙周健康,引起的炎性反应更轻,且并发症更少,存在一定的应用价值,可推广应用.
Influence of Bracketless Invisible Appliances on the Periodontal Health and Inflammatory Factors in the Gingival Crevicular Fluid of Patients with Periodontitis Accompanied by Malocclusion
Objective To investigate the effects of bracketless invisible appliances on the periodontal health and inflam-matory factors in gingival crevicular fluid of patients with periodontitis accompanied by malocclusion.Methods Seventy-two patients with periodontitis accompanied by malocclusion who were admitted to Zaozhuang Stomatological Hospital from January 2020 to January 2023 were selected as the research objects,according to the random number table method,they were divided into a control group and an observation group,with 36 cases in each group.The control group was treated with labial fixed appliances,while the observation group was treated with bracketless invisible appliances.The periodontal conditions,inflammatory factors and the occurrence of complications in the two groups were compared.Results Before treatment,the periodontal conditions and inflammatory factors of the two groups were compared,and the differences between the groups were no statistically significant(P﹥0.05);after treatment,the probing depth in the observation group was shorter than that in the control group,and both the gingival index and the plaque index were lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05);the levels of interleukin-6,C-reactive protein and tumor necrosis factor in the observation group were all lower than those in the control group,and the differences between the groups were statistically significant(P﹤0.05);the incidence rate of complications in the observation group was 5.56%,which was lower than 25.00%in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Bracketless invisible appliances are more capable of protecting the periodontal health of patients with periodontitis accompanied by malocclusion.They cause a milder inflammatory reaction and have fewer complications.They possess certain application value and can be popularized and applied.

Periodontitis accompanied by malocclusionBracketless invisible appliancesGingival crevicular fluidInflammatory factorsComplications

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枣庄市口腔医院口腔科,山东 枣庄 277100

牙周炎伴错颌畸形 无托槽隐形矫正器,龈沟液 炎性因子 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(19)