首页|无托槽隐形矫治器与固定矫治器对青少年非拔牙正畸患者牙周健康及生活质量的影响比较

无托槽隐形矫治器与固定矫治器对青少年非拔牙正畸患者牙周健康及生活质量的影响比较

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目的:分析无托槽隐形矫治器与固定矫治器的临床疗效及对青少年正畸患者牙周健康及口腔健康相关生活质量的影响.方法:将 2019-2021 年在郑州大学第一附属医院惠济院区进行正畸治疗的 80 例青少年正畸患者随机分为隐形组(n=40)和固定组(n=40),分别接受无托槽隐形矫治器与固定矫治器正畸治疗.比较两组患者的牙周健康、口腔健康生活质量及并发症发生情况发症发生情况.结果:治疗前及治疗 6 个月,两组患者的牙周健康指标差异无统计学意义(P>0.05);但治疗 12 个月,隐形组牙周健康指标-菌斑指数评分显著低于固定组(P<0.05).治疗前两组患者的口腔健康影响程度量表各维度评分及总分差异无统计学意义(P>0.05),治疗 12 个月,隐形组的口腔健康、社会-情感健康及COHIP总分均高于固定组(P<0.05).隐形组的并发症总发生率为 30.00%,显著低于固定组的 52.50%(P<0.05).结论:矫治 12 个月后,无托槽隐形矫治器与固定矫治器治疗青少年正畸患者的疗效相当,但无托槽隐形矫治器在维护牙周健康、提升生活质量和减少并发症上具有优势.
Comparison of effects of invisible appliance without bracket and fixed appliance on periodontal health and life quality in adolescent non-extractive orthodontic patients
Objective:To analyze the clinical effect of invisible appliance without bracket and fixed orthodontic on periodontal health and oral health related life quality in adolescent orthodontic patients.Methods:Eighty orthodontic adolescent patients in the first affiliated hospital of zhengzhou university between 2019 and 2021 were randomly divided into invisible group(n=40)and fixed group(n=40),and received orthodontic treatment with invisible orthodontic appliance without bracket and fixed orthodontic appliance,respectively.After 12 months of treatment,the periodontal health indexes complications,oral health-related life quality and complication between the two groups were compared.Results:After 12 months of treatment,there was no significant difference in clinical response rate between the two groups(P>0.05).Before and 6 months after treatment,there was no significant difference in periodontal health indicators between the two groups(P>0.05).However,after 12 months of treatment,plaque index score of the invisible group was significantly lower than that of the fixed group(P<0.05),and there was no significant difference in other indexes.Before treatment,there was no significant difference in adolescent children oral health impact profile(COHIP)score and total score between the two groups(P>0.05),but the oral health,social-emotional health and COHIP scores in the invisible group were higher than those in the fixed group(P<0.05).The overall complication rate was 30.00%in the invisible group,which was significantly lower than that in the immobilized group(52.50%,P<0.05).Conclusion:After treatment for 12 months,the effectiveness of invisible appliance without bracket is similar to that of fixed appliance in the treatment of adolescent orthodontic patients,but it has advantages in maintaining periodontal health,improving oral life quality and reducing complications.

invisible appliance without bracketfixed appliancesadolescentperiodontal healthoral health related life quality

杨雅娴、晁秀玲

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郑州大学第一附属医院 口腔科,郑州 450000

无托槽隐形矫治器 固定矫治器 青少年 牙周健康 口腔健康相关生活质量

河南省医学教育研究项目

Wjlx2022055

2024

河南大学学报(医学版)
河南大学

河南大学学报(医学版)

影响因子:0.494
ISSN:1672-7606
年,卷(期):2024.43(1)
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