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口腔正畸患者发生牙根吸收的影响因素

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目的:分析口腔正畸患者发生牙根吸收的影响因素.方法:选取 2020 年 5 月至 2022 年 8 月于该院行口腔正畸的 78 例患者进行横断面研究,收集患者临床资料,检测龈沟液指标水平,并进行牙根吸收判定,根据是否发生牙根吸收将患者分为发生组与未发生组,采用Logistic回归分析口腔正畸患者发生牙根吸收的影响因素.结果:78例口腔正畸患者发生牙根吸收35例,发生率为44.87%(35/78);两组性别、年龄、正畸疗程、矫治牙部位比较,差异均无统计学意义(P>0.05);发生组刷牙频率<2 次/d、甜食进食频率>3 次/周、碳酸饮料饮用频率>3次/周、未使用含氟牙膏、牙齿垂直向位置为低位、正畸拔牙、非牙齿整体移动、矫正器提供的力的作用方式为持续性、正畸部位近远中分区为 2~4 区、基质金属蛋白酶-9(MMP-9)>5.64 ng/mL、白细胞介素-17(IL-17)>29.99 pg/mL占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,正畸拔牙、非牙齿整体移动、MMP-9>5.64 ng/mL、IL-17>29.99 pg/mL均为口腔正畸患者发生牙根吸收的危险因素(OR>1,P<0.05).结论:正畸拔牙、非牙齿整体移动、MMP-9>5.64 ng/mL、IL-17>29.99 pg/mL均为口腔正畸患者发生牙根吸收的危险因素.
Influencing factors of root resorption in orthodontic patients
Objective:To analyze influencing factors of root resorption in orthodontic patients.Methods:A cross-sectional study was conducted on 78 patients who underwent orthodontics treatment in this hospital from May 2020 to August 2022.The clinical data of these patients were collected.The levels of gingival crevicular fluid indexes were detected and the root resorption was determined.These patients were divided into resorption group and non-resorption group according to whether root resorption occurred.Logistic regression was used to analyze the influencing factors of root resorption in these orthodontic patients.Results:There were 35 cases of root resorption in the 78 orthodontic patients with an incidence of 44.87%(35/78).There were no significant differences in gender,age,orthodontic treatment course and orthodontic tooth position between the two groups(P>0.05).The proportions of the patients with the frequency of brushing teeth<2 times/week,the frequency of taking sweet foods>3 times/week,the frequency of drinking carbonated drinks>3 times/week,no fluoride toothpaste,the vertical position of teeth as low,orthodontic extraction,non-dental overall movement,the persistent force provided by the appliance,proximal and distal partitions of the orthodontic site as 2-4 areas,matrix metalloproteinase-9(MMP-9)level>5.64 ng/mL,and interleukin-17(IL-17)level>29.99 pg/mL in the resorption group were higher than those in the non-resorption group,and the differences were statistically significant.Logistic regression analysis showed that orthodontic extraction,non-dental overall movement,MMP-9 level>5.64 ng/mL,IL-17 level>29.99 pg/mL were all risk factors for root resorption in the orthodontic patients(OR>1,P<0.05).Conclusions:Orthodontic extraction,non-dental overall movement,MMP-9 level>5.64 ng/mL,IL-17 level>29.99 pg/mL are the risk factors for root resorption in the orthodontic patients

OrthodonticsRoot resorptionMatrix metalloproteinase-9Interleukin-17Influencing factor

王小娜

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平煤神马医疗集团总医院口腔科,河南 平顶山 467100

正畸 牙根吸收 基质金属蛋白酶-9 白细胞介素-17 影响因素

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(5)
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