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无托槽隐形矫治器在青少年正畸患儿中的应用效果

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目的:观察无托槽隐形矫治器在青少年正畸患儿中的应用效果.方法:回顾性分析 2023 年 6-12 月该院收治的 62 例青少年正畸患儿的临床资料,根据治疗方法不同将其分为对照组和观察组各 31 例.对照组采用传统固定矫治器治疗,观察组采用无托槽隐形矫治器治疗.比较两组治疗前及治疗 6 个月后牙周相关指标[牙龈指数(GI)、龈沟探诊深度(SPD)、龈沟出血指数(SBI)、菌斑指数(PLI)]水平、龈沟液炎性因子[白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)]水平和矫治满意度.结果:治疗 6 个月后,两组GI、SBI、PLI评分及SPD水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组龈沟液IL-6、IL-1β、TNF-α水平均高于治疗前,但观察组低于对照组,差异有统计学意义(P<0.05);观察组矫治满意度为 93.55%,高于对照组的 70.97%,差异有统计学意义(P<0.05).结论:无托槽隐形矫治器应用于青少年正畸患儿中可提高矫治满意度,以及降低牙周相关指标和龈沟液炎性因子水平的效果优于传统固定矫治器治疗.
Application effects of bracketless invisible appliance in adolescent orthodontic children
Objective:To observe application effects of bracketless invisible appliance in adolescent orthodontic children.Methods:The clinical data of 62 adolescent orthodontic children admitted to this hospital from June 2023 to December 2023 were retrospectively analyzed.According to the different treatment methods,they were divided into control group and observation group,31 cases in each group.The control group was treated with traditional fixed appliance,while the observation group was treated with bracketless invisible appliance.The levels of periodontal related indexes[gingival index(GI),gingival crevicular probing depth(SPD),sulcus bleeding index(SBI),plaque index(PLI)]and gingival crevicular fluid inflammatory indexes[interleukin-1β(IL-1β),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)]before and 6 months after the treatment,and the correction satisfaction were compared between the two groups.Results:After 6 months of treatment,the scores of GI,SBI,PLI and SPD in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The levels of IL-6,IL-1β and TNF-α in gingival crevicular fluid of the two groups were higher than those before the treatment,but those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the correction satisfaction of the observation group was 93.55%,which was higher than 70.97%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The bracketless invisible appliance in the adolescent orthodontic children can improve the satisfaction of orthodontic treatment,and reduce the levels of periodontal related indexes and gingival crevicular fluid inflammatory indexes.Moreover,it is superior to traditional fixed appliance treatment.

Bracketless invisible applianceAdolescentOrthodonticsPeriodontalGingival crevicular fluidInflammatory factorSatisfaction

王文超、江丽青、刘子扬

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九江学院附属口腔医院正畸科,江西 九江 332000

无托槽隐形矫治器 青少年 正畸 牙周 龈沟液 炎性因子 满意度

九江市重点研发计划-指导性计划

S2023ZDYFN574

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(19)
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