首页|自锁托槽矫治器联合口腔正畸在牙颌畸形患者的应用效果评价

自锁托槽矫治器联合口腔正畸在牙颌畸形患者的应用效果评价

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目的 评价自锁托槽矫治器联合口腔正畸在牙颌畸形患者的应用效果.方法 回顾性分析我院 2020 年 1 月~2023年 1 月进行口腔正畸的牙颌畸形患者 102 例,按治疗方法分为金属托槽组(n=51)和自锁托槽组(n=51).金属托槽组采用金属托槽矫治器治疗,自锁托槽组采用自锁托槽矫治器治疗.对比 2 组治疗效果、治疗前后牙周指数[牙龈指数(gingival index,GI)、龈沟出血指数(Gingival sulcus bleeding index,SBI)]、龈沟液生化指标[谷草转氨酶(aspartate transaminase,AST)、碱性磷酸酶(alkaline phosphatase,ALP)]水平.结果 自锁托槽组总有效率 96.08%(49/51)较金属托槽组 76.47%(39/51)高(P<0.05);治疗后与金属托槽组比较,自锁托槽组TNF-α、IL-1β低(P<0.05);治疗后与金属托槽组比较,自锁托槽组GI、SBI低(P<0.05);治疗后与金属托槽组比较,自锁托槽组AST、ALP低(P<0.05).结论 自锁托槽矫治器联合口腔正畸在牙颌畸形患者中的应用效果显著,能减轻龈沟液炎症,降低相关生化指标水平,改善患者牙周指数.
Application effect evaluation of self-ligating brackets and orthodontics in patients with maxillofacial deformities
Objective To evaluate the application effect of self-ligating brackets and orthodontics in patients with maxillofacial deformities.Methods Retrospective analysis of 102 patients with orthodontic orthodontics from January 2020 to January 2023 in our hospital,according to the treatment method,divided into metal bracket group(n=51)and self-locking bracket group(n=51).The metal bracket group was treated with metal bracket appliances,and the self-ligating bracket group was treated with self-ligating bracket appliances.The treatment effect,before and after treatment periodontal indices[gingival index(GI),gingival sulcus bleeding index(SBI)],and biochemical indices of gingival crevice fluid[glutamate dehydrogenase(AST),alkaline phosphatase(ALP)]were compared between the two groups.Results The total effective rate of the self-ligating bracket group(96.08%,49/51)was higher than that of the metal bracket group(76.47%,39/51)(P<0.05).GI and SBI in the self-ligating bracket group were lower than those in the metal bracket group after treatment(P<0.05).AST and ALP in the self-ligating bracket group were lower than those in the metal bracket group after treatment(P<0.05).Conclusion The application effect of self-ligating brackets and orthodontics in patients with maxillofacial deformities is significant,which can reduce gingival crevice fluid inflammation,reduce the level of related biochemical indicators,and improve the periodontal index of patients.

maxillofacial deformityorthodonticsself-ligating bracketsperiodontal index

张凌云、王星宇、韩韶丰、李鹏举

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河南省安阳市第六人民医院口腔正畸科,河南安阳,455000

厦门大学,福建厦门,361000

牙颌畸形 口腔正畸 自锁托槽矫治器 牙周指数

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(2)
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