[1]姚 甜,孙冬梅,张国梅.成人正畸患者佩戴传统金属托槽与金属自锁托槽对牙周微环境的影响及美观性评价[J].中国美容医学,2023,(3):124-128.
　YAO Tian,SUN Dongmei,ZHANG Guomei.Effect and Aesthetic Evaluation of Wearing Traditional Metal Brackets and Metal Self-locking Brackets on Peridental Microenvironment in Adult Orthodontic Patients[J].Medical Aesthetics and Beauty,2023,(3):124-128.
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成人正畸患者佩戴传统金属托槽与金属自锁托槽对牙周微环境的影响及美观性评价()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年3期
页码:
124-128
栏目:
出版日期:
2023-03-10

文章信息/Info

Title:
Effect and Aesthetic Evaluation of Wearing Traditional Metal Brackets and Metal Self-locking Brackets on Peridental Microenvironment in Adult Orthodontic Patients
文章编号:
1008-6455（2023）03-0124-04
作者:
姚 甜; 孙冬梅; 张国梅
(上海市宝山区仁和医院口腔科 上海 200431 )
Author(s):
YAO Tian; SUN Dongmei; ZHANG Guomei
(Department of Stomatology,Renhe Hospital,Baoshan District,Shanghai 200431,China)
关键词:
成人正畸; 自锁托槽矫治器; 传统托槽矫治器; 龈沟液; 白介素-17; 牙周微环境; 美观性
Keywords:
adult orthodontics;  self-ligating bracket appliance;  traditional bracket appliance;  gingival crevicular fluid;  interleukin-17;  peridental microenvironment;  aesthetics
分类号:
R783.5
文献标志码:
A
摘要:
目的：研究成人正畸患者佩戴不同矫治器对牙周微环境及美观性的影响。方法：选取笔者医院2018年2月-2020年2月 收治的80例成人正畸患者，采用随机数字表法分为对照组（n=40）和观察组（n=40）。对照组行传统托槽矫治器治疗，观 察组行自锁托槽矫治器治疗。比较两组治疗前后牙周指数[菌斑指数（Plaque index,PLI）、出血指数（Sulcus bleeding Index,SBI）、探诊深度（Probing depth,PD）]及龈沟液炎症因子[白介素-1β（Interleukin-1β,IL-1β）、白介 素-17（Interleukin-17,IL-17）、前列腺素E2（Prostaglandin E2,PGE2）、肿瘤坏死因子-α（Tumor necrosis factoralpha,TNF-α）]，对比两组不同时点牙髓活力，观察两组并发症发生率及美观满意度。结果：两组治疗后PD、SBI、PLI 水平较治疗前升高,观察组PD、SBI、PLI水平低于对照组，差异均有统计学意义（P＜0.05）；治疗后，两组IL-1β、 TNF-α 、IL-17、PGE2水平较治疗前升高，但观察组治疗后IL-1β、TNF-α、IL-17、PGE2水平低于对照组，差异均有统计 学意义（P＜0.05）。与两组治疗后3个月的牙髓活力值比较，治疗后6个月的牙髓活力值无明显变化（P＞0.05），治疗后 9 、12、18、24个月的牙髓活力值均明显升高，差异有统计学意义（P＜0.05），但治疗后9、12、18、24个月的牙髓活力值 两两比较差异无统计学意义（P＞0.05）；观察组治疗后3、6、9、12、18个月牙髓活力值明显高于对照组（P＜0.05），治 疗后24个月牙髓活力值与对照组比较差异无统计学意义（P＞0.05）。观察组并发症发生率为5.00%，低于对照组的20.00%， 观察组美观满意度高于对照组，差异均有统计学意义（P＜0.05）。结论：自锁托槽矫治器用于成人正畸中更利于牙周健 康，可降低龈沟液炎症反应，提升牙髓活力，减少并发症的发生风险，患者美观满意度高，可临床推广。
Abstract:
Objective To study the infl uence of wearing diff erent orthodontic devices on the peridental microenvironment and aesthetics in adult orthodontic patients. Methods A total of 80 adult orthodontic patients admitted to the author’s hospital from February 2018 to February 2020 were selected and randomly divided into control group (n=40) and observation group (n=40) by digital table method. The control group was treated with traditional bracket appliance, and the observation group was treated with self-locking bracket appliance. The periodontal index [plaque index (PLI), bleeding index (SBI), probing depth (PD)] and gingival crevicular fl uid infl ammatory factors [interleukin-1β (IL-1β ),IL-17,prostate Element E2 (PGE2), tumor necrosis factor-α (TNF-α)], compared the pulp vitality of the two groups at diff erent time points, and observed the incidence of complications and aesthetic satisfaction of the two groups. Results The levels of PD, SBI and PLI in the two groups after treatment were higher than those before treatment (P ＜0.05); the levels of PD, SBI and PLI in the observation group after treatment were lower than those in the control group (P＜0.05). The levels of IL-1β, TNF-α, IL-17 and PGE2 in the two groups after treatment were higher than those before treatment (P＜0.05). The levels of IL-1β, TNF-α, IL-17 and PGE2 in the observation group after treatment were lower than those in the control group group (P ＜0.05). Compared with the value of pulp vitality after 3 months of treatment, there was no signifi cant change in the value of pulp vitality after 6 months of treatment (P ＞0.05), and the value of pulp vitality after 9, 12, 18 and 24 months of treatment was signifi cantly increased. (P ＜0.05), but there was no signifi cant diff erence in the value of pulp vitality after 9, 12, 18 and 24 months (P ＞0.05). The pulp vitality value of the observation group was signifi cantly higher than that of the control group at 3, 6, 9, 12 and 18 months after treatment (P ＜0.05), and there was no signifi cant diff erence in the pulp vitality value at 24 months compared with the control group (P ＞0.05).The incidence of complications in the observation group was 5.00%, which was lower than 20.00% in the control group (P＜0.05). The aesthetic satisfaction of the observation group was higher than that of the control group (P＜0.05). Conclusion The self-ligating bracket appliance used in adult orthodontics is more benefi cial to periodontal health, can reduce the infl ammatory reaction of gingival crevicular fl uid, improve pulp vitality, reduce the risk of complications, and has high aesthetic satisfaction of patients, which is worthy of promotion.

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[1]彭治凯,李森森,朱 彬.无托槽隐形矫治器治疗牙周炎致前牙扇形移位的美学效果及对炎症因子的影响[J].中国美容医学,2024,(2):133.[doi:10.15909/j.cnki.cn61-1347/r.006157]
　PENG Zhikai,LI Sensen,ZHU Bin.Aesthetic Effect of Bracketless Invisible Appliance on Patients with Periodontitis induced Anterior Tooth Sector Displacement and the Effect on Infl ammatory Factors[J].Medical Aesthetics and Beauty,2024,(3):133.[doi:10.15909/j.cnki.cn61-1347/r.006157]

更新日期/Last Update: 2023-04-06