[1]辛 鑫,张雨茵,白利广,等.无托槽隐形矫治对正畸治疗患者牙周指数的影响及其美学效果分析[J].中国美容医学,2024,(8):130-134.
　XIN Xin,ZHANG Yuyin,BAI Liguang,et al.The Impact of Invisible Orthodontic Treatment without Brackets on the Periodontal Index of Patients Undergoing Orthodontic Treatment and Its Aesthetic Effect Analysis[J].Medical Aesthetics and Beauty,2024,(8):130-134.
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无托槽隐形矫治对正畸治疗患者牙周指数的影响及其美学效果分析()

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年8期
页码:
130-134
栏目:
出版日期:
2024-08-10

文章信息/Info

Title:
The Impact of Invisible Orthodontic Treatment without Brackets on the Periodontal Index of Patients Undergoing Orthodontic Treatment and Its Aesthetic Effect Analysis
文章编号:
1008-6455（2024）08-0130-05
作者:
辛 鑫1 ; 张雨茵2 ; 白利广3 ; 程 瑜4 ; 陈迎宾5 ; 焦晓菊1
(1.华北医疗健康集团邢台总医院口腔科 河北 邢台 054000 ;2.河北省胸科医院口腔科 河北 石家庄 050041 ;3.华北医疗健 康集团邢台总医院眼科 河北 邢台 054000 ;4.华北医疗健康集团邢台总医院呼吸与危重症医学科 河北 邢台 054000 ;5.华北 医疗健康集团邢台总医院医学检验科 河北 邢台 054000 )
Author(s):
XIN Xin 1 ;  ZHANG Yuyin2 ;  BAI Liguang3 ;  CHENG Yu4 ;  CHEN Yingbin5 ;  JIAO Xiaoju1
( 1.Department of Stomatology, Xingtai General Hospital, North China Medical and Health Group, Xingtai 054000, Hebei, China; 2.Department of Stomatology, Hebei Chest Hospital, Shijiazhuang 050041, Hebei, China; 3.Department of Ophthalmology, Xingtai General Hospital, North China Medical and Health Group, Xingtai 054000, Hebei, China; 4. Department of Respiratory and Critical Care Medicine, Xingtai General Hospital, North China Medical and Health Group, Xingtai 054000, Hebei, China; 5.Department of Medical Laboratory, Xingtai General Hospital, North China Medical and Health Group, Xingtai 054000, Hebei, China )
关键词:
正畸; 无托槽隐形矫治; 龈沟液; 咬合功能; 美学效果
Keywords:
orthodontics;  invisible orthodontic without brackets;  gingival crevicular fl uid;  occlusal function;  aesthetic eff ect
分类号:
R783.5
文献标志码:
A
摘要:
目的：探讨无托槽隐形矫治技术对正畸治疗患者牙周指数的影响及其美学效果。方法：选取2020年9月-2022年9月华 北医疗健康集团邢台总医院收治的102例正畸治疗患者作为研究对象，采用随机数字表法分为对照组（51例）和观察组（51 例）。对照组给予传统固定矫治术，观察组给予无托槽隐形矫治术，治疗后随访6个月。比较两组患者的治疗效果，治疗 前、治疗24 h后的口腔咬合功能及牙周指数，治疗前及随访6个月后的龈沟液中因子水平、牙齿美学效果，以及随访6个月后 的正畸矫治后满意度。结果：治疗后6个月随访，观察组总有效率96.08%，高于对照组的84.31%（P＜0.05）；与治疗前比 较，治疗24 h后两组咀嚼次数、咀嚼效能及最大咬合力均降低，但观察组高于对照组（P＜0.05）；治疗后两组牙龈指数、 龈沟出血指数及菌斑指数均升高，但观察组低于对照组（P＜0.05）。与治疗前比较，治疗后6个月随访两组龈沟液天门冬氨 酸转氨酶、碱性磷酸酶、白细胞介素-1β、肿瘤坏死因子-α水平均升高，但观察组低于对照组（P＜0.05）。与治疗前比 较，治疗后6个月随访两组Ⅰ类牙齿美学效果的患者占比均升高，且观察组高于对照组；观察组Ⅱ类牙齿美学效果及两 组Ⅲ类牙齿美学效果的患者占比均降低，且观察组Ⅱ类牙齿美学效果的患者占比低于对照组（P＜0.05）。治疗后6个月 随访，观察组咀嚼功能、固定功能、舒适性、语言功能、修复体形态、修复体与邻牙协调程度满意度评分均高于对照组 （P＜0.05）。结论：无托槽隐形矫治技术可有效降低患者牙周指数并改善口腔咬合功能障碍，改善正畸治疗患者龈沟液相 关因子水平，提高牙齿美学效果，进一步提高治疗效果与患者满意度。
Abstract:
Objective To explore the impact of invisible orthodontic treatment without brackets on the periodontal index of orthodontic patients and its aesthetic eff ects. Methods 102 patients with orthodontic treatment admitted to Xingtai General Hospital of North China Medical and Health Group from September 2020 to September 2022 were selected as the research subjects. They were divided into the control group (51 cases) and the observation group (51 cases) by random number table method. The control group received traditional fixed orthodontic surgery, while the observation group received invisible orthodontic surgery without brackets. Follow up for 6 months after treatment. The treatment eff ects after 6 months of follow-up, including oral occlusal function and periodontal index before and after 24 h of treatment, levels of factor in gingival crevicular fl uid, dental aesthetic eff ects before and after 6 months of follow-up, and satisfaction with orthodontic correction after 6 months of follow-up of two groups were compared. Results After 6 months of follow-up, the rate of total eff ective in the observation group was 96.08%, which was higher than 84.31% in the control group (P ＜0.05). Compared with before treatment, after 24 h of treatment, the chewing frequency, chewing efficiency, and maximum bite force of both groups decreased, but the observation group was higher than the control group (P＜0.05); The gingival index, sulcus bleeding index, and plaque index of the control group all increased, but the observation group was lower than the control group (P＜0.05). Compared with before treatment, after 6 months of follow-up, the levels of gingival crevicular fl uid aspartate aminotransferase, alkaline phosphatase, and interleukin-1β; tumor necrosis factor-α (TNF-α) of two groups all increased, but the observation group was lower than the control group (P ＜0.05). Compared with before treatment, after 6 months of follow-up, the proportion of patients with aesthetic eff ects on class I teeth in both groups increased, and the observation group was higher than the control group; The proportion of patients with aesthetic eff ects on class II teeth in the observation group and Class Ⅲ teeth in both groups decreased, and the proportion of patients with aesthetic eff ects on class Ⅱ teeth in the observation group was lower than that in the control group (P ＜0.05). After 6 months of follow-up, the satisfaction scores of chewing function, fi xation function, comfort, language function, restoration shape, and coordination between restoration and adjacent teeth in the observation group were higher than those in the control group (P ＜0.05). Conclusion Invisible orthodontic technology without brackets could eff ectively reduce periodontal index and oral occlusal dysfunction, improve the level of relevant factors in orthodontic treatment patients, improve dental aesthetics, further improve treatment eff ectiveness and patient satisfaction.

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更新日期/Last Update: 2024-08-17