[1]丁丹丹,刘建明,马海萍,等. 自锁托槽矫治技术对正畸治疗患者口腔健康及生活质量的影响[J].中国美容医学,2019,(06):119-121.
　DING Dan-dan,LIU Jian-ming,MA Hai-ping,et al. Effect of Self-Ligating Bracket on Oral Health and Quality of Life of Orthodontic Patients[J].Medical Aesthetics and Beauty,2019,(06):119-121.
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 自锁托槽矫治技术对正畸治疗患者口腔健康及生活质量的影响
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年06期
页码:
119-121
栏目:
出版日期:
2019-06-05

文章信息/Info

Title:
 Effect of Self-Ligating Bracket on Oral Health and Quality of Life of Orthodontic Patients
文章编号:
1008-6455（2019）06-0119-04
作者:
丁丹丹1; 刘建明1; 马海萍1; 肖 玲1 ; 杜艾盈2
Author(s):
DING Dan-dan1; LIU Jian-ming1; MA Hai-ping1; XIAO Ling1; DU AI-ying2
关键词:
[关键词]自锁托槽; 正畸治疗; 龈沟液; 炎症因子; 细胞因子
Keywords:
Key words: self-ligating bracket;  orthodontic treatment;  gingiva groove liquid;  inflammatory factor;  cytokines;  influence
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]目的：研究自锁托槽矫治技术对正畸治疗患者口腔健康及生活质量的影响。方法：选取在笔者医院接受牙齿正畸治疗
的成人患者84例，根据不同的牙齿矫正方法分为观察组和对照组。观察组：42例，使用自锁托槽矫治技术治疗；对照组：
42例，使用传统托槽矫治技术治疗。分别记录观察组和对照组治疗半年后牙周情况和治疗效果,采用口腔健康影响程度量表
（OHIP）评价两组患者治疗前后的口腔健康相关生存质量。采用酶联免疫吸附试验检测血清白细胞介素-1（IL-1）、肿瘤坏
死因子（TNF-α）、前列腺素E2（PGE2）和Wnt1水平。结果：治疗半年后，观察组与对照组的菌斑指数（PLI）、牙周探诊
深度（PD）、龈沟出血指数（SBI）和临床依附丧失（CAL）均明显降低，而牙龈退缩指数（GR）水平在治疗半年后明显升
高，差异具有统计学意义（P ＜0.05）；治疗半年后，观察组的PIL、PD、SBI和CAL水平均低于对照组，而GR水平明显高于对
照组，差异具有统计学意义（P ＜0.05）；治疗前后观察组和对照组的残障、社交困难、功能受限、心理阻碍、心理沟通、
生理性疼痛和生理障碍评分均明显提高,并且治疗后观察组的各项评分明显高于对照组，差异具有统计学意义（P ＜0.05）；
治疗前，两组患者的IL-1、TNF-α、PGE2和Wnt1水平比较，差异无统计学意义（P ＞0.05）；治疗后，两组患者IL-1和
TNF-α水平显著低于治疗前，且观察组显著低于对照组，差异具有统计学意义(P ＜0.05)；治疗后两组患者PGE2和Wnt1水平
均显著提高，且观察组显著低于对照组，差异具有统计学意义(P ＜0.05)。观察组半年内托槽脱落率和1年内托槽脱落率均显
著低于对照组，差异具有统计学意义（P ＜0.05或P ＜0.01）；观察组治疗显效率和治疗总有效率均显著高于对照组，差异具
有统计学意义（P ＜0.05）。结论：采用自锁托槽矫治技术进行成人正畸治疗比传统托槽矫治技术有显著疗效，能更有效地
改善患者的牙周情况，维护患者的口腔健康，减少其病痛，降低其龈沟液内的炎症因子和细胞因子水平。

Abstract:
Abstract: Objective To study the Effect of self-ligating bracket on oral health and quality of life of orthodontic patients.
Methods 84 adult patients who received orthodontic treatment in our hospital were selected and divided into observation
group and control group according to different orthodontic methods. Observation group: 42 cases were treated with selflocking
brackets and control group: 42 cases were treated with traditional brackets. Periodontal condition and treatment effect
were recorded before and after treatment in the observation group and the control group respectively, Oral health-related
quality of life (OHIP) was evaluated in two groups before and after treatment. Using enzyme-linked immunosorbent assay to
detect serum interleukin-1 (IL -1 ), tumor necrosis factor (TNF-α), prostaglandin E2 (PGE2) and Wnt1 level. Results The
observation group and control group before and after the treatment of PIL, PD and SBI and CAL were significantly lower, and
the GR levels increased significantly after treatment, the difference statistically significant (P ＜0.05), the observation group
after treatment of PIL, PD and SBI and CAL levels are lower than the control group, and the GR level obviously higher than
that of control group, difference has statistical significance (P ＜0.05); Before and after treatment, the scores of disability,
social difficulties,functional limitations,psychological obstacles,psychological communication, physical pain and physiological
disorders in the observation group and the control group were significantly improved, and the scores of the observation group
after treatment were significantly higher than those of the control group, with statistically significant differences (P ＜0.05).
Two groups of patients before treatment of TNF-α, IL-1, PGE2 and Wnt1 horizontal comparison, there was no statistically
significant difference (P ＞0.05). Two groups after treatment in patients with IL-1and TNF-α were significantly lower than
before treatment, and the observation group was significantly lower than the control group, difference has statistical significance
(P ＜0.05); After treatment, PGE2 and Wnt1 levels were significantly increased in both groups, and the observation group was
significantly lower than the control group, with statistically significant differences (P ＜0.05). The slaking rate of brackets in the
observation group was significantly lower than that in the control group within half a year and one year, and the difference was
statistically significant (P ＜0.05 or P ＜0.01). The significant efficiency and total effective rate of treatment in the observation
group were significantly higher than those in the control group, and the difference was statistically significant (P ＜0.05).
Conclusion Adult orthodontic treatment with self-locking brackets has significant therapeutic effect compared with traditional
brackets, which can improve periodontal condition, maintain oral health and reduce the level of inflammatory factors in gingival
crevicular fluid. At the same time, the improvement of patients’ bad mood is especially significant.

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更新日期/Last Update: 2019-07-04