[1]刘 媛,王 丁,殷万鑫,等.微种植体支抗对正畸治疗中牙周炎患者血清炎性因子、咬合能力及美学效果的影响[J].中国美容医学,2023,(6):153-158.
　LIU Yuan,WANG Ding,YIN Wanxin,et al.Infl uence of Micro-implant Anchorage on Serum Infl ammatory Factors, Occlusal Ability and Cosmetic Effect in Patients with Periodontitis During Orthodontic Treatment[J].Medical Aesthetics and Beauty,2023,(6):153-158.
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微种植体支抗对正畸治疗中牙周炎患者血清炎性因子、咬合能力及美学效果的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年6期
页码:
153-158
栏目:
出版日期:
2023-06-10

文章信息/Info

Title:
Infl uence of Micro-implant Anchorage on Serum Infl ammatory Factors, Occlusal Ability and Cosmetic Effect in Patients with Periodontitis During Orthodontic Treatment
文章编号:
1008-6455（2023）06-0153-06
作者:
刘 媛; 王 丁; 殷万鑫; 王一曦
(北京市民航总医院口腔科 北京 100123 )
Author(s):
LIU Yuan; WANG Ding; YIN Wanxin; WANG Yixi
(Department of Stomatology,Beijing Civil Aviation General Hospital,Beijing 100123,China)
关键词:
微种植体支抗; 正畸; 血清炎性因子; 咬合能力; 美学效果; 牙周炎
Keywords:
micro-implant anchorage;  orthodontics;  serum infl ammatory factors;  occlusal ability;  cosmetic eff ect;  periodontitis
分类号:
R783.5
文献标志码:
A
摘要:
目的：探究微种植体支抗对正畸治疗中牙周炎患者血清炎性因子、咬合能力及美学效果的影响。方法：选取2017年 6 月-2020年12月笔者医院行正畸治疗的牙周炎患者152例，根据患者所选治疗方式不同分为对照组和观察组，对照组采用 常规正畸治疗（n=72），观察组采用微种植体支抗治疗（n=80）。对比两组患者治疗前后血清炎性因子、咬合能力、牙周 指标及美学效果，并记录并发症发生情况。结果：治疗后，两组患者白细胞介素6（Interleukin-6，IL-6）、肿瘤坏死因 子α（Tumor necrosis factor，TNF-α）、基质金属蛋白酶-8（Matrix metalloproteinase-8，MMP-8）、基质金属蛋白 酶-9（Matrix metalloproteinase-9，MMP-9）水平均降低，且观察组低于对照组，两组患者骨钙素水平均升高，并且观 察组高于对照组，差异均有统计学意义（P＜0.05）；治疗后，两组患者牙龈指数（Gingival index，GI）、出血指数 （Sulcus bleeding index，SBI）及菌斑指数（Plaque index，PLI）评分及探诊深度（Probing depth，PD）均下降， 且观察组低于对照组（P＜0.05）；治疗后，两组患者咬合力及咀嚼效率均高于治疗前，且观察组高于对照组，差异均有 统计学意义（P＜0.05）；咬合力与IL-6、TNF-α、MMP-8及MMP-9呈负相关（r分别为-0.898、-0.767、-0.810、-0.848， 均P＜0.05），与骨钙素呈正相关（r=0.779，P＜0.05）；治疗后，两组患者SNA及ANB均下降，并且观察组低于对照组，SNB 上升，且观察组高于对照组（P＜0.05）；治疗后，观察组美学满意度高于对照组，观察组并发症发生率低于对照组，差异 均有统计学意义（P＜0.05）；对照组治疗有效率C/E为1.07，观察组治疗有效率C/E为1.00，对照组相较于观察组治疗有效 率ΔC/ΔE为0.65。结论：采用微种植体支抗进行正畸治疗，可有效改善牙周炎患者咬合力及咀嚼效率，降低患者炎性因子 水平，并且美学效果较好，治疗后患者并发症较少，治疗效果较好，值得临床推广使用。
Abstract:
Objective To explore the influence of micro-implant anchorage on serum inflammatory factors, occlusal ability and cosmetic effect of patients with periodontitis in orthodontic treatment. Methods 152 patients with periodontitis who came to author’s hospital for orthodontic treatment from June 2017 to December 2020 were selected. According to the treatment method selected by the patients, they were divided into a control group and an observation group.The control group received conventional treatment (n=72).The observation group was treated with micro-implant anchorage (n=80). The serum infl ammatory factors, occlusal ability, periodontal index and cosmetic eff ect were compared between the two groups of patients before and after treatment, and the occurrence of complications was recorded. Results After treatment,the levels of IL-6,TNF-α, MMP-8 and MMP-9 of the two groups of patients decreased,and the observation group was lower than the control group, the osteocalcin levels of the two groups of patients increased, and the observation group was higher than the control group (P ＜0.05). GI, SBI and PLI scores and PD levels of the two groups of patients decreased after treatment, and the observation group was lower than the control group (P＜0.05). After treatment,the bite force and chewing effi ciency of the two groups were higher It was high before treatment, and the observation group was higher than the control group (P ＜0.05). Bite force was negatively correlated with IL-6, TNF-α, MMP-8 and MMP-9 (r were -0.898, -0.767, -0.810, -0.848, P＜0.05), positively correlated with osteocalcin (r=0.779, P＜0.05). SNA and ANB of the two groups of patients decreased after treatment, and the observation group was lower than the control group, and SNB was somewhat Increased, and the observation group was higher than the control group (P＜0.05). After treatment, the observation group’s beauty satisfaction was higher than the control group,the diff erences were statistically signifi cant (P ＜0.05). After treatment, the incidence of complications in the observation group was lower than that of the control group,the diff erences were statistically signifi cant (P ＜0.05). The treatment eff ective rate C/E of the control group was 1.07, the treatment eff ective rate C/E of the observation group was 1.00, and the treatment eff ective rate ΔC/ΔE of the control group compared with the observation group was 0.65. Conclusion The use of micro-implant anchors for orthodontic treatment can eff ectively improve the bite force and chewing effi ciency of patients with periodontitis, and it is helpful to reduce the infl ammatory factors of patients, and the cosmetic eff ect is better, and there are fewer complications after treatment. The treatment eff ect is good and it is worthy of promotion and use.

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更新日期/Last Update: 2023-07-11