[1]韩世智,黄 欢,蒙柯帆.微种植体支抗矫治错牙合畸形的美学效果及其对牙周炎症的影响[J].中国美容医学,2022,(2):134-137.
　HAN Shizhi,HUANG HuanMENG Kefan.Effect of Orthodontic Micro-implant Anchorage on Cosmetic Repair of Patients with Malocclusion and Its Effect on Periodontitis[J].Medical Aesthetics and Beauty,2022,(2):134-137.
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微种植体支抗矫治错牙合畸形的美学效果及其对牙周炎症的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年2期
页码:
134-137
栏目:
出版日期:
2022-02-10

文章信息/Info

Title:
Effect of Orthodontic Micro-implant Anchorage on Cosmetic Repair of Patients with Malocclusion and Its Effect on Periodontitis
文章编号:
1008-6455（2022）02-0134-04
作者:
韩世智; 黄 欢; 蒙柯帆
(四川省科学城医院口腔科 四川 绵阳 621900)
Author(s):
HAN Shizhi;  HUANG HuanMENG Kefan
(Department of Stomatology, Sichuan Science City Hospital, Mianyang 621900, Sichuan, China)
关键词:
错牙合畸形; 微种植体; 口外弓; 支抗; 牙周炎症; 口腔结构; 美容
Keywords:
malocclusion;  micro-implant;  extraoral arch;  anchorage;  periodontitis;  oral structure;  beauty
分类号:
R783.5
文献标志码:
A [
摘要:
目的：分析正畸微种植体支抗对错牙合畸形患者的美容效果及对其牙周炎症的影响。方法：选择2016年1月-2018年1月笔者医院收治的错牙合畸形患者120例，以随机数字表法分为微种植体支抗矫治组（60例）和口外弓矫治组（60例）。口外弓矫治组接受口外弓矫治，微种植体支抗矫治组接受正畸微种植体支抗矫治。观察两组美容修复效果及治疗后的口腔结构，比较两组治疗前后的头影软组织指标及牙周炎症反应指标，记录两组随访期间的并发症发生情况。结果：微种植体支抗矫治组拔牙间隙关闭时间、矫治周期短于口外弓矫治组，差异有统计学意义（P＜0.05）；治疗后，微种植体支抗矫治组矫治成功率为93.33%，高于口外弓矫治组的76.67%，差异有统计学意义（P＜0.05）。治疗后，微种植体支抗矫治组上中切牙凸距差、中切牙倾角差高于口外弓矫治组，磨牙移位、U1-SN低于口外弓矫治组，差异均有统计学意义（P＜0.05）。治疗后，两组Eline-UL、Eline-LL、上唇突度、下唇突度低于治疗前，微种植体支抗矫治组低于口外弓矫治组，差异有统计学意义（P＜0.05）。治疗后，两组牙周组织金属基质蛋白酶9（MMP-9）、白介素-6（IL-6）、白介素-1β（IL-1β）水平高于治疗前，但微种植体支抗矫治组低于口外弓矫治组，差异有统计学意义（P＜0.05）。 随访期间，微种植体支抗矫治组并发症发生率为5.00%，低于口外弓矫治组的16.67%，两组比较差异有统计学意义（P＜0.05）。结论：微种植体支抗可降低错牙合畸形患者牙周组织MMP-9、IL-6、IL-1β水平，减轻其牙周炎症，同时有效改善患者口腔结构及头影软组织指标，缩短拔牙间隙关闭时间与矫治周期，提高患者矫治成功率，且安全性较高。
Abstract:
Objective To analyze the cosmetic repair effect of orthodontic micro-implant anchorage on patients with malocclusion and its influence on periodontitis. Methods 120 patients with malocclusion in our hospital from January 2016 to January 2018 were divided into the orthodontic micro-implant anchorage treatment group (60 cases) and the extraoral arch treatment group (60 cases) by random number table method. The extraoral arch treatment group was treated with extraoral arch, while the orthodontic micro-implant anchorage treatment group was treated with orthodontic micro-implant anchorage. The cosmetic restoration effect and oral structure after treatment was observed, the head shadow soft tissue indexs and periodontitis reaction indexes before and after treatment was compared, and the complications during the follow-up period was recorded. Results The closing time of tooth extraction space and correction cycle in orthodontic micro-implant anchorage treatment group were shorter than those in extraoral arch treatment group (P＜0.05). After treatment, the success rate of correction in orthodontic micro-implant anchorage treatment group was 93.33%, which was higher than that in extraoral arch treatment group (76.67%, P＜0.05). After treatment, the difference of convex distance and inclination angle of upper central incisors in the orthodontic micro-implant anchorage treatment group was higher than that in the extraoral arch treatment group, the molar displacement and U1-SN were lower than those in the extraoral arch treatment group (P＜0.05). After treatment, Eline-UL, Eline-LL, upper lip protrusion and lower lip protrusion in the two groups were lower than those before treatment, and those in the micro-implant anchorage treatment group were lower than those in the extraoral arch treatment group(P＜0.05). After treatment, the levels of metalloproteinase 9(MMP-9), interleukin -6(IL-6), interleukin -1β(IL-1β) in periodontal tissues of the two groups were higher than those before treatment, but the orthodontic micro-implant anchorage treatment group were lower than those in extraoral arch treatment group (P＜0.05). During the follow-up, the incidence of complications in the orthodontic micro-implant anchorage treatment group was 5.00%, which was lower than that in the extraoral arch treatment group (16.67%, P＜0.05). Conclusion Orthodontic micro-implant anchorage could reduce the levels of MMP-9,IL-6,IL-1 β in periodontal tissues of patients with malocclusion, alleviate periodontitis, effectively improve the oral structure and cephalometric soft tissue indexes of patients, shorten the closing time of tooth extraction gap and the period of orthodontic treatment, and improve the success rate of orthodontic treatment with higher safety

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更新日期/Last Update: 2022-03-09