摘要
目的分析口腔无托槽隐形矫治联合牙周基础治疗对牙周病致前牙扇形移位患者口腔健康及炎症反应的影响,以期为临床治疗牙周病致前牙扇形移位提供参考依据。方法选取60例牙周病致前牙扇形移位的患者作为观察样本,按照计算机分组法分为对照组与观察组,每组30例。对照组开展牙周夹板固定联合牙周基础治疗,观察组开展口腔无托槽隐形矫治联合牙周基础治疗。对比两组治疗前后牙周指标、口腔健康情况、炎性反应指标、牙齿功能。结果两组治疗前牙周袋深度、牙槽骨高度、牙覆盖距离、龈沟出血指数对比无差异(P>0.05);观察组治疗后牙周袋深度(2.65±0.51)mm、牙覆盖距离(1.78±0.25)mm、龈沟出血指数(1.56±0.42)分显著低于对照组的(4.73±0.62)mm、(3.19±0.35)mm、(3.07±0.30)分,牙槽骨高度(5.71±0.29)mm高于对照组的(5.55±0.20)mm(P<0.05)。两组治疗前独立能力、心理不适、疼痛与不适、功能受限评分对比无差异(P>0.05);观察组治疗后独立能力评分(1.86±0.31)分、心理不适评分(1.63±0.21)分、疼痛与不适评分(1.86±0.19)分、功能受限评分(1.58±0.20)分均显著低于对照组的(2.16±0.40)、(2.07±0.38)、(2.33±0.30)、(2.17±0.15)分(P<0.05)。两组治疗前C反应蛋白(CRP)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)水平对比无差异(P>0.05);观察组治疗后CRP(4.32±0.30)mg/L、IL-1β(167.26±19.32)pg/ml、IL-6(8.75±1.80)pg/ml均显著低于对照组的(5.20±0.41)mg/L、(210.38±17.95)pg/ml、(10.34±1.23)pg/ml(P<0.05)。两组治疗前牙齿色泽、牙齿形状、边缘密合度及咬合关系评分对比无差异(P>0.05);观察组治疗后牙齿色泽、牙齿形状、边缘密合度及咬合关系评分分别为(6.82±0.46)、(7.12±0.50)、(7.81±0.34)、(7.68±0.22)分,均显著高于对照组的(5.63±0.37)、(5.69±0.38)、(6.19±0.24)、(6.10±0.33)分(P<0.05)。结论口腔无托槽隐形矫治联合牙周基础治疗为牙周病致前牙扇形移位患者提供了一种更舒适的牙齿矫正方式,不仅能够减少炎症反应,还有助于更高效、更精确地矫正患者的牙齿,帮助其恢复正常的口腔健康状态。
Objective To analyze the effect of bracketless invisible orthodontic treatment combined with initial periodontal therapy on oral health and inflammatory response in patients with anterior tooth fandisplacement caused by periodontal disease,so as to provide reference for clinical treatment of anterior tooth fan-displacement caused by periodontal disease.Methods 60 patients with anterior tooth fan-displacement caused by periodontal disease were selected as observation samples and divided into a control group and an observation group according to computer grouping method,with 30 cases in each group.The control group was given periodontal splint fixation combined with periodontal basic treatment,and the observation group was given bracketless invisible orthodontic treatment combined with initial periodontal therapy.The periodontal indicators,oral health,indicators of inflammation and dental function were compared between the two groups before and after treatment.Results Before treatment,there were no differences in periodontal pocket depth,alveolar bone height,dental coverage distance and gingival sulcus bleeding index between the two groups(P>0.05).After treatment,the periodontal pocket depth in the observation group was(2.65±0.51)mm,the dental coverage distance was(1.78±0.25)mm,and the gingival sulcus bleeding index was(1.56±0.42)points,which were significantly lower than(4.73±0.62)mm,(3.19±0.35)mm,and(3.07±0.30)points in the control group;the alveolar bone height of(5.71±0.29)mm in the observation group was higher than(5.55±0.20)mm in the control group(P<0.05).Before treatment,there were no differences in the scores of independent ability,psychological discomfort,pain and discomfort,and functional limitation between the two groups(P>0.05).After treatment,the scores of independent ability in the observation group was(1.86±0.31)points,the scores of psychological discomfort was(1.63±0.21)points,the scores of pain and discomfort was(1.86±0.19)points and the scores of functional limitation was(1.58±0.20)points,which were significantly lower than(2.16±0.40),(2.07±0.38),(2.33±0.30)and(2.17±0.15)points in the control group(P<0.05).Before treatment,the levels of C-reactive protein(CRP),interleukin-1β(IL-1β)and interleukin-6(IL-6)were not different between the two groups(P>0.05).After treatment,the observation group had CRP of(4.32±0.30)mg/L,IL-1βof(167.26±19.32)pg/ml,and IL-6 of(8.75±1.80)pg/ml,which were significantly lower than(5.20±0.41)mg/L,(210.38±17.95)pg/ml,and(10.34±1.23)pg/ml in the control group(P<0.05).Before treatment,there were no differences in the scores of tooth color,tooth shape,marginal fitness and occlusal relation between the two groups(P>0.05).After treatment,the scores of tooth color,tooth shape,marginal fitness and occlusal relation in the observation group were(6.82±0.46),(7.12±0.50),(7.81±0.34)and(7.68±0.22)points,which were significantly higher than(5.63±0.37),(5.69±0.38),(6.19±0.24),and(6.10±0.33)points in the control group(P<0.05).Conclusion The combination of bracketless invisible orthodontic treatment and initial periodontal therapy provides a more comfortable orthodontic method for patients with anterior tooth fan-displacement caused by periodontal disease.It can not only reduce the inflammatory response,but also help to correct the teeth more efficiently and accurately,and helps to restore the patient's oral health to a normal state.
作者
刘青
LIU Qing(Stomatology Department,Tai'an Maternal and Child Health Hospital,Tai'an 271000,China)
出处
《中国现代药物应用》
2024年第16期51-54,共4页
Chinese Journal of Modern Drug Application
关键词
口腔无托槽隐形矫治
牙周基础治疗
牙周病
前牙扇形移位
口腔健康
炎症反应
Bracketless invisible orthodontic treatment
Initial periodontal therapy
Periodontal disease
Anterior tooth fan-displacement
Oral health
Inflammatory response
