上海口腔医学

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (4): 386-389.doi: 10.19439/j.sjos.2020.04.010

• 论著 • 上一篇    下一篇

数字化隐形矫正技术治疗33例成人牙周病伴错畸形患者的效果评价

韩爽1, 赵军伟2, 笪海芹3, 夏平1, 钱碧璇1   

  1. 1.安徽医科大学合肥口腔临床学院,合肥市口腔医院 正畸二科, 安徽 合肥 230001;
    2.安徽医科大学合肥口腔临床学院,安徽 合肥 230001;
    3.安徽医科大学合肥口腔临床学院,合肥市口腔医院 牙周病科,安徽 合肥 230001
  • 收稿日期:2019-09-12 修回日期:2020-01-16 出版日期:2020-08-25 发布日期:2020-09-11
  • 通讯作者: 韩爽,E-mail:ellenhan623@126.com
  • 作者简介:韩爽（1979-）,女,硕士研究生
  • 基金资助:
    安徽省重点研究与开发计划项目（1704f0804044）; 合肥市自主创新政策“借转补”医疗卫生项目（yw201710120006）; 合肥市卫计委应用医学研究项目（hwk2016zc014）; 合肥市科技攻关计划自筹项目（2016.60）

Clinical study of digital clear aligner treatment of 33 adult periodontal disease patients with malocclusion

HAN Shuang1, ZHAO Jun-wei2, DA Hai-qin3, XIA Ping1, QIAN Bi-xuan1   

  1. 1. Department of Orthodontics, Hefei Stomatological Hospital. Hefei 230001, Anhui Province;
    2. Hefei School of Stomatology, Anhui Medical University. Hefei 230001, Anhui Province;
    3. Department of Periodontology, Hefei Stomatological Hospital. Hefei 230001, Anhui Province, China
  • Received:2019-09-12 Revised:2020-01-16 Online:2020-08-25 Published:2020-09-11

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摘要： 目的：比较无托槽隐形矫正器与固定矫正器在治疗牙周病伴错畸形患者中的牙周健康状况。方法：选取牙周病伴错畸形患者33例,随机分为2组,即无托槽隐形矫正器组（实验组,16例）和唇侧固定矫正器组（对照组,17例）。记录2组患者正畸治疗前,治疗后1、3、6、9个月龈沟出血指数（BI）、牙周探诊深度（PD）、菌斑指数（PLI）和牙龈指数（GI）情况。采用SPSS 17.0软件包比较2组间数据差异。结果：对照组BI、PD、PLI和GI正畸开始后1、3、6、9个月均较治疗前增高,差异有统计学意义（P<0.05）。实验组治疗前和开始治疗后1、3、6、9个月各项牙周临床指标差异均无统计学意义（P>0.05）。正畸开始后1、3、6、9个月,实验组BI、PLI、GI均显著低于对照组（P<0.05）;PD略小于对照组,但差异无统计学意义（P>0.05）。结论：与固定矫正相比,无托槽隐形矫正技术更加有利于牙周病伴错畸形患者牙周健康的维护。

关键词: 正畸治疗, 隐形矫正, 固定矫正, 数字化

Abstract: PURPOSE: The purpose of this study was to investigate the periodontal status in adult periodontal disease patients with malocclusion treated with digital clear aligners. METHODS: Thirty-three patients with periodontal disease who needed orthodontic treatment were selected. The patients were randomly divided into 2 groups, digital clear aligners group (experimental group, 16 patients) and fixed appliances group (control group, 17 patients). Bleeding index (BI), probing depth(PD), plaque index(PLI) and gingival index(GI) were recorded at baseline and 1, 3, 6 and 9 months during orthodontic treatment. SPSS 17.0 software package was used to analyze and compare the data of periodontal status between two groups. RESULTS: 1, 3, 6, and 9 months after orthodontic treatment, clinical parameters of the control group were significantly higher than baseline(P<0.05). The same measurements of the experimental group showed no significant differences at 1, 3, 6, and 9 months of treatment (P>0.05). After 1, 3, 6, and 9 months of treatment, the clinical parameters of BI, PLI and GI in the experimental group were significantly lower than the control group(P<0.05); PD in the experimental group was smaller than the control group, but there was no significant difference(P>0.05). CONCLUSIONS: Compared with conventional fixed appliance, clear aligner of digitalization can more effectively maintain periodontal heath in adult periodontal disease patients with malocclusion.

Key words: Orthodontic treatment, Clear aligners, Fixed appliance, Digitalization

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