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河北医学  2022, Vol. 28 Issue (4): 660-664    DOI: 10.3969/j.issn.1006-6233.2022.04.026
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
不同矫治器对患者疼痛龈沟液内炎性因子及OHIP评分的影响
贾圆格, 李磊, 索南
辽宁省辽阳市中心医院口腔科, 辽宁 辽阳 111000
The Effect of Different Orthodontic Appliances on Patients' Pain Inflammatory Factors in the Gingival Sulcus and OHIP Scores
JIA Yuange, LI Lei, SUO Nan
Liaoyang Central Hospital, Liaoning Liaoyang 111000, China
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摘要 目的:探究无托槽隐形矫治器与自锁托槽矫治器两种矫正方法对成人正畸患者疼痛、龈沟液内炎性因子及口腔健康情况评分的影响。方法:选取2018年12月至2020年10月收治的108例成人正畸患者作为研究对象,根据患者的意愿,54例采用自锁托槽矫治(A组),54例采用隐形矫治器矫治(B组),均随访6个月。采用视觉模拟评分(VAS) 评估患者治疗后1h、6h、1d、3d、7d的疼痛情况,分析治疗前及治疗1、3、6个月后的龈沟液内炎性因子,在随访期结束当天评估两组患者的口腔健康情况。结果:治疗6h、1d、3d、7d后,两组患者VAS评分呈上升后降低趋势,B组评分均明显低于同时点A组(P<0.05)。治疗1个月至6个月,两组患者龈沟液内IL-β、TNF-α水平逐渐上升,均显著高于治疗前(P<0.05);B组IL-β、TNF-α水平均明显低于同时点A组(P<0.05)。治疗6个月后,两组患者OHIP-14表中的生理疼痛、功能受限、社交困难、生理障碍、心理沟通、心理阻碍及残障等项目评分均显著升高,且B组各项评分增加值均高于A组(P<0.05)。两组患者覆合覆盖情况均恢复正常,其中A组出现7例(12.96%)并发症,B组出现4例(7.41%),组间差异无统计学意义(χ2=0.911,P=0.340)。结论:与自锁托槽法相比,成人正畸术中采用无托槽隐形矫治器可以降低患者的疼痛程度,控制沟液内炎性因子水平,进一步提高患者口腔健康,值得在相关临床中推广。
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贾圆格
李磊
索南
关键词 正畸隐形矫治器自锁托槽炎性因子口腔健康    
AbstractObjective: To explore the influence of two correction methods of bracketless invisible appliance and self-locking bracket appliance on pain, inflammatory factors in gingival crevicular fluid and oral health score of adult orthodontic patients. Methods: A total of 108 adult orthodontic patients who were admitted from December 2018 to October 2020 were selected for the study. 54 cases were treated with self-ligating brackets (Group A) and 54 cases were treated with invisible aligners (Group B) according to the patients' wishes, and all were followed up for 6 months. The visual analogue score (VAS) was used to assess the patients' pain at 1h, 6h, 1d, 3d and 7d after treatment, to analyse the inflammatory factors in the gingival sulcus fluid before treatment and after 1, 3 and 6 months of treatment, and to assess the oral health of patients in both groups on the day of the end of the follow-up period.Results: After 6h, 1d, 3d and 7d of treatment, the VAS scores of patients in both groups showed a rising and then decreasing trend, and the scores in group B were significantly lower than those in Group A at the same time point (P<0.05).From 1 month to 6 months of treatment, the levels of IL-β and TNF-α in the gingival sulcus fluid gradually increased in both groups, and were significantly higher than those before treatment (P<0.05); the levels of IL-β and TNF-α in group B were significantly lower than those in group A at the same time point (P<0.05). After 6 months of treatment, the scores of physical pain, functional limitation, social difficulties, physical impairment, psychological communication, psychological hindrance and disability on the OHIP-14 scale were significantly higher in both groups, and the increase in each score was higher in group B than in group A (P<0.05). The composite coverage returned to normal in both groups, with 7 (12.96%) complications in group A and 4 (7.41%) in group B. The difference between the groups was not statistically significant (χ2=0.911, P=0.340). Conclusion: Compared to the self-ligating bracket method, the use of bracketless invisible aligners in adult orthodontics can reduce the patient's pain level, control the level of inflammatory factors in the sulcus and further improve the patient's oral health, which is worth promoting in relevant clinics.
Key wordsOrthodontics    Invisible appliances    Self-ligating brackets    Inflammatory factors    Oral health
    
基金资助:辽宁省科学技术计划项目,(编号:20190540947)
引用本文:   
贾圆格, 李磊, 索南. 不同矫治器对患者疼痛龈沟液内炎性因子及OHIP评分的影响[J]. 河北医学, 2022, 28(4): 660-664.
JIA Yuange, LI Lei, SUO Nan. The Effect of Different Orthodontic Appliances on Patients' Pain Inflammatory Factors in the Gingival Sulcus and OHIP Scores. HeBei Med, 2022, 28(4): 660-664.
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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2022.04.026     或     http://www.hbyxzzs.cn/CN/Y2022/V28/I4/660
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