正畸治疗中发生牙龈炎的临床探讨

Clinical study of gingivitis in orthodontic treatment

目的:探讨固定正畸中牙龈炎的发生情况,总结临床防治经验。方法:收治固定正畸中发生牙龈炎患者180例,回顾性分析其临床资料。结果:固定正畸中发生牙龈炎的主要因素是口腔卫生差,造成菌斑堆积,常好发于下前牙区和上后牙区,其次是矫治器及附件的刺激引起牙龈红肿,造成炎症。结论:医师在正畸治疗中,要求严格规范操作,减少对牙龈的直接刺激,同时需加强口腔卫生宣教,督促患者保持良好的口腔卫生,降低牙龈炎的发生率。

Objective:To investigate the incidence of gingivitis in fixed orthodontic treatment,and to summarize the clinicalexperience of prevention and treatment.Methods:180 patients with gingivitis in fixed orthodontic treatment were selected,theclinical data were retrospectively analyzed.Results:The main factor of gingivitis in fixed orthodontic treatment was the poor oralhygiene resulting in plaque accumulation,the primary sites were under anterior tooth region and upper posterior region,the secondwas gum swelling caused by appliance and accessories stimulation resulting in inflammation.Conclusion:In orthodontic treatment,doctors should strictly regulate the operation to reduce the direct stimulation for the gums,at the same time,we need to strengthenthe oral health education,and urge patients to maintain good oral hygiene to reduce the incidence of gingivitis.