无托槽隐形矫正与自锁托槽矫正在成人正畸患者中的应用效果比较

Comparison of application effects of bracketless invisible correction and self-ligating bracket correction in adult orthodontic patients

目的:比较无托槽隐形矫正与自锁托槽矫正在成人正畸患者中的应用效果。方法:回顾性分析2018年10月至2022年10月福州鼓楼美婕珑口腔门诊收治的84例成人正畸患者的临床资料,根据正畸矫正方法不同将其分为对照组和研究组各42例。对照组实施自锁托槽矫正,研究组采用无托槽隐形矫正,比较两组临床疗效,矫正前和矫正1个月后龈沟液炎性因子[白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)]水平、矫正1个月和12个月后牙周指数[菌斑指数(PLI)、龈沟出血指数(SBI)、牙齿松动度(TM)、牙龈指数(GI)]。结果:研究组治疗总有效率为88.10%(37/42),高于对照组的69.05%(29/42),差异有统计学意义(P<0.05);矫正1个月后,两组TNF-α、IL-1β和IL-6水平均低于矫正前,且研究组低于对照组,差异有统计学意义(P<0.05);矫正12个月后,两组PLI、SBI、TM和GI评分均低于矫正1个月后,且研究组低于对照组,差异统计学意义(P<0.05)。结论:无托槽隐形矫正应用于成人正畸患者,可提高矫正效果,抑制牙周炎症反应,改善牙周组织和龈沟液状态,效果优于自锁托槽矫正。

Objective:To compare application effects of bracketless invisible correction and self-ligating bracket correction in adult orthodontic patients.Methods:The clinical data of 84 adult orthodontic patients admitted to Fuzhou Gulou Meijielong dental clinic from October 2018 to October 2022 were retrospectively analyzed.According to different orthodontic correction methods,they were divided into control group and study group,42 cases in each group.The control group was treated with self-ligating bracket correction,while the study group was treated with bracketless invisible correction.The clinical efficacy,the levels of inflammatory factors[interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β)]in gingival crevicular fluid before and 1 month after correction,and the periodontal index[plaque index(PLI),sulcus bleeding index(SBI),tooth mobility(TM),gingival index(GI)]1 month and 12 months after correction were compared between the two groups.Results:The total effective rate of the study group was 88.10%(37/42),which was higher than 69.05%(29/42)of the control group,and the difference was statistically significant(P<0.05).After 1 month of correction,the levels of TNF-α,IL-1βand IL-6 in the two groups were lower than those before correction,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after 12 months of correction,the scores of PLI,SBI,TM and GI in the two groups were lower than those after 1 month of correction,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The bracketless invisible correction in the adult orthodontic patients can improve the correction effects,inhibit the periodontal inflammatory response,and improve the periodontal tissue and gingival crevicularfluid status.Moreover,it is superior to self-ligating bracket correction.