无托槽隐形矫治器对青少年正畸患者牙周健康状况和生活质量的影响

Effects of Trayless Invisible Orthodontic Appliances on Periodontal Health Status and Quality of Life of Adolescent Orthodontic Patients

目的 评估无托槽隐形矫治器对青少年正畸患者牙周健康状况和生活质量的影响。方法 随机选取2020年6月—2022年8月厦门卓亚口腔医院收治的80例青少年正畸患者为研究对象,根据矫治方式不同分为对照组和观察组,各40例,对照组采用固定矫治器,观察组采用无托槽隐形矫治器,两组均治疗12个月,对比两组矫正效果,牙周情况、龈沟液炎症应激情况及生活质量。结果 观察组治疗总有效率为92.50%,高于对照组的72.50%,差异有统计学意义(χ^(2)=5.541,P<0.05);治疗后观察组牙周各指标(龈沟出血指数、菌斑指数)及龈沟液各炎症应激指标水平均较低于对照组,差异有统计学意义(P均<0.05);治疗后两组患者生活质量评分均较治疗前降低,且观察组更优,差异有统计学意义(P<0.05)。结论 青少年正畸患者应用无托槽隐形矫治器治疗,可有助于提高矫正效果,保持牙周健康,减轻炎症应激反应,提升生活质量。

Objective To evaluate the effects of trayless invisible orthodontic appliances on periodontal health status and quality of life of adolescent orthodontic patients.Methods A total of patients of adolescent orthodontic patients admitted to Xiamen Zhuoya Stomatological Hospital from June 2020 to August 2022 were randomly selected as the study objects,and were divided into a control group and an observation group of 40 cases each according to the different treatment methods.The control group used fixed orthodontic appliances,the observation group used trayless invisible orthodontic appliances,both groups were treated for 12 months,comparing the orthodontic effect,periodontal condition,gingival sulcus fluid inflammation stress and quality of life of the two groups.Results The total effective rate of treatment in the observation group was 92.50%,which was higher than 72.50%in the control group,and the difference was statistically significant(χ^(2)=5.541,P<0.05).After treatment,the periodontal indicators(sulcus bleeding index and plaque index)and the levels of inflammatory stress indicators of gingival sulcus fluid in observation group were better than those in control group,and the differences were statistically significant(all P<0.05).The quality of life of patients in both groups after treatment was decreased than before treatment,and the observation group was better,and the difference was statistically significant(P<0.05).Conclusion The application of trayless invisible orthodontic appliance treatment in adolescent orthodontic patients can help to improve orthodontic effect,maintain periodontal health,reduce inflammatory stress reaction,and enhance the quality of life.