无托槽隐形矫治对正畸治疗患者牙周指数的影响及其美学效果分析

The Impact of Invisible Orthodontic Treatment without Brackets on the Periodontal Index of Patients Undergoing Orthodontic Treatment and Its Aesthetic Effect Analysis

目的:探讨无托槽隐形矫治技术对正畸治疗患者牙周指数的影响及其美学效果。方法:选取2020年9月-2022年9月华北医疗健康集团邢台总医院收治的102例正畸治疗患者作为研究对象,采用随机数字表法分为对照组(51例)和观察组(51例)。对照组给予传统固定矫治术,观察组给予无托槽隐形矫治术,治疗后随访6个月。比较两组患者的治疗效果,治疗前、治疗24 h后的口腔咬合功能及牙周指数,治疗前及随访6个月后的龈沟液中因子水平、牙齿美学效果,以及随访6个月后的正畸矫治后满意度。结果:治疗后6个月随访,观察组总有效率96.08%,高于对照组的84.31%(P<0.05);与治疗前比较,治疗24 h后两组咀嚼次数、咀嚼效能及最大咬合力均降低,但观察组高于对照组(P<0.05);治疗后两组牙龈指数、龈沟出血指数及菌斑指数均升高,但观察组低于对照组(P<0.05)。与治疗前比较,治疗后6个月随访两组龈沟液天门冬氨酸转氨酶、碱性磷酸酶、白细胞介素-1β、肿瘤坏死因子-α水平均升高,但观察组低于对照组(P<0.05)。与治疗前比较,治疗后6个月随访两组Ⅰ类牙齿美学效果的患者占比均升高,且观察组高于对照组;观察组Ⅱ类牙齿美学效果及两组Ⅲ类牙齿美学效果的患者占比均降低,且观察组Ⅱ类牙齿美学效果的患者占比低于对照组(P<0.05)。治疗后6个月随访,观察组咀嚼功能、固定功能、舒适性、语言功能、修复体形态、修复体与邻牙协调程度满意度评分均高于对照组(P<0.05)。结论:无托槽隐形矫治技术可有效降低患者牙周指数并改善口腔咬合功能障碍,改善正畸治疗患者龈沟液相关因子水平,提高牙齿美学效果,进一步提高治疗效果与患者满意度。

Objective To explore the impact of invisible orthodontic treatment without brackets on the periodontal index of orthodontic patients and its aesthetic effects.Methods 102 patients with orthodontic treatment admitted to Xingtai General Hospital of North China Medical and Health Group from September 2020 to September 2022 were selected as the research subjects.They were divided into the control group(51 cases)and the observation group(51 cases)by random number table method.The control group received traditional fixed orthodontic surgery,while the observation group received invisible orthodontic surgery without brackets.Follow up for 6 months after treatment.The treatment effects after 6 months of follow-up,including oral occlusal function and periodontal index before and after 24 h of treatment,levels of factor in gingival crevicular fluid,dental aesthetic effects before and after 6 months of follow-up,and satisfaction with orthodontic correction after 6 months of follow-up of two groups were compared.Results After 6 months of follow-up,the rate of total effective in the observation group was 96.08%,which was higher than 84.31%in the control group(P<0.05).Compared with before treatment,after 24 h of treatment,the chewing frequency,chewing efficiency,and maximum bite force of both groups decreased,but the observation group was higher than the control group(P<0.05);The gingival index,sulcus bleeding index,and plaque index of the control group all increased,but the observation group was lower than the control group(P<0.05).Compared with before treatment,after 6 months of follow-up,the levels of gingival crevicular fluid aspartate aminotransferase,alkaline phosphatase,and interleukin-1β;tumor necrosis factor-α(TNF-α)of two groups all increased,but the observation group was lower than the control group(P<0.05).Compared with before treatment,after 6 months of follow-up,the proportion of patients with aesthetic effects on class I teeth in both groups increased,and the observation group was higher than the control group;The proportion of patients with aesthetic effects on class II teeth in the observation group and ClassⅢteeth in both groups decreased,and the proportion of patients with aesthetic effects on classⅡteeth in the observation group was lower than that in the control group(P<0.05).After 6 months of follow-up,the satisfaction scores of chewing function,fixation function,comfort,language function,restoration shape,and coordination between restoration and adjacent teeth in the observation group were higher than those in the control group(P<0.05).Conclusion Invisible orthodontic technology without brackets could effectively reduce periodontal index and oral occlusal dysfunction,improve the level of relevant factors in orthodontic treatment patients,improve dental aesthetics,further improve treatment effectiveness and patient satisfaction.