Background: Inflammatory gingival enlargement is a more common clinical feature with orthodontic therapy than other features. Therefore, this study was designed to the evaluation of the influence of fixed orthodontic ...Background: Inflammatory gingival enlargement is a more common clinical feature with orthodontic therapy than other features. Therefore, this study was designed to the evaluation of the influence of fixed orthodontic treatment duration on the severity of inflammatory gingival enlargement (fixed orthodontic induced gingival enlargements) and some properties of saliva. Material and Methods: The sample size comprised 145 patients undergoing fixed orthodontic treatment for at least 6 months aged 13 - 32 years. They were divided according to orthodontic treatment duration into three groups. Group I (n = 47) included the patients who were treated for less than 6 months, group II (n = 51) included the patients who were treated for a period of 6 - 12 months, and group III (n = 47) included the patients who were managed for more than 12 months. Data were obtained from the outpatient clinics, college of dentistry, King Khalid University, Abha, Saudi Arabia, and some dental centers in Sana’a city, the Republic of Yemen. This study was conducted from October 2021 G to January 2022 G. Clinical examination was done for plaque index (PLI), gingival index (GI), and gingival enlargement indexes (GEI). Saliva was collected in sterile test tubes then salivary flow and pH were measured. Statistical analysis was done with SPSS (version 23) and ANOVA test to evaluate the impact of orthodontic treatment duration on the severity of inflammatory gingival enlargement and some properties of saliva. Results: The statistical analysis demonstrated the highest mean plaque index (PLI) was among groups III and I participants whereas, the highest mean gingival index and mean gingival enlargement were among groups II and III participants. The present study revealed an increase in salivary flow with decreased salivary pH values with an increase in orthodontic therapy duration. There were statistically significant differences in clinical findings and salivary flow and pH values were observed in the comparison between groups I, II and III except PLI (p Conclusion: There was a higher inflammatory gingival enlargement associated with a higher plaque index in patients under orthodontic treatment for more than 12 months more than the patients for less than 6 months and the patients for a period of 6 - 12 months. There were correlations between an increase of salivary flow and pH values and an increase of other variables in this study, such as plaque index, gingival index, and gingival enlargement index with an increased orthodontic therapy duration.展开更多
Orthodontic treatment offers great advantages in improving facial and smile aesthetics, self-confidence and the function of the stomatognathic apparatus. The pursuit of these advantages makes use of orthodontic applia...Orthodontic treatment offers great advantages in improving facial and smile aesthetics, self-confidence and the function of the stomatognathic apparatus. The pursuit of these advantages makes use of orthodontic appliances that could be fixed or removable. However, it’s worth stating that these appliances interfere with tooth brushing, making it more difficult to brush teeth effectively. Orthodontics appliances therefore promote the accumulation of dental plaque, which results in both quantitative and qualitative changes in the oral microbiota, hence, exposing patients to several adverse effects such as White spot lesions, dental caries, periodontal pathologies and halitosis. For this reason, oral assessment of patients before, during and after treatment is necessary as well as oral hygiene instructions and motivation. Orthodontists therefore, should educate patients on oral and periodontal hygiene in order to control dental and periodontal complications. Prescriptions of plaque control materials adapted to each patient are done in order to optimize the final result and minimize unwanted complications.展开更多
目的探讨康复新液联合西帕依固龈液治疗固定正畸早期牙龈炎的临床疗效。方法选取2012年1月—2017年5月南阳南石医院口腔科收治的固定正畸早期牙龈炎患者120例进行研究,按随机数字表法将所有患者分为对照组和治疗组,每组各60例。对照组...目的探讨康复新液联合西帕依固龈液治疗固定正畸早期牙龈炎的临床疗效。方法选取2012年1月—2017年5月南阳南石医院口腔科收治的固定正畸早期牙龈炎患者120例进行研究,按随机数字表法将所有患者分为对照组和治疗组,每组各60例。对照组在固定正畸治疗后,分别于晨起后、晚睡前、3餐后含漱西帕依固龈液,5~10 m L/次,含漱3 min。治疗组于含漱西帕依固龈液15 min后含漱康复新液,5~10 m L/次,含漱3 min。以4周为1个疗程,两组患者均治疗6个疗程。观察两组的临床疗效,比较两组的简化口腔卫生指数(OHI-S)、牙龈指数(GI)、牙龈探诊出血(BOP)、菌斑指数(PLI)和并发症情况。结果治疗后,对照组和治疗组的总有效率分别为80.00%、91.67%,两组比较差异具有统计学意义(P<0.05)。治疗3、6个月后,两组OHI-S、GI、PLI和BOP均升高,同组治疗前后比较差异有统计学意义(P<0.05);且治疗组这些观察指标均高于对照组,两组比较差异具有统计学意义(P<0.05)。对照组和治疗组的并发症分别为21.67%、8.33%,两组比较差异有统计学意义(P<0.05)。结论康复新液联合西帕依固龈液治疗固定正畸早期牙龈炎具有较好的临床疗效,可改善牙龈出血、口腔卫生等牙周指标,减少并发症,具有一定的临床推广应用价值。展开更多
目的观察复方黄芩含漱液对错牙合矫治所致牙龈炎的临床疗效。方法将60例错牙合矫治所致牙龈炎患者采用随机数字表法分为治疗组和对照组,各30例。治疗组使用复方黄芩含漱液含漱,每日3次,每次15 m L,每次含漱3 min,漱后30 min内禁食水;对...目的观察复方黄芩含漱液对错牙合矫治所致牙龈炎的临床疗效。方法将60例错牙合矫治所致牙龈炎患者采用随机数字表法分为治疗组和对照组,各30例。治疗组使用复方黄芩含漱液含漱,每日3次,每次15 m L,每次含漱3 min,漱后30 min内禁食水;对照组同法使用生理盐水含漱。治疗4周后比较2组的临床疗效以及治疗前后的牙龈、菌斑、龈沟出血指数评分,菌斑菌群结构。结果对照组总有效率为83.3%(25/30),治疗组为96.7%(29/30),2组比较差异有统计学意义(P<0.05)。治疗后2组患者牙龈、菌斑、龈沟出血指数评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组降低更明显,与对照组治疗后比较差异均有统计学意义(P<0.05)。治疗后治疗组患者菌斑G+球菌百分比明显升高,G+杆菌、G-杆菌、螺旋体百分比明显降低,对照组患者菌斑G+球菌百分比明显升高,G-杆菌百分比明显降低,与同组治疗前比较差异均有统计学意义(P<0.05);治疗后治疗组患者菌斑G+球菌百分比明显高于对照组,G-杆菌、螺旋体百分比明显低于对照组,2组比较差异均有统计学意义(P<0.05)。结论复方黄芩含漱液治疗错牙合矫治所致牙龈炎疗效确切,可有效改善患者的临床症状,优化口腔内环境,提高错牙合矫治效果,具有良好的临床应用推广价值。展开更多
文摘Background: Inflammatory gingival enlargement is a more common clinical feature with orthodontic therapy than other features. Therefore, this study was designed to the evaluation of the influence of fixed orthodontic treatment duration on the severity of inflammatory gingival enlargement (fixed orthodontic induced gingival enlargements) and some properties of saliva. Material and Methods: The sample size comprised 145 patients undergoing fixed orthodontic treatment for at least 6 months aged 13 - 32 years. They were divided according to orthodontic treatment duration into three groups. Group I (n = 47) included the patients who were treated for less than 6 months, group II (n = 51) included the patients who were treated for a period of 6 - 12 months, and group III (n = 47) included the patients who were managed for more than 12 months. Data were obtained from the outpatient clinics, college of dentistry, King Khalid University, Abha, Saudi Arabia, and some dental centers in Sana’a city, the Republic of Yemen. This study was conducted from October 2021 G to January 2022 G. Clinical examination was done for plaque index (PLI), gingival index (GI), and gingival enlargement indexes (GEI). Saliva was collected in sterile test tubes then salivary flow and pH were measured. Statistical analysis was done with SPSS (version 23) and ANOVA test to evaluate the impact of orthodontic treatment duration on the severity of inflammatory gingival enlargement and some properties of saliva. Results: The statistical analysis demonstrated the highest mean plaque index (PLI) was among groups III and I participants whereas, the highest mean gingival index and mean gingival enlargement were among groups II and III participants. The present study revealed an increase in salivary flow with decreased salivary pH values with an increase in orthodontic therapy duration. There were statistically significant differences in clinical findings and salivary flow and pH values were observed in the comparison between groups I, II and III except PLI (p Conclusion: There was a higher inflammatory gingival enlargement associated with a higher plaque index in patients under orthodontic treatment for more than 12 months more than the patients for less than 6 months and the patients for a period of 6 - 12 months. There were correlations between an increase of salivary flow and pH values and an increase of other variables in this study, such as plaque index, gingival index, and gingival enlargement index with an increased orthodontic therapy duration.
文摘Orthodontic treatment offers great advantages in improving facial and smile aesthetics, self-confidence and the function of the stomatognathic apparatus. The pursuit of these advantages makes use of orthodontic appliances that could be fixed or removable. However, it’s worth stating that these appliances interfere with tooth brushing, making it more difficult to brush teeth effectively. Orthodontics appliances therefore promote the accumulation of dental plaque, which results in both quantitative and qualitative changes in the oral microbiota, hence, exposing patients to several adverse effects such as White spot lesions, dental caries, periodontal pathologies and halitosis. For this reason, oral assessment of patients before, during and after treatment is necessary as well as oral hygiene instructions and motivation. Orthodontists therefore, should educate patients on oral and periodontal hygiene in order to control dental and periodontal complications. Prescriptions of plaque control materials adapted to each patient are done in order to optimize the final result and minimize unwanted complications.
文摘目的探讨康复新液联合西帕依固龈液治疗固定正畸早期牙龈炎的临床疗效。方法选取2012年1月—2017年5月南阳南石医院口腔科收治的固定正畸早期牙龈炎患者120例进行研究,按随机数字表法将所有患者分为对照组和治疗组,每组各60例。对照组在固定正畸治疗后,分别于晨起后、晚睡前、3餐后含漱西帕依固龈液,5~10 m L/次,含漱3 min。治疗组于含漱西帕依固龈液15 min后含漱康复新液,5~10 m L/次,含漱3 min。以4周为1个疗程,两组患者均治疗6个疗程。观察两组的临床疗效,比较两组的简化口腔卫生指数(OHI-S)、牙龈指数(GI)、牙龈探诊出血(BOP)、菌斑指数(PLI)和并发症情况。结果治疗后,对照组和治疗组的总有效率分别为80.00%、91.67%,两组比较差异具有统计学意义(P<0.05)。治疗3、6个月后,两组OHI-S、GI、PLI和BOP均升高,同组治疗前后比较差异有统计学意义(P<0.05);且治疗组这些观察指标均高于对照组,两组比较差异具有统计学意义(P<0.05)。对照组和治疗组的并发症分别为21.67%、8.33%,两组比较差异有统计学意义(P<0.05)。结论康复新液联合西帕依固龈液治疗固定正畸早期牙龈炎具有较好的临床疗效,可改善牙龈出血、口腔卫生等牙周指标,减少并发症,具有一定的临床推广应用价值。
文摘目的观察复方黄芩含漱液对错牙合矫治所致牙龈炎的临床疗效。方法将60例错牙合矫治所致牙龈炎患者采用随机数字表法分为治疗组和对照组,各30例。治疗组使用复方黄芩含漱液含漱,每日3次,每次15 m L,每次含漱3 min,漱后30 min内禁食水;对照组同法使用生理盐水含漱。治疗4周后比较2组的临床疗效以及治疗前后的牙龈、菌斑、龈沟出血指数评分,菌斑菌群结构。结果对照组总有效率为83.3%(25/30),治疗组为96.7%(29/30),2组比较差异有统计学意义(P<0.05)。治疗后2组患者牙龈、菌斑、龈沟出血指数评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05),且治疗组降低更明显,与对照组治疗后比较差异均有统计学意义(P<0.05)。治疗后治疗组患者菌斑G+球菌百分比明显升高,G+杆菌、G-杆菌、螺旋体百分比明显降低,对照组患者菌斑G+球菌百分比明显升高,G-杆菌百分比明显降低,与同组治疗前比较差异均有统计学意义(P<0.05);治疗后治疗组患者菌斑G+球菌百分比明显高于对照组,G-杆菌、螺旋体百分比明显低于对照组,2组比较差异均有统计学意义(P<0.05)。结论复方黄芩含漱液治疗错牙合矫治所致牙龈炎疗效确切,可有效改善患者的临床症状,优化口腔内环境,提高错牙合矫治效果,具有良好的临床应用推广价值。
