[1]李若萱,武建龙,王碧,等.无托槽隐形矫治器与金属托槽矫治器正畸治疗效果的对比分析[J].中国医学物理学杂志,2021,38(5):620-624.[doi:DOI:10.3969/j.issn.1005-202X.2021.05.018]
　LI Ruoxuan,WU Jianlong,WANG Bi,et al.Comparison of therapeutic effects of appliances without brackets versus with metal brackets in orthodontic treatment[J].Chinese Journal of Medical Physics,2021,38(5):620-624.[doi:DOI:10.3969/j.issn.1005-202X.2021.05.018]
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无托槽隐形矫治器与金属托槽矫治器正畸治疗效果的对比分析()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
38卷
期数:
2021年第5期
页码:
620-624
栏目:
医学信号处理与医学仪器
出版日期:
2021-05-01

文章信息/Info

Title:
Comparison of therapeutic effects of appliances without brackets versus with metal brackets in orthodontic treatment
文章编号:
1005-202X（2021）05-0620-05
作者:
李若萱1; 武建龙2; 王碧2; 皇甫俊华2
1.首都医科大学附属安贞医院口腔科， 北京 100029； 2.清华大学校医院， 北京 100062
Author(s):
LI Ruoxuan1;  WU Jianlong2;  WANG Bi2;  HUANGFU Junhua2
1. Department of Stomatology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China 2. Tsinghua University Hospital, Beijing 100062, China
关键词:
正畸; 定制式无托槽隐形矫治器; 金属托槽直丝弓矫治器; 牙周健康; 满意度
Keywords:
Keywords: orthodontics custom invisible appliance without bracket straight-wire appliance with metal bracket periodontal health satisfaction degree
分类号:
R783.5；R318.08
DOI:
DOI:10.3969/j.issn.1005-202X.2021.05.018
文献标志码:
A
摘要:
目的：探讨定制式无托槽隐形矫治器与金属托槽直丝弓矫治器对正畸患者牙周健康的效果。方法：86例口腔正畸患者采取随机数字表法分为无托槽组与金属托槽组，每组43例。比较两组患者的矫治有效率，倾斜牙扶正时间、扭转牙转正时间以及治疗总时间，牙周健康状况［牙龈指数（GI）、牙龈沟出血指数（GBI）、牙龈沟探测深度（SPD）、菌斑指数（PLI）］与矫治满意度。结果：矫治6个月后，无托槽组总有效率为97.67%，高于金属托槽组的86.04%（P<0.05）。无托槽组完成治疗总时间、扭转牙转正时间以及倾斜牙扶正时间均长于金属托槽组（P<0.05）。矫治后6个月，两组牙周指标GI、SPD比较无统计学意义（P>0.05）；GBI、PLI水平均降低（P<0.05），且无托槽组显著低于金属托槽组（P<0.05）。矫治后6个月，无托槽组患者主观感受的美观程度、舒适性、咀嚼功能、方便程度、语言功能及固定功能6项的满意度均高于金属托槽组（P<0.05）。结论：定制式无托槽隐形矫治器不仅可以提高正畸有效率，同时改善牙周指标与口腔卫生，降低牙周疾病发生率，提高正畸患者满意度，但是正畸时间相对较长。
Abstract:
Abstract: Objective To explore the effects of custom invisible appliance without bracket and straight-wire appliance with metal bracket on the periodontal health of patients receiving orthodontic treatment. Methods A total of 86 patients receiving orthodontic treatment were divided into non-bracket group and metal bracket group by random number table method, with 43 cases in each group. The therapeutic effective rate, the time to straighten the tilted teeth, the time to right the twisted teeth, and the total treatment time, periodontal indexes ［including gingival index (GI), gingival sulcus bleeding index (GBI), gingival sulcus detection depth (SPD), plaque index (PLI)］ and patients satisfaction with treatment were compared between two groups. Results After 6 months of treatment, the total effective rate of non-bracket group was 97.67%, higher than the 86.04% of metal bracket group (P<0.05). The total treatment time, the time to right the twisted teeth and straighten the tilted teeth in non-bracket group were longer than those in metal bracket group (P<0.05). At the 6th month after treatment, there was no statistical difference in GI and SPD between two groups, without statistical significance (P>0.05) while GBI and PLI were reduced (P<0.05), and those in non-bracket group were significantly lower than those in metal bracket group (P<0.05). At the 6th month after the treatment, compared with those in metal bracket group, the patients in non-bracket group had higher subjective feelings of aesthetics, comfort, chewing function, convenience, language function and dental fixation (P<0.05). Conclusion Custom non-bracket appliance can not only enhance the effectiveness of orthodontics, but also improve periodontal indicators and oral hygiene, reduce the incidence of periodontal diseases, and finally raise patients satisfaction with orthodontic treatment, but the time for orthodontic treatment is relatively longer.

相似文献/References:

[1]杨椿浩,李岩峰,夏冬,等.两种3D打印导板在托槽间接粘接中的准确性比较[J].中国医学物理学杂志,2021,38(7):898.[doi:DOI:10.3969/j.issn.1005-202X.2021.07.021]
　YANG Chunhao,LI Yanfeng,XIA Dong,et al.Comparison of the accuracy of bracket placement between two kinds of 3D printed guide plates in indirect bonding[J].Chinese Journal of Medical Physics,2021,38(5):898.[doi:DOI:10.3969/j.issn.1005-202X.2021.07.021]

备注/Memo

备注/Memo:
【收稿日期】2020-10-18 【基金项目】国家科技支撑计划（2015BAH13F00） 【作者简介】李若萱，博士，主任医师，研究方向：口腔正畸，E-mail: quanzhilv@163.com 【通信作者】武建龙，E-mail: 865929541@qq.com
更新日期/Last Update: 2021-05-31