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接受唇侧和舌侧正畸治疗患者的牙周状况比较

Comparison of the Periodontal Status of Patients Undergoing Labial and Lingual Orthodontic Therapy.

作者信息

Vijaykumar V, R Vinoth Kumar, Archana Durvasulu, Sekar Abinesh, Deepak Arun, Umapathy Vivekanandhan, P Rajakumar

机构信息

Orthodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry, IND.

Orthodontics, Dr. M.G.R. Educational and Research Institute, Chennai, IND.

出版信息

Cureus. 2020 Jan 30;12(1):e6818. doi: 10.7759/cureus.6818.

DOI:10.7759/cureus.6818
PMID:32181065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7051122/
Abstract

Aim To compare the periodontal status in relation to the lower anteriors of patients between labial and lingual orthodontic therapy. Materials and methods The study includes a total of 20 patients in the age group of 20-30 years. All the included patients were selected with limited lower anterior crowding within 0-8 mm. The subjects were randomly divided into two groups: labial (n=10) and lingual (n=10) fixed orthodontic therapy. The periodontal status was evaluated using three indices, plaque index, calculus index, and gingival index, at two different treatment intervals - the first month and the third month - of orthodontic treatment.  Results The values of all the three indices at both time intervals were tabulated. There was no statistical significance when compared to the values in the first month. In the third month, all three indices were statistically significant for both labial and lingual therapy (p<0.001). The lingual appliance had more plaque and calculus accumulation. Conclusion Therefore, the study proves that the lingual surface of patients undergoing lingual orthodontic treatment exhibits more plaque and calculus deposition, thereby the weakening of the periodontal status.

摘要

目的 比较唇侧和舌侧正畸治疗患者下颌前牙区的牙周状况。材料与方法 本研究共纳入20例年龄在20至30岁之间的患者。所有纳入患者均为下颌前牙拥挤度在0至8毫米之间的有限拥挤病例。将受试者随机分为两组:唇侧固定正畸治疗组(n = 10)和舌侧固定正畸治疗组(n = 10)。在正畸治疗的两个不同时间间隔——第一个月和第三个月——使用菌斑指数、牙石指数和牙龈指数这三个指标评估牙周状况。结果 将两个时间间隔的所有三个指标的值制成表格。与第一个月的值相比,无统计学意义。在第三个月,唇侧和舌侧治疗的所有三个指标均具有统计学意义(p < 0.001)。舌侧矫治器有更多的菌斑和牙石堆积。结论 因此,本研究证明接受舌侧正畸治疗的患者舌侧表面有更多的菌斑和牙石沉积,从而导致牙周状况变差。

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J Orofac Orthop. 2020 Jan;81(1):41-51. doi: 10.1007/s00056-019-00201-w. Epub 2019 Dec 2.

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Periodontal Parameters in Fixed Labial and Lingual Orthodontic Treatment: A Systematic Review and Meta-Analysis.固定唇侧和舌侧正畸治疗中的牙周参数:系统评价与Meta分析
Oral Health Prev Dent. 2022 Nov 23;20:475-484. doi: 10.3290/j.ohpd.b3601703.

本文引用的文献

1
The microbial changes in subgingival plaques of orthodontic patients: a systematic review and meta-analysis of clinical trials.正畸患者龈下菌斑的微生物变化:一项临床试验的系统评价和荟萃分析
BMC Oral Health. 2017 Jun 2;17(1):90. doi: 10.1186/s12903-017-0378-1.
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Changes in the oral environment after placement of lingual and labial orthodontic appliances.舌侧和唇侧正畸矫治器放置后口腔环境的变化。
Prog Orthod. 2013 Sep 11;14:28. doi: 10.1186/2196-1042-14-28.
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Dental visits, oral hygiene behaviour, and orthodontic treatment in Switzerland.瑞士的牙科就诊、口腔卫生行为及正畸治疗
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A subjective comparison of two lingual bracket systems.两种舌侧矫治器系统的主观比较。
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Patient discomfort: a comparison between lingual and labial fixed appliances.患者不适感:舌侧与唇侧固定矫治器的比较
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PERIODONTAL DISEASE IN PREGNANCY. II. CORRELATION BETWEEN ORAL HYGIENE AND PERIODONTAL CONDTION.妊娠期牙周病。II. 口腔卫生与牙周状况的相关性
Acta Odontol Scand. 1964 Feb;22:121-35. doi: 10.3109/00016356408993968.
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PERIODONTAL DISEASE IN PREGNANCY. I. PREVALENCE AND SEVERITY.妊娠期牙周病。I. 患病率与严重程度。
Acta Odontol Scand. 1963 Dec;21:533-51. doi: 10.3109/00016356309011240.
10
Discomfort caused by bonded lingual orthodontic appliances in adult patients as examined by retrospective questionnaire.通过回顾性问卷调查研究成年患者中舌侧固定正畸矫治器引起的不适。
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