正畸治疗对患者前牙移位影响的研究
Study on the Effects of Orthodontics on Anterior Tooth Displacement in Patients.
作者信息
Zhang Beibei, Cai Minqiu, Ruan Fangchao, Chen Zigen
机构信息
Department of Stomatology, The First People's Hospital of Wenling, Wenling 317500, Zhejiang, China.
Department of Stomatology, Taizhou Enze Medical Center Luqiao Hospital, Taizhou 318050, Zhejiang, China.
出版信息
Evid Based Complement Alternat Med. 2022 Jun 10;2022:6544895. doi: 10.1155/2022/6544895. eCollection 2022.
OBJECTIVE
The purpose of this study was to investigate the therapeutic effect of orthodontic treatment on anterior tooth displacement caused by periodontal disease.
METHODS
A prospective study was performed in 86 patients with anterior tooth displacement caused by periodontal disease. These patients were divided into the experimental group and the control group according to the intervention methods. For the control group, patients were treated with conventional therapy. The experimental group used straight wire orthodontic technique for orthodontic treatment on the basis of conventional treatment. Comparisons were performed between two groups in term of bleeding index, alveolar bone height, anterior tooth coverage, periodontal pocket depth, probing depth, clinical crown length, tooth root length, inflammatory cytokines levels, and orthodontic satisfaction.
RESULTS
Comparison of bleeding index, alveolar bone height, anterior tooth coverage, periodontal pocket depth, probing depth, clinical crown length, tooth root length, and inflammatory cytokines levels between two groups before treatment indicated that there were no statistical differences (all > 0.05). After treatment, bleeding index, alveolar bone height, anterior tooth coverage, periodontal pocket depth, probing depth, clinical crown length, and serum levels of IL-6 and TNF- in the experimental group were lower than those in the control group (all < 0.05), while the serum level of IL-2 in the experimental group was more than that in the control group ( < 0.05). Also, there was no difference for tooth root length between two groups. Moreover, compared with the control group, orthodontic satisfaction in the experimental group was significantly increased.
CONCLUSION
The efficacy of orthodontic treatment in patients with anterior tooth displacement caused by periodontal disease is higher than that of only using conventional therapy, as it helps improve their periodontal health, alveolar bone height, clinical crown length, inflammatory factor levels, and orthodontic satisfaction of patients.
目的
本研究旨在探讨正畸治疗对牙周病所致前牙移位的治疗效果。
方法
对86例牙周病所致前牙移位患者进行前瞻性研究。根据干预方法将这些患者分为实验组和对照组。对照组患者采用传统治疗方法。实验组在传统治疗基础上采用直丝弓正畸技术进行正畸治疗。比较两组患者的出血指数、牙槽骨高度、前牙覆盖、牙周袋深度、探诊深度、临床冠长、牙根长度、炎症细胞因子水平及正畸满意度。
结果
两组治疗前出血指数、牙槽骨高度、前牙覆盖、牙周袋深度、探诊深度、临床冠长、牙根长度及炎症细胞因子水平比较，差异均无统计学意义（均P>0.05）。治疗后，实验组出血指数、牙槽骨高度、前牙覆盖、牙周袋深度、探诊深度、临床冠长及血清IL-6、TNF-α水平均低于对照组（均P<0.05），而实验组血清IL-2水平高于对照组（P<0.05）。两组牙根长度比较差异无统计学意义。此外，与对照组比较，实验组正畸满意度明显提高。
结论
正畸治疗对牙周病所致前牙移位患者的疗效高于单纯采用传统治疗，有助于改善患者的牙周健康、牙槽骨高度、临床冠长、炎症因子水平及正畸满意度。
Zotero 插件