Altern Ther Health Med. 2024 Jun;30(6):103-109.
To investigate the impact of the restoration of non-bracket invisible orthodontic titanium alloy implant on individuals with dental malocclusion and arch deficiency accompanied by periodontitis and local periodontal Inflammation.
A cohort of 120 patients presenting with dental malocclusion and defects compounded by periodontitis, were treated at our institution between January 2021 and January 2022; these patients were enrolled in a randomized controlled trial.. These patients were allocated into two groups. The control group (comprising 60 cases) underwent titanium alloy implant restoration, while the research group (also with 60 cases) received titanium alloy implant restoration following invisible orthodontic treatment without brackets. A one-year post-treatment follow-up was conducted, during which various parameters, including pain levels, aesthetic improvement, inflammatory response, dental function, oral hygiene, and the incidence of adverse events, were evaluated and compared before and after treatment between the two groups.
After six months of treatment, the visual analog scale (VAS) in the study group was lower than that in the control group (P < .05). After 6 months of treatment, the research team observed the changes in gingival crevicular interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), Interleuckin-1 (IL-1), plaque index (PLI), and soft dirt index (DI) were all lower than those in the control group (P < .05). After 6 months of treatment, the research group had higher scores for tooth functions such as chewing, swallowing, speech expression, and occlusion than the control group, as well as higher pink and white aesthetics indexes (P < .05). The difference in the incidence rate of adverse outcomes between the research and control group was not distinct (P > .05).
In case of dental malocclusion accompanied by periodontal disease, the utilization of titanium implants for rectifying dental arch deformities without the use of orthodontic brackets, devoid of orthodontic brackets, has demonstrated notable efficacy in alleviating patients' periodontal discomfort, their oral hygiene, and dental functionality. This modality is conducive to augmenting dental aesthetics without incurring heightened rates of unfavorable consequences, thereby enhancing treatment outcomes.
探讨非托槽隐形正畸钛合金种植体修复对伴有牙周炎和局部牙周炎症的牙颌畸形、牙弓缺损患者的影响。
选取 2021 年 1 月至 2022 年 1 月在我院就诊的牙颌畸形伴牙周炎、缺损患者 120 例，采用随机对照试验纳入研究。将患者分为两组，对照组（60 例）行钛合金种植体修复，观察组（60 例）行无托槽隐形正畸治疗后行钛合金种植体修复。治疗后 1 年随访，比较两组治疗前后疼痛程度、美观改善、炎症反应、咀嚼功能、口腔卫生及不良反应发生率等。
治疗 6 个月后，观察组患者视觉模拟评分（VAS）低于对照组（P <.05）。治疗 6 个月后，观察组患者龈沟液中白细胞介素-6（IL-6）、肿瘤坏死因子-α（TNF-α）、白细胞介素-1（IL-1）、菌斑指数（PLI）、软垢指数（DI）变化均低于对照组（P <.05）。治疗 6 个月后，观察组患者咀嚼、吞咽、言语表达、咬合等牙齿功能评分高于对照组，粉红美学和白美学评分高于对照组（P <.05）。观察组不良反应发生率与对照组比较差异无统计学意义（P >.05）。
对于牙颌畸形伴有牙周病的患者，采用无托槽隐形正畸钛合金种植体矫正牙弓畸形，具有缓解患者牙周不适、改善口腔卫生、增强牙齿功能、提高牙齿美观度等优点，且不良事件发生率无明显增加，有助于提高治疗效果。
