文章摘要

不同种类托槽对儿童口腔微生态环境的影响

作者: 1马鹏涛, 1李晓琰, 1韩永付, 1李华龙
1 郑州大学附属儿童医院口腔科,郑州 450000
通讯: 马鹏涛 Email: yuanyuanyishi@126.com
DOI: 10.3978/j.issn.2095-6959.2019.01.014

摘要

目的:探讨不同种类的托槽正畸治疗对儿童口腔微生态环境的影响。方法:选取郑州大学附属儿童医院2016年2月至2017年9月口腔门诊治疗的90例需要实施固定矫正的儿童,根据代用矫正器的类型分为传统组45例(采用传统托槽矫正治疗)、研究组45例(采用自锁托槽矫正治疗);检测并对比两组儿童矫正治疗前(T0)、矫正治疗8周(T1)、矫正治疗12周(T2)时刻的龈沟液中IL-1β, TNF-α,IL-17A,IL-35水平;对比两组矫正前、矫正12周后的菌斑指数(plaque index,PLI)、牙龈指数(gingival index,GI)、龈沟出血指数(sulcus bleeding index,SBI)、龈沟液量及口腔寄生菌的情况。结果:矫正治疗前,研究组和传统组的PLI,GI,SBI及龈沟液量比较,差异不具有统计学意义(P>0.05);矫正治疗12周后,研究组的PLI,GI,SBI及龈沟液量均低于传统组(P<0.05); T0时刻,研究组和传统组的龈沟液IL-1β,TNF-α,IL-17A,IL-35水平比较,差异不具有统计学意义(P>0.05);T1,T2时刻,研究组的龈沟液IL-1β,TNF-α,IL-17A,IL-35水平均低于传统组(P<0.05)。治疗前,研究组和对照组的寄生菌检出率差异不具有统计学意义(P>0.05);矫正后12 周,研究组的口腔寄生菌检出率低于传统组(P<0.05)。结论:自锁托槽矫正治疗与传统托槽均会对儿童口腔微生态环境造成一定的影响,但是前者影响程度较轻。
关键词: 正畸治疗;儿童;口腔;微生态环境

Effects of different types of brackets on oral microecological environment

Authors: 1MA Pengtao, 1LI Xiaoyan, 1HAN Yongfu, 1LI Hualong
1 Department of Stomatology, Children's Hospital Affiliated of Zhengzhou University, Zhengzhou 450000, China

CorrespondingAuthor: MA Pengtao Email: yuanyuanyishi@126.com

DOI: 10.3978/j.issn.2095-6959.2019.01.014

Abstract

Objective: To explore the effects of different types of bracket orthodontic treatment on children’s oral microecological environment. Methods: Ninety children who needed fixed correction in our dental clinic from February 2016 to September 2017 were selected and divided into a traditional group (using traditional brackets) and a study group (locking bracket correction treatment) according to the type of substitute orthosis, 45 cases in each. IL-1β, TNF-α, IL-17A, and IL-35 levels in gingival crevicular fluid before and after treatment (T0), correction treatment for 8 weeks (T1), and correction treatment for 12 weeks (T2) were detected; plaque index (PLI), gingival index (GI), sulcus bleeding index (SBI), gingival crevicular fluid volume and oral parasites before and after 12 weeks of correction were compared. Results: Before the correction treatment, the difference of PLI, GI, SBI and gingival crevicular fluid between the 2 groups was not statistically significant (P>0.05). After 12 weeks of corrective treatment, PLI, GI, SBI and the amount of sulcus in the study group were significantly lower than that in the traditional group (P<0.05). At T0, the IL-1β, TNF-α, IL-17A and IL-35 levels in the gingival crevicular fluid between the 2 groups were not statistically significant (P>0.05); at T1 and T2, the IL-1β, TNF-α, IL-17A and IL-35 levels in the gingival crevicular fluid in the study group were lower than those in the traditional group (P<0.05). Before treatment, the difference in the detection rate of parasites between the 2 groups was not statistically significant (P>0.05). At 12 weeks after the correction, the detection rate of oral parasites in the study group was lower than that in the traditional group (P<0.05). Conclusion: Self-locking bracket correction treatment and traditional brackets will have a certain impact on children’s oral micro-ecological environment, but the former is less affected.
Keywords: orthodontic treatment; children; oral; micro-ecological environment

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