Volume 22 Issue 6
Jun.  2024
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YI Xuan, GE Huabing, CAO Yu. The effect of bracketless invisible appliance on periodontal health in periodontitis with malocclusion deformity[J]. Chinese Journal of General Practice, 2024, 22(6): 940-942. doi: 10.16766/j.cnki.issn.1674-4152.003539
Citation: YI Xuan, GE Huabing, CAO Yu. The effect of bracketless invisible appliance on periodontal health in periodontitis with malocclusion deformity[J]. Chinese Journal of General Practice, 2024, 22(6): 940-942. doi: 10.16766/j.cnki.issn.1674-4152.003539
shu

The effect of bracketless invisible appliance on periodontal health in periodontitis with malocclusion deformity

doi: 10.16766/j.cnki.issn.1674-4152.003539

  • Beijing stomatology hospital, Capital Medical University, Beijing 100006, China

Funds:

 81670948

  • Received Date: 2024-01-23
    Available Online: 2024-07-22
    Abstract
  •   Objective  To investigate the effect and safety of bracketless invisible appliance on periodontitis with malocclusion deformity, and to analyze the influence on periodontal health and inflammation of patients, in order to provide reference for clinical treatment of this disease.  Methods  A total of 200 patients with periodontitis with malocclusion deformity admitted to Beijing Stomatological Hospital Capital Medical University from January 2021 to December 2022 were selected and divided into the control group (94 cases, straight wire appliance) and the study group (106 cases, bracketless invisible appliance) according to the orthodontic methods. The treatment effect was compared between the two groups.  Results  The total effective rate in the study group was 95.28% (101/106), which had no difference compared with 92.55% (87/94) in the control group (P > 0.05). There was no difference in tooth leveling time and occlusal opening time between the two groups (P > 0.05). In the study group, clinical attachment loss (CAL), gingival line probe depth (PD), gingival sulcus bleeding index (SBI), plaque index (PLI), gingival index (GI) [(3.26±1.05) mm, (2.44±0.61) mm, 1.21±0.31, 1.56±0.41, 0.65±0.17] after treatment were lower than those in the control group [(3.81±1.19) mm, (2.83±0.49) mm, 1.75±0.49, 2.51±0.50, 1.12±0.25], all P < 0.05. After treatment, the levels of interleukin-8 (IL-8), interleukin-1β (IL-1β), and tumor necrosis factor-α (TNF-α) in the study group were lower than those in the control group (P < 0.05). The total complication rate in the study group was 5.66% (6/106), which was lower than that in the control group [15.96% (15/94), χ2=5.621, P=0.018].  Conclusion  The bracketless invisible appliance has a definite effect on the treatment of periodontitis with malocclusion deformity, which can significantly improve the periodontal health of patients.

     

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    • References(21)
  • [1]
    常雅琴, 房方方, 秦莎莎, 等. 中重度慢性牙周炎患者牙周洁刮治前后血清C反应蛋白水平变化的系统评价和Meta分析[J]. 华西口腔医学杂志, 2020, 38(4): 385-392. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ202004009.htm

    CHANG Y Q, FANG F F, QIN S S, et al. Effect of scaling and root planing on serum C-reactive protein levels in patients with moderate to severe chronic periodontitis: a systematic review and Meta-analysis[J]. West China Journal of Stomatology, 2020, 38(4): 385-392. https://www.cnki.com.cn/Article/CJFDTOTAL-HXKQ202004009.htm
    [2]
    钱为民, 曹良菊, 蒋愉, 等. 光活化消毒辅助治疗慢性牙周炎的疗效[J]. 昆明医科大学学报, 2024, 45(1): 136-142. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202401023.htm

    QIAN W M, CAO L J, JIANG Y, et al. Effect of Photo-activated Disinfection as An Adjunctive Therapy in the Treatment of Chronic Periodontitis[J]. Journal of Kunming Medical University, 2024, 45(1): 136-142. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202401023.htm
    [3]
    TRINDADE D, CARVAIHO R, MACHADO V, et al. Prevalence of periodontitis in dentate people between 2011 and 2020: a systematic review and meta-analysis of epidemiological studies[J]. J Clin Periodontol, 2023, 50(5): 604-626. doi: 10.1111/jcpe.13769
    [4]
    王翠, 许砚耕, 胡文杰, 等. 牙周-正畸-种植综合治疗改善重度牙周炎伴错畸形患者的口腔功能和美观(附1例5年随访报告)[J]. 中国实用口腔科杂志, 2021, 14(4): 413-419. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSKQ202306001.htm

    WANG C, XU Y G, HU W J, et al. Restoration of oral function and esthetics in severe periodontitis patients with malocclusion by combined periodontal, orthodontic, implant therapy: a case report of 5-year follow-up[J]. Chinese Journal of Practical Stomatology, 2021, 14(4): 413-419. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSKQ202306001.htm
    [5]
    石敏, 王红, 张静, 等. 无托槽隐形矫治器与直丝弓矫治器治疗牙周炎伴错合畸形的疗效比较[J]. 河北医学, 2020, 26(2): 294-298. doi: 10.3969/j.issn.1006-6233.2020.02.030

    SHI M, WANG H, ZHANG J, et al. Comparative Study on the effect of non bracket invisible and straight wire appliance in the treatment of periodontitis with malocclusion[J]. Hebei Med, 2020, 26(2): 294-298. doi: 10.3969/j.issn.1006-6233.2020.02.030
    [6]
    朱永翠, 朱凤节, 翟蕾, 等. 无托槽隐形矫治器及自锁托槽矫治器对牙周炎患者牙周及龈下菌群的影响[J]. 上海口腔医学, 2022, 31(2): 184-188. https://www.cnki.com.cn/Article/CJFDTOTAL-SHKY202202013.htm

    ZHU Y C, ZHU FJ, ZHAI L, et al. Effect of invisible appliance without bracket and self-locking bracket appliance on periodontal and subgingival flora in patients with periodontitis[J]. Shanghai Kou Qiang Yi Xue, 2022, 31(2): 184-188. https://www.cnki.com.cn/Article/CJFDTOTAL-SHKY202202013.htm
    [7]
    邓红. 无托槽隐形与直丝弓矫治器对牙周炎伴错畸形的矫治效果及对牙周健康的影响[J]. 中国医学创新, 2022, 19(19): 58-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX202336031.htm

    DENG H. Effect of bracketless invisible appliance and straight wire appliance on periodontitis with malocclusion and the influence on periodontal health[J]. Medical Innovation of China, 2022, 19(19): 58-62. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX202336031.htm
    [8]
    吴园园, 王慧敏, 何阮慧, 等. 慢性牙周炎患者心理健康与治疗依从性的相关分析[J]. 中华全科医学, 2023, 21(12): 2053-2056. doi: 10.16766/j.cnki.issn.1674-4152.003288

    WU Y Y, WANG H M, HE R H, et al. Correlation analysis between psychological health and treatment compliance in patients with chronic periodontitis[J]. Chinese Journal of General Practice, 2023, 21(12): 2053-2056. doi: 10.16766/j.cnki.issn.1674-4152.003288
    [9]
    凌丽娟, 崔健, 霍蓓蓓, 等. 侵袭性牙周炎伴错畸形患者牙周-正畸联合治疗前后血清SAA, leptin的变化及与牙周指标和辅助性T细胞亚群的相关性分析[J]. 现代生物医学进展, 2023, 23(20): 3889-3893. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX202320017.htm

    LING L J, CUI J, HUO B B, et al. Changes of serum SAA and leptin in patients with aggressive periodontitis complicated with malocclusion deformity before and after combined periodontal-orthodontic treatment and their correlation analysis with periodontal indicators and helper T cell subsets[J]. Progress in Modern Biomedicine, 2023, 23(20): 3889-3893. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX202320017.htm
    [10]
    ZHANG J N, SUN B H, ZHAO H X, et al. Apolipoprotein E is an effective biomarker for orthodontic tooth movement in patients treated with transmission straight wire appliances[J]. Am J Orthod Dentofacial Orthop, 2022, 161(2): 255-262. doi: 10.1016/j.ajodo.2020.08.020
    [11]
    林嘉旭, 张汝弘, 张健娜, 等. 基于194例错畸形伴牙周病患者探讨无托槽隐形矫治技术对牙周健康的影响[J]. 实用口腔医学杂志, 2022, 38(6): 777-782. doi: 10.3969/j.issn.1001-3733.2022.06.017

    LIN J X, ZHANG R H, ZHANG J N, et al. The effects of bracketless invisible correction technique on the periodontal health in the treatment of 194 patients with malocclusion and periodontal disease[J]. J Pract Stomatol, 2022, 38(6): 777-782. doi: 10.3969/j.issn.1001-3733.2022.06.017
    [12]
    谷芳, 谷荣. 减数正畸联合牙周系统治疗对重度牙周炎错颌畸形患者牙周相关指标及牙槽骨高度的影响[J]. 川北医学院学报, 2023, 38(3): 382-385. doi: 10.3969/j.issn.1005-3697.2023.03.022

    GU F, GU R. Effect of reduced orthodontics combined with periodontal system treatment on periodontal related indexes and alveolar bone height in patients with malocclusion of severe periodontitis[J]. Journal of North Sichuan Medical College, 2023, 38(3): 382-385. doi: 10.3969/j.issn.1005-3697.2023.03.022
    [13]
    赵晶, 冯小东, 肖永芳, 等. 无托槽隐形矫治技术矫治重度牙周炎伴咬合紊乱患者的临床牙周指标及疗效分析[J]. 现代生物医学进展, 2023, 23(3): 457-460, 499. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX202303011.htm

    ZHAO J, FENG X D, XIAO Y F, et al. Clinical periodontal indexes and curative effect analysis of bracketless invisible orthodontic technique in patients with severe periodontitis and occlusal disorder[J]. Progress in Modern Biomedicine, 2023, 23(3): 457-460, 499. https://www.cnki.com.cn/Article/CJFDTOTAL-SWCX202303011.htm
    [14]
    岳川, 南楠. 牙周组织再生术联合无托槽隐形矫治对牙周炎伴错颌畸形患者临床疗效, 龈沟液炎症反应程度及牙周健康状况的影响[J]. 临床误诊误治, 2022, 35(8): 100-104. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWZ202208024.htm

    YUE C, NAN N. Effect of periodontal tissue regeneration combined with invisible orthodontic treatment without brackets on clinical efficacy, inflammatory response of gingival crevicular fluid and periodontal health on periodontitis patients with malocclusion[J]. Clinical misdiagnosis and mistreatment, 2022, 35(8): 100-104. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWZ202208024.htm
    [15]
    陈刚, 莫丽飞, 张晓静. 正畸牙周联合治疗对伴错合畸形牙周炎患者牙周致病菌及牙周组织炎症因子表达的影响[J]. 河北医学, 2023, 29(1): 131-136. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX202301025.htm

    CHEN G, MO L F, ZHANG X J. Effects of combined orthodontic periodontal treatment on the expression of periodontal pathogens and inflammatory factors in periodontitis patients with malocclusion[J]. Hebei Med, 2023, 29(1): 131-136. https://www.cnki.com.cn/Article/CJFDTOTAL-HCYX202301025.htm
    [16]
    段立江, 聂於凯. 光动力学疗法对慢性牙周炎患者龈沟液MMP-9、IL-8、HMGB1及TGF-β1的影响[J]. 检验医学与临床, 2020, 17(16): 2312-2315. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYL202016014.htm

    DUAN L J, NIE Y K. Effects of photodynamic therapy on MMP-9, IL-8, HMGB1 and TGF-β1 in gingival crevicular fluid of patients with chronic periodontitis[J]. Laboratory Medicine and Clinical Practice, 2020, 17(16): 2312-2315. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYL202016014.htm
    [17]
    林昌, 许海燕. 加味清胃汤联合盐酸米诺环素治疗慢性牙周炎的疗效及对龈沟液IL-1β、IL-6和PGE2水平影响[J]. 中华中医药学刊, 2021, 39(10): 199-203. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS202110048.htm

    LIN C, XU H Y. Efficacy of Jiawei Qingwei Decoction combined with minocycline hydrochloride in the treatment of chronic periodontitis and its effect on IL-1β, IL-6 and PGE2 in gingival crevicular fluid[J]. Chinese Archives of Traditional Chinese Medicine, 2021, 39(10): 199-203. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYHS202110048.htm
    [18]
    谢丽, 孙伯阳, 张杨珩, 等. 无托槽隐形矫治对牙周炎患者龈沟液及血清TNF-α、MMP-8和IL-6水平的影响[J]. 临床和实验医学杂志, 2023, 22(7): 742-746. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC202307019.htm

    XIE L, SUN B Y, ZHANG Y H, et al. Effects of stealth treatment without brackets on gingival crevicular fluid and serum levels of TNF-α, MMP-8 and IL-6 in patients with periodontitis[J]. Journal of Clinical and Experimental Medicine, 2023, 22(7): 742-746. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC202307019.htm
    [19]
    王立, 刘彩霞. 无托槽隐形矫治器与传统固定矫治器对牙齿移动的疗效观察[J]. 中国煤炭工业医学杂志, 2023, 26(5): 522-526. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMGY202305014.htm

    WANG L, LIU C X. Observation on the effect of invisible appliance without bracket and traditional fixed appliance on tooth movement[J]. Chinese Journal of Coal Industry Medicine, 2023, 26(5): 522-526. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMGY202305014.htm
    [20]
    孙海涛, 冯小东. 传动直丝弓矫治技术与无托槽隐形矫治对错畸形患者的临床效果对比研究[J]. 临床口腔医学杂志, 2021, 37(4): 218-221. https://www.cnki.com.cn/Article/CJFDTOTAL-LCKY202104008.htm

    SUN H T, FENG X D. A comparative study on the clinical effect of the treatment of malocclusion with straight wire drive and the invisible correction without bracket[J]. J Clin Stomatol, 2021, 37(4): 218-221. https://www.cnki.com.cn/Article/CJFDTOTAL-LCKY202104008.htm
    [21]
    许颖华. 无托槽隐形矫治技术远中移动上颌磨牙对骨性Ⅰ类及Ⅱ类错畸形的疗效[J]. 贵州医科大学学报, 2023, 48(7): 848-851, 857. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB202307017.htm

    XU Y H. Efficacy of invisible bracketless technique on distally moving maxillary molars over Class Ⅰ and Ⅱ malocclusion deformity[J]. Journal of Guizhou Medical University, 2023, 48(7): 848-851, 857. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYB202307017.htm
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