范晶,郑圆,郭丹妮,胡金龙,雷小朋.冲牙器辅助对口腔正畸患者牙龈龈沟液炎性因子及牙周健康状况的影响[J].口腔材料器械杂志,2023,32(2):143-146.
冲牙器辅助对口腔正畸患者牙龈龈沟液炎性因子及牙周健康状况的影响
Effect of oral irrigator on inflammatory factors in gingival crevicular fluid and periodontal health status of orthodontic patients
投稿时间:2022-07-08  修订日期:2022-11-16
DOI:10.11752/j.kqcl.2023.02.13
中文关键词:  正畸治疗  冲牙器  龈沟液炎性因子  牙周健康状况
英文关键词:Orthodontic treatment  Water flosser  Inflammatory factor in gingival crevicular fluid  Periodontal health status
基金项目:
作者单位E-mail
范晶 西安医学院第二附属医院 口腔科, 西安 710038 baijia5554@163.com 
郑圆 西安医学院第二附属医院 口腔科, 西安 710038  
郭丹妮 西安医学院第二附属医院 口腔科, 西安 710038  
胡金龙 西安医学院第二附属医院 口腔科, 西安 710038  
雷小朋 西安医学院第二附属医院 口腔科, 西安 710038  
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中文摘要:
      目的 观察冲牙器辅助对口腔正畸患者牙龈龈沟液炎性因子及牙周健康状况的影响。方法 选取2020年01月至2021年12月于我院口腔科就诊的口腔正畸患者80例。随机数字表法分为对照组和观察组,每组40例;对照组采用声波震动牙刷早、中、晚饭后清洁口腔3 min,观察组采用声波震动牙刷联合冲牙器清洁口腔,冲牙器使用时间3 min ;分别于清洁前后检测两组牙周情况[出血指数(BI)、菌斑指数(PLI)、牙龈指数(GI)、菌斑百分率、探诊深度(PD)]和龈沟液炎性因子[检测龈沟液中白细胞介素-6 (IL-6)、高敏C反应蛋白(hs-CRP)、白细胞介素-1β(IL-1β)及肿瘤坏死因子-α(TNF-α)]。结果 清洁后观察组BI、PLI、GI、菌斑百分率低于对照组(P<.05),观察组牙齿邻面(颊侧近中、颊侧远中、舌侧近中、舌侧远中)和光滑面(颊侧正中、舌侧正中)的BI低于对照组(P<.05),观察组IL-6、hs-CRP、IL-1β及TNF-α均低于对照组(P<.05)。结论 冲牙器辅助能有效减少口腔正畸患者的牙龈龈沟液炎性因子水平,改善牙周健康状况。
英文摘要:
      Objective The aim of this study was to study the effect of oral irrigator on inflammatory factors in gingival crevicular fluid and periodontal health status of orthodontic patients. Methods Eighty patients who underwent orthodontic treatment in the hospital from January 2020 to December 2021 were randomly divided into the control group and the observation group with 40 cases in each group. Patients in the control group used sonic electric toothbrush to clean their oral cavity for 3 min before each meal, and patients in the observation group used sonic electric toothbrush combined with oral irrigator to clean their oral cavity for 3 min. The periodontal status [bleeding index (BI), plaque index (PLI), gingival index (GI), plaque percentage and probing depth (PD)], and gingival crevicular fluid inflammatory factors [interleukin-6 (IL-6), high-sensitivity C-reactive protein (hs-CRP), interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α)] were measured before and after cleaning. Results After cleaning, BI, PLI, GI and plaque percentage in the observation group were significantly lower than those in the control group (P<0.05). The BI of adjacent surface and smooth surface, the levels of IL-6, hs-CRP, IL-1β and TNF-α in the observation group were significantly lower than those in the control group (P<0.05). Conclusion The assistance of oral irrigator can effectively reduce inflammatory factors in gingival crevicular fluid and improve periodontal health of orthodontic patients.
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