| 孙如,穆宏,赵欢欢.无托槽隐形矫治对轻度牙周炎错颌畸形患者矫治时间及美观效果的影响[J].口腔材料器械杂志,2026,35(2):95-99. |
| 无托槽隐形矫治对轻度牙周炎错颌畸形患者矫治时间及美观效果的影响 |
| Effects of clear aligner therapy on orthodontic treatment duration and esthetic outcomes in patients with mild periodontitis and malocclusion |
| 投稿时间：2024-08-06 修订日期：2025-03-25 |
| DOI：10.11752/j.kqcl.2026.02.06 |
| 中文关键词: 无托槽隐形矫治 牙周炎错颌畸形 牙周相关健康指标 矫治时间 美观效果 |
| 英文关键词:Clear aligner therapy Periodontitis with malocclusion Periodontal health-related indicators Orthodontic treatment duration Esthetic outcomes |
| 基金项目:2022年度河北省医学科学研究课题计划项目（20220374） |
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| 中文摘要: |
| 目的 探究无托槽隐形矫治对轻度牙周炎错颌畸形患者矫治时间及美观效果的影响。方法 选取在本院进行治疗的牙周炎错颌畸形患者86例，按随机数字表法分为直丝弓固定矫治器（SWA）组（43例）和无托槽隐形矫治器（CA）组（43例）。比较两组患者临床疗效、牙周相关健康指标、龈沟液炎性因子指标、矫治时间、美观效果及不良反应发生率。结果 SWA组和CA组的治疗总有效率分别为76.74%和93.02%，CA组总有效率显著高于SWA组（P<0.05）；治疗后，CA组SBI、GI、PLI、IL-6、TNF-α、CRP水平、倾斜牙及转位牙矫正时间均低于SWA组（P<0.05）；治疗后，两组患者固位功能比较无明显差异（P>0.05），CA组咀嚼、语言功能，美观效果，舒适度均显著高于SWA组（P<0.05）；SWA组和CA组的不良反应总发生率分别为39.53%、6.98%，CA组的不良反应发生率显著低于SWA组（P<0.05）。结论 无托槽隐形矫治能够有效减少正畸对牙周炎错颌畸形患者的牙周环境影响，有利于保持牙周健康，缓解牙周炎症，具有较好的美观效果，缩短矫治时间，显著减少不良反应的发生，安全性高。 |
| 英文摘要: |
| Objective To investigate the effects of clear aligner therapy on orthodontic treatment duration and esthetic outcomes in patients with mild periodontitis and malocclusion. Methods A total of 86 patients with periodontitis and malocclusion were enrolled and randomly assigned to a straight-wire appliance (SWA) group (43 cases) and a clear aligner (CA) group (43 cases). Clinical efficacy, periodontal health-related indicators, gingival crevicular fluid inflammatory markers, including interleukin-6 (IL-6), tumor necrosis factorα (TNF-α), and C-reactive protein (CRP), orthodontic treatment duration, esthetic outcomes, and adverse reactions were compared between the two groups. Results The total effective rates in the SWA and CA groups were 76.74% and 93.02%, respectively, with the CA group showing a significantly higher total effective rate than the SWA group (P<0.05). After treatment, the levels of SBI, GI, PLI, IL-6, TNF-α, and CRP were all lower in the CA group than in the SWA group (P<0.05). No significant difference was found between the two groups in retention function after treatment (P>0.05), whereas chewing function, speech function, esthetic outcomes, and comfort were all significantly better in the CA group than in the SWA group (P<0.05). The correction times for inclined teeth and displaced teeth were both shorter in the CA group than in the SWA group (P<0.05). The total incidence of adverse reactions was significantly lower in the CA group than in the SWA group (6.98% vs 39.53%, P<0.05). Conclusion Clear aligner therapy showed favorable clinical efficacy in patients with periodontitis and malocclusion. It reduced the impact of orthodontic treatment on the periodontal environment, improved periodontal health status, alleviated periodontal inflammation, enhanced esthetic outcomes, shortened orthodontic treatment duration, and reduced adverse reactions. |
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