氟化泡沫对正畸固定矫治患者牙周指数及牙釉质脱矿的影响

发布时间：2018-07-22 15:57

【摘要】：目的:探讨氟化泡沫对正畸固定矫患者牙周指数及牙釉质脱矿的影响。方法:选取2013年6月~2014年6月30例舌侧正畸治疗患者(600颗牙)为研究对象,根据入院时间分为对照组15例(297颗牙)和观察组15例(293颗牙),对照组采取常规口腔卫生措施,观察组在对照组的基础上定期使用1.23%氟化泡沫。随访12个月,观察两组牙釉质脱矿牙位分布、脱矿指数(EDI)、菌斑指数(PLI)和出血指数(BI)。结果:牙釉质脱矿主要分布于上颌侧切牙、上颌中切牙及下颌前磨牙等;观察组牙釉质釉质脱矿率11.26%明显低于对照组17.51%(χ2=4.666,P0.05);观察组EDI、PLI、BI等均明显低于对照组(t=9.947,4.435,7.789,P0.05)。结论:舌侧正畸治疗中牙釉质脱矿发生率较高,氟化泡沫有助于减少正畸治疗中的牙釉质脱矿发生,降低牙周指数。
[Abstract]:Objective: to investigate the effect of fluoride foam on periodontal index and enamel demineralization in orthodontic patients. Methods: from June 2013 to June 2014, 30 patients with lingual orthodontic treatment (600 teeth) were divided into control group (n = 15) (297 teeth) and observation group (n = 15) (293 teeth). The observation group used 1.23% fluorinated foam regularly on the basis of the control group. The distribution of enamel demineralized teeth, demineralization index (EDI), plaque index (PLI) and bleeding index (BI) were observed after 12 months follow-up. Results: enamel demineralization was mainly distributed in maxillary lateral incisors, maxillary central incisors and mandibular premolars, the rate of enamel demineralization in the observation group was significantly lower than that in the control group (11.26% vs 17.51%, 蠂 2 4.666P 0.05), and the EDIPLIBI in the observation group was significantly lower than that in the control group (t9.9474.435i 7.789P 0.05). Conclusion: the incidence of enamel demineralization is high in lingual orthodontic treatment. Fluoride foam is helpful to reduce enamel demineralization and periodontal index in orthodontic treatment.
【作者单位】：深圳市龙华新区人民医院口腔科;深圳市武警布吉医院牙科中心;四川大学华西口腔医学院正畸中心;
【基金】：深圳市科技计划项目(编号:201303240)
【分类号】：R783.5

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