固定矫治器对牙龈状况及龈沟液细菌组成影响研究.docVIP

固定矫治器对牙龈状况及龈沟液细菌组成影响研究 　　【摘要】 目的 研究固定矫治器对牙龈状况及龈沟液细菌组成的影响。方法 对100例固定矫治器的患者,分别于矫治器戴入前,戴矫治器后1、2、3、6和12个月,矫治结束及结束后3月记录牙龈炎症指数;同时取龈沟液,进行常规细菌分类计数。结果 戴入矫治器1、2月后牙龈炎症指数与矫治前相比明显增高(P0.05);与矫治前相比戴矫治器1、2月后球菌比例明显下降,梭状杆菌和螺旋体的比例明显升高(P0.01),3月后逐渐恢复。结论 固定矫治器的戴入对牙龈组织的健康可造成一定的影响。 　　【关键词】 　　固定矫治器;牙龈指数;龈沟液;细菌 　　 　　The impact of fixed orthodontic appliance on gum conditions and gingival crevicular fluid bacteria 　　 　　HUANG XiangE,XIAO Shuiqing.Department of stomatology,The Fourth Peoples Hospital,Jinan 250031,China 　　 　　【Abstract】 Objective To investigate the influence of fixed orthodontic appliance on gum condition and the composition of bacteria in gingival crevicular fluid.Methods The gingival inflammation index of 100 patients wearing straight wire fixed orthodontic appliance were recorded before the placement of appliance and 1,2,3,6,12 month after the placement of appliance,respectively.Meanwhile,the gingival crevicular fluid was taken and routine bacteria count was performed.Results The gingival inflammation index increased significantly in the first and second month after wearing the appliance(P0.05).The proportion of Clostridium perfringens and spirochetes was significantly higher,but the proportion of Coccus decreased significantly in the first and second month after wearing the appliance(P0.01),which restored gradually after the third month.Conclusion The placement of fixed orthodontic appliance has an influence on the gum condition. 　　【Key words】 　　Fixed orthodontic appliance; Gingival index; Bacteria; Gingival crevicular fluid 　　 　　固定矫治器是国内外普遍采用的矫治装置,临床应用广泛,近年有研究表明,固定矫治器可引起牙釉质及牙周组织的变化,临床观察显示固定矫治器戴入口腔后,有些患者的牙龈组织会发生一定的反应,其原因可能与戴矫治器后引起口腔内环境改变导致牙龈组织的炎性反应有关。本研究将临床就诊采用固定矫治器矫治的患者作研究对象,分别于矫治前,戴矫治器后1、2、3、6和12月,矫治结束及结束后3月的牙龈炎症指数、龈沟液的细菌分类及组成进行检测比较,供临床参考。 　　1 资料与方法 　　 　　DOI:10.3760/cma.j.issn2010.01.13 　　作者单位:250031济南市第四人民医院口腔科(黄香娥); 　　济南市口腔医院正畸科(肖水清) 　　1.1 一般资料 自本科接诊的固定矫治器患者中,随机抽取满足以下条件的患者100例(男41例,女59例)作为研究对象,均为恒牙早期,平均年龄12.8岁,其中拔牙患者60例,余为不拔牙患者,均采用直丝弓矫治技术,分别于矫治器戴入前,戴矫治器后1、2、3、