口腔医学研究 ›› 2015, Vol. 31 ›› Issue (9): 913-916.

• 临床研究论著 • 上一篇    下一篇

不同民族固定矫治所致牙龈炎和前牙牙龈增生的临床研究

热孜万·克衣木1,李泽慧2,米丛波1*   

  1. 1. 新疆医科大学第一附属医院口腔正畸科 新疆 乌鲁木齐 830054;
    2. 新疆医科大学第一附属医院牙周粘膜科
  • 收稿日期:2015-03-05 出版日期:2015-09-28 发布日期:2016-05-04
  • 通讯作者: 米丛波,E-mail:mi670105@sina.com
  • 作者简介:热孜万·克衣木(1982~ ),女,硕士,住院医师,新疆人,主要从事口腔正畸科的临床治疗工作。

Clinical Study Gingivitis and Anterior Gingival EnlargementRelated to Fixed Orthodontic Treatment in Different Population

RE ZI W ANG Keyimu1, LI Ze-hui2, MI Cong-bo1   

  1. 1. Department of Orthodontics, The First Affiliated Hospital, Xinjiang Medical University. Urumqi 830054 China. 2. Department of Periodontology and Oral Mucosa Membrane, The First Affiliated Hospital, Xinjiang Medical University. Urumqi 830054 China
  • Received:2015-03-05 Online:2015-09-28 Published:2016-05-04

摘要: 目的:探讨牙龈增生、牙龈炎在不同社会背景下的固定矫治患者中发病率及相关因素。方法:收集正畸治疗中或刚刚拆除矫治器的患者250名,随机分为2组。在接受矫治6~12个月和≥12个月时,由牙周专科医师检查菌斑及牙龈指数、牙周袋深度、附着丧失及牙龈增生程度。患者的社会经济背景,正畸治疗持续时间,正畸过程中牙线使用情况被记录下来。之间的相关性建立泊松回归模型,并使用多元性回归分析法进行分析。结果:牙龈出血(RR 1.02; 95% CI 1.01-1.02)和托槽周围多余的树脂残留(RR 1.04; 95% CI 1.04-1.05)跟牙龈增生有高度相关性。社会背景跟牙龈增生无相关性。结论:在正畸治疗患者中前牙牙龈出血和托槽周围多余树脂残留跟牙龈增生程度成正相关。

关键词: 固定矫治治疗, 牙龈炎, 牙龈增生, 牙龈出血

Abstract: Objective: To investigate the association among gingival enlargement (GE), gingivitis and social backgrounds in subjects undergoing fixed orthodontic treatment. Methods: A total of 250 patients undergoing fixed orthodontic treatment were divided into two groups including6-12months treatment group and more than 12months treatment group. The patient was examined by a single calibrated examiner for plaque and gingival indexes, probing pocket depth, clinical attachment loss, and gingival enlargement. Social background, orthodontic treatment duration, and use of dental floss were assessed by oral interviews. Associations were assessed by means of Poisson’s regression models. Results: The presence of gingival bleeding (RR 1.02; 95% CI 1.01-1.02) and excess resin around brackets (RR 1.04; 95% CI 1.04-1.05) were associated with an increase in GE. No association was found between socio-demographic characteristics and gingival enlargement. Conclusion: Anterior gingival bleeding and excess resin around brackets were associated with higher level of anterior gingival enlargement in subjects under orthodontic treatment.

Key words: Fixed orthodontic treatment, Gingivitis, Gingival enlargement, Gingival bleeding

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