国际口腔医学杂志 ›› 2015, Vol. 42 ›› Issue (6): 652-654.doi: 10.7518/gjkq.2015.06.009

• 论著 • 上一篇    下一篇

正畸后白垩斑的病例对照研究

李娜   

  1. 德阳市口腔医院正畸科 德阳 618000
  • 收稿日期:2015-01-09 修回日期:2015-06-11 出版日期:2015-11-01 发布日期:2015-11-01
  • 通讯作者: 李娜,主治医师,硕士,Email:80704303@qq.com
  • 作者简介:李娜,主治医师,硕士,Email:80704303@qq.com

Case-control study on white spot lesions following orthodontic treatment

Li Na   

  1. Dept. of Orthodontics, Deyang Stomatological Hospital, Deyang 618000, China
  • Received:2015-01-09 Revised:2015-06-11 Online:2015-11-01 Published:2015-11-01

摘要:

目的 通过病例对照研究的手段寻找潜在的白垩斑危险因素和随访白垩斑的自然转归。方法 选择正畸治疗后患白垩斑的患者23例为白垩斑组,正畸治疗后无白垩斑的患者24名为对照组,收集两组患者年龄、性别、正畸治疗周期、刷牙频率、口腔卫生水平、治疗前龋、失、补(DMF)指数。Image J软件测量白垩斑组患者的白垩斑面积,同时随访观察其1年后白垩斑的面积变化。结果 白垩斑组患者的刷牙频率和口腔卫生水平较对照组低,而正畸治疗周期较对照组长。在年龄、性别和治疗前DMF指数方面,两组间的差异无统计学意义。随访1年,患者白垩斑有所缓解,面积减少8%。结论 正畸白垩斑的形成与患者口腔卫生差和治疗周期长有一定相关性,其一旦形成,很难自行愈合,需要干预治疗。

关键词: 正畸, 白垩斑, 口腔卫生, 病例对照

Abstract:

Objective To explore the potential risk factors of white spot lesions and follow the natural progression of white spot lesions. Methods From 2009 to 2013, eligible orthodontic patients were enrolled in Deyang Stomatological Hospital. The case group included patients who developed white spot lesions after orthodontic treatment, whereas the control group consisted of patients who did not develop white spot lesions after orthodontic treatment. Age, gender, treatment duration, toothbrushing frequency, oral hygiene level, and pre-treatment decay, missing and filled(DMF) index were collected. The areas of white spot lesions were determined by Image J shortly after orthodontic treatment and one year thereafter. Results Patients with white spot lesion had lower frequency of tooth-brushing and lower oral hygiene level than those without. Age, gender and pre-treatment DFM index were similar between the two groups. The areas of white spot lesion were decreased by 8% after one-year follow-up. However, although this difference was of statistical significance, it failed to achieve clinical significance. Conclusion Poor oral hygiene and prolonged treatment durations were significantly associated with white spot lesions. Once white spot lesions develop, the chance of spontaneous remission is low. Therefore, specific treatments are required.

Key words: orthodontic treatment, white spot lesion, oral hygiene, case-control

中图分类号: 

  • R 783
[1] 李锦锦, 潘剑. 自体牙移植及其结合正畸治疗的研究进展[J]. 国际口腔医学杂志, 2018, 45(1): 91-96.
[2] 谢乙加, 邹训明, 徐晓梅, 林富伟, 赵青. 颊间隙美学的研究进展[J]. 国际口腔医学杂志, 2018, 45(1): 106-111.
[3] 王耀骏, 严斌, 王林. 牙周膜本构模型的研究进展[J]. 国际口腔医学杂志, 2017, 44(5): 538-543.
[4] 徐晶, 张晓蓉. 正畸治疗对上气道形态影响的研究进展[J]. 国际口腔医学杂志, 2017, 44(5): 544-449.
[5] 郑玮, 李宇. 露龈笑多学科综合治疗新进展[J]. 国际口腔医学杂志, 2017, 44(5): 509-513.
[6] 梁继超, 王芬, 张正华, 庞富升, 侯梅娟, 张凤英. 正畸分牙辅助邻面龋充填治疗的临床疗效观察[J]. 国际口腔医学杂志, 2017, 44(4): 440-444.
[7] 潘颖丹, 刘艺琴, 肖立伟. 替牙期唇腭裂患者的正畸治疗[J]. 国际口腔医学杂志, 2017, 44(4): 380-384.
[8] 刘尚愚, 冯云霞. 三维数字化技术在口腔正畸学中的应用[J]. 国际口腔医学杂志, 2017, 44(3): 350-353.
[9] 郑衍亮, 张作记, 陈杰. 自我效能干预在口腔正畸治疗中的应用[J]. 国际口腔医学杂志, 2017, 44(2): 161-164.
[10] 宿洪丽. 口腔正畸学临床教学方法改革探讨[J]. 国际口腔医学杂志, 2017, 44(1): 41-44.
[11] 姚霜, 刘晓君, 周治, 杨鸘, 季娟娟, 周新, 沈勇. 咬合调整对牙周炎正畸治疗患者牙周状况的影响[J]. 国际口腔医学杂志, 2017, 44(1): 50-54.
[12] 张安翔,刘漫丽,郑英成,许方清. 正畸护患沟通技巧[J]. 国际口腔医学杂志, 2016, 43(6): 739-742.
[13] 普盼君,路莹,葛天歌,张沙,陈泽文,黄宁. 正畸患者付出与收益的调查与研究[J]. 国际口腔医学杂志, 2016, 43(6): 654-657.
[14] 单知一 徐子卿 沈刚. 三维有限元法在舌侧正畸矫治领域中的应用[J]. 国际口腔医学杂志, 2016, 43(5): 560-564.
[15] 赵哲珊,邱荣敏,黄华. 口腔正畸粘接剂的研究进展[J]. 国际口腔医学杂志, 2016, 43(4): 417-420.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!