关键词: dental health survey microbiota orthodontic appliances orthodontic treatment periodontal health care

来  源:   DOI:10.3390/dj12060168   PDF(Pubmed)

Abstract:
BACKGROUND: This article analyzes differences in microbiological parameters and periodontal health conditions among three patient groups: those undergoing conventional orthodontic treatment with fixed appliances, patients undergoing orthodontic treatment with clear aligners, and a control group receiving no treatment.
METHODS: In this study, 60 patients were enrolled. The microbiological analysis employed a qualitative and semi-quantitative methodology of bacterial morphotype analysis.
RESULTS: The analyses revealed a significant difference in favor of clear oral and periodontal health aligners. This could be attributed to better bacterial biofilm removal and reduced mechanical stress on the periodontal ligament, factors facilitated by the ease of clear aligner removal. Significant differences (p-value < 0.05) were observed for the Full-Mouth Plaque Score, Full-Mouth Bleeding Score, Plaque Index, and periodontal health assessment measurements.
CONCLUSIONS: Although overall hygiene appears to be improved in patients in the aligners group compared to those treated with conventional orthodontic appliances, there are no statistically significant results regarding plaque composition. Microbiological aspects will be further addressed using more specific techniques in the follow-up of this research.
摘要:
背景:本文分析了三个患者组之间的微生物参数和牙周健康状况的差异:那些使用固定矫治器进行常规正畸治疗的患者,使用清晰的矫正器进行正畸治疗的患者,对照组不接受治疗。
方法:在本研究中,纳入60例患者。微生物分析采用细菌形态分析的定性和半定量方法。
结果:分析显示,对于透明的口腔和牙周健康矫正器有显著差异。这可以归因于更好的细菌生物膜去除和减少对牙周膜的机械应力,容易清除矫正器的促进因素。观察到全口斑块评分的显著差异(p值<0.05),全口出血评分,斑块指数,和牙周健康评估测量。
结论:尽管与使用传统正畸矫治器治疗的患者相比,矫治器组患者的整体卫生似乎有所改善,关于斑块组成没有统计学意义的结果。在这项研究的后续行动中,将使用更具体的技术进一步解决微生物学方面的问题。
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