ортодонтических设备诱导的微生物和牙周转移:一个比较的临床研究
Aybüke Asena Atasever İşler1, Abdulvahit Erdem2
1Assistant Professor, Department of Orthodontics, Faculty of Dentistry, Bolu Abant Izzet Baysal University, Bolu, Turkey. aybukeasenaatasever@gmail.com.
Acta odontologica Scandinavica
|January 20, 2026
概括
固定式正牙治疗可能会增加牙周问题和特定微生物变化的风险,而可拆卸的器件则对某些细菌表现出潜在的抑制作用. 患者的卫生和微生物敏感性是治疗计划的关键.
科学领域:
- 牙周病学 牙周病学
- 微生物学 微生物学
- 矯正牙科 矯正牙科是一種矯正牙科.
背景情况:
- 固定和可移动的正牙治疗可以影响口腔微生物组和牙周健康.
- 了解这些变化对于优化患者的结果和预防并发症至关重要.
研究的目的:
- 评估与固定和可拆卸的正牙器件相关的牙周和微生物学变化.
- 将这些变化与非治疗对照组进行比较.
主要方法:
- 48名患者被分为固定设备,可拆卸设备和对照组.
- 牙周测量 (牙指数,斑块指数,探针出血,探针深度,附着水平) 和牙下/牙上斑块样本在基线和6个月收集.
- 微生物学分析包括在选择性介质上培养和使用VITEK 2系统进行鉴定.
主要成果:
- 固定设备显示探测深度,斑块指数,探测出血和特定微生物计数 (乳球菌,突变性链球菌) 的增加.
- 可拆卸的设备也增加了斑块指数和探测时的出血,但减少了乳杆菌和突变性链球菌,酵母数量增加.
- 没有检测到移动性或裂参与;在两组器件中,附着水平略有改善.
结论:
- 固定的正牙治疗似乎创造了一个更容易发生不利牙周变化和特定微生物殖民的环境.
- 可拆卸设备可能对某些口腔微生物群体有抑制作用.
- 患者特定的因素,如口腔卫生,牙周风险和微生物敏感性,应指导正义牙科治疗计划.
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