对长期未复诊的固定正畸患者进行线上牙周健康指导的有效性分析

doi:10.3969/j.issn.1006-7795.2022.03.022

首都医科大学学报 ›› 2022, Vol. 43 ›› Issue (3): 469-473.doi: 10.3969/j.issn.1006-7795.2022.03.022

对长期未复诊的固定正畸患者进行线上牙周健康指导的有效性分析

任燕, 李燕, 范晓川, 黄睿, 王熙, 王焱炜, 黄晓峰^*

首都医科大学附属北京友谊医院口腔科, 北京 100050

收稿日期:2022-01-27 出版日期:2022-06-21 发布日期:2022-06-01
基金资助:
北京市医院管理中心临床技术创新项目(XMLX202132)。

Impact of online oral hygiene instructions on fixed orthodontic patients with long-term non-follow-up

Ren Yan, Li Yan, Fan Xiaochuan, Huang Rui, Wang Xi, Wang Yanwei, Huang Xiaofeng^*

Department of Stomatology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

Received:2022-01-27 Online:2022-06-21 Published:2022-06-01
Contact: *E-mail:huangxf1998@163.com
Supported by:
Beijing Municipal Administration of Hospitals Clinical Technology Innovation Program(XMLX202132).

摘要/Abstract

摘要： 目的探讨线上健康指导对使用固定矫治器但长期未复诊的口腔正畸患者牙周健康状况的影响。方法以2020年1月至2020年5月疫情期间在首都医科大学附属北京友谊医院口腔科使用固定矫治器正畸治疗的133例患者为研究对象,其中99例为长期未复诊患者,34例为定期复诊患者,均选取6颗Ramfjord指数牙,通过检测菌斑指数(plaque index, PLI)、牙周探诊深度(probing depth, PD)和龈沟出血指数(sulcus bleeding index,SBI)来评估牙周健康状况。对长期未复诊患者利用微信平台进行线上健康教育及督导。结果复诊组31牙位的PLI小于未复诊组(1.41±0.70 vs 1.79±0.90, P=0.029),44牙位的近中PD大于未复诊组[(2.51±0.67)mm vs (2.25±0.48)mm],差异有统计学意义(P=0.027);两组患者其余各牙位的长期SBI、PLI、近中PD、远中PD及平均PD比较,差异均无统计学意义(P>0.05)。结论长期未复诊组和定期复诊组患者各牙位近中、远中及平均PD均<3 mm,提示正确的线上健康指导能够避免增加未复诊患者罹患牙周病的风险。

关键词: 牙齿矫正, 菌斑指数, 牙周探诊深度, 龈沟出血指数

Abstract: Objective To investigate the effect of online health education on periodontal health of orthodontic patients with fixed orthodontics but no return visit for a long time. Methods A total of 133 patients who received orthodontic treatment with fixed orthodontics in the Stomatology Department of Beijing Friendship Hospital during the epidemic period from January 2020 to May 2020 were selected as the research objects, including 99 patients who had not been returned for a long time and 34 patients who had been returned regularly. Ramfjord index teeth were selected to detect the periodontal health status by clinical indicators plaque index (PLI); probing depth (PD);sulcus bleeding index (SBI), and the statistical analysis was conducted. Online health education and supervision were conducted for patients who had not been returned for a long time by Wechat. Results There was no significant difference in SBI, PLI, mesial PD, distal PD and average PD between the two groups except that the PLI of left lower incisor (n=31) in follow-up group was lower than that in non-follow-up group(1.41±0.70 vs 1.79±0.90, P=0.029), and the mesial PD of right lower first premolar (n=44) in follow-up group was higher than that in non-follow-up group [(2.51±0.67)mm vs (2.25±0.48)mm, P=0.027]. Conclusion The meso-middle, far-middle and average PD of each tooth position in the long-term non-follow-up group and the regular follow-up group were all less than 3 mm, suggesting that correct online health education can avoid increasing the risk of periodontal disease in patients without follow-up visit.

Key words: orthodontics, plaque index, probing depth, sulcus bleeding index

中图分类号:

R781.4

任燕, 李燕, 范晓川, 黄睿, 王熙, 王焱炜, 黄晓峰. 对长期未复诊的固定正畸患者进行线上牙周健康指导的有效性分析[J]. 首都医科大学学报, 2022, 43(3): 469-473.

Ren Yan, Li Yan, Fan Xiaochuan, Huang Rui, Wang Xi, Wang Yanwei, Huang Xiaofeng. Impact of online oral hygiene instructions on fixed orthodontic patients with long-term non-follow-up[J]. Journal of Capital Medical University, 2022, 43(3): 469-473.

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对长期未复诊的固定正畸患者进行线上牙周健康指导的有效性分析

Impact of online oral hygiene instructions on fixed orthodontic patients with long-term non-follow-up

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