国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (2): 166-170.doi: 10.7518/gjkq.2019013

• 牙周专栏 • 上一篇    下一篇

无托槽隐形矫治对牙周健康影响的研究进展

冯旭,张祎,李梦红,刘楠,王六一,胡敏()   

  1. 吉林大学口腔医院正畸科 长春 130021
  • 收稿日期:2018-06-13 修回日期:2018-12-10 出版日期:2019-03-01 发布日期:2019-03-15
  • 通讯作者: 胡敏
  • 作者简介:冯旭,硕士,Email: fengxusy@sina.com
  • 基金资助:
    国家自然科学基金(81470764)

Research progress on the influence of removable clear aligners on periodontal health

Xu Feng,Yi Zhang,Menghong Li,Nan Liu,Liuyi Wang,Min. Hu()   

  1. Dept. of Orthodontics, Hospital of Stomatology, Jilin University, Changchun 130021, China
  • Received:2018-06-13 Revised:2018-12-10 Online:2019-03-01 Published:2019-03-15
  • Contact: Min. Hu
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81470764)

摘要:

无托槽隐形矫治作为一种新型的矫治方法,与传统的固定矫治方法相比较,有着舒适、美观、可以自行摘戴的优势。然而因其较长的佩戴时间、对口腔自洁作用的干扰等因素了,均可能导致食物残渣堆积,细菌集聚附着,加重牙周炎症,危害牙周健康。本文就无托槽隐形矫治器材料性能对牙周组织的影响、其影响牙周健康的微生物学因素及其对牙周临床指标的影响作一综述。

关键词: 无托槽隐形矫治, 口腔菌群, 牙周临床指标, 细菌黏附

Abstract:

As a new method of orthodontic treatment, removable clear aligners have the advantages of comfort, esthetic results, and removable property compared with the traditional fixed orthodontic appliances. However, given that this aligner needs to be worn for extended periods a day, the interference on the oral self-cleaning action may accumulate both food residue and dental plaque, thereby aggravating the periodontal inflammation and damaging the periodontal health. In this paper, the effects of the material properties of removable clear aligners and microbial factors on periodontal health and the effect on clinical periodontal index are reviewed.

Key words: removable clear aligners, microflora of oral, periodontal index, bacterial adhesion

中图分类号: 

  • R783.5
[1] Clements KM, Bollen AM, Huang G , et al. Activa-tion time and material stiffness of sequential removable orthodontic appliances. Part 2: dental improvements[J]. Am J Orthod Dentofacial Orthop, 2003,124(5):502-508.
doi: 10.1016/S0889-5406(03)00577-8
[2] Gerard Bradley T, Teske L, Eliades G , et al. Do the mechanical and chemical properties of Invisalign TM appliances change after use? A retrieval analysis [J]. Eur J Orthod, 2016,38(1):27-31.
doi: 10.1093/ejo/cjv003 pmid: 25740599
[3] Lombardo L, Arreghini A, Maccarrone R , et al. Optical properties of orthodontic aligners—spectrophotometry analysis of three types before and after aging[J]. Prog Orthod, 2015,16:41.
doi: 10.1186/s40510-015-0111-z pmid: 4651973
[4] Gracco A, Mazzoli A, Favoni O , et al. Short-term chemical and physical changes in invisalign appliances[J]. Aust Orthod J, 2009,25(1):34-40.
pmid: 19634462
[5] 郑赛男, 蒋丽, 李伟 . 口腔细菌黏附机制的研究进展[J]. 国际口腔医学杂志, 2016,43(2):223-227.
doi: 10.7518/gjkq.2016.02.024
Zheng SN, Jiang L, Li W . Research progress on oral bacterial adhesion mechanism[J]. Int J Stomatol, 2016,43(2):223-227.
doi: 10.7518/gjkq.2016.02.024
[6] Eliades T, Pratsinis H, Athanasiou AE , et al. Cytoto-xicity and estrogenicity of Invisalign appliances[J]. Am J Orthod Dentofacial Orthop, 2009,136(1):100-103.
doi: 10.1016/j.ajodo.2009.03.006 pmid: 19577155
[7] Awosika O, Kao S, Rengifo-Pardo M , et al. Angioe-dema, stomatitis, and urticaria caused by contact allergy to invisalign[J]. Dermatitis, 2017,28(5):323-324.
doi: 10.1097/DER.0000000000000314 pmid: 28885312
[8] Premaraj T, Simet S, Beatty M , et al. Oral epithelial cell reaction after exposure to Invisalign plastic ma-terial[J]. Am J Orthod Dentofacial Orthop, 2014,145(1):64-71.
doi: 10.1016/j.ajodo.2013.09.011 pmid: 24373656
[9] Gomes SC, Varela CC, da Veiga SL , et al Periodontal conditions in subjects following orthodontic therapy. A preliminary study[J]. Eur J Orthod, 2007,29(5):477-481.
doi: 10.1093/ejo/cjm050 pmid: 17693428
[10] Kaygisiz E, Uzuner FD, Yuksel S , et al. Effects of self-ligating and conventional brackets on halitosis and periodontal conditions[J]. Angle Orthod, 2015,85(3):468-473.
doi: 10.2319/041714-289.1 pmid: 25101909
[11] Boke F, Akkaya S, Akkaya M , et al. Relationship between orthodontic treatment and gingival health: a retrospective study[J]. Eur J Dent, 2014,8(3):373-380.
doi: 10.4103/1305-7456.137651
[12] Al-Anezi SA . Dental plaque associated with self-ligating brackets during the initial phase of ortho-dontic treatment: a 3-month preliminary study[J]. J Orthod Sci, 2014,3(1):7-11.
doi: 10.4103/2278-0203.127550 pmid: 4072391
[13] Low B, Lee W, Seneviratne CJ , et al. Ultrastructure and morphology of biofilms on thermoplastic ortho-dontic appliances in ‘fast’ and ‘slow’ plaque formers[J]. Eur J Orthod, 2011,33(5):577-583.
doi: 10.1093/ejo/cjq126 pmid: 21187528
[14] Shpack N, Greenstein RB, Vardimon A . RE: response to: efficacy of three hygienic protocols in reducing biofilm adherence to removable thermoplastic ap-pliance. The Angle Orthodontist 2014(1) 161-170[J]. Angle Orthod, 2014,84(3):574.
doi: 10.2319/0003-3219-84.3.574 pmid: 24749708
[15] Schuster S, Eliades G, Zinelis S , et al. Structural conformation and leaching from in vitro aged and retrieved Invisalign appliances[J]. Am J Orthod Dentofacial Orthop, 2004,126(6):725-728.
doi: 10.1016/j.ajodo.2004.04.021 pmid: 15592222
[16] Verran J, Jackson S, Coulthwaite L , et al. The effect of dentifrice abrasion on denture topography and the subsequent retention of microorganisms on abraded surfaces[J]. J Prosthet Dent, 2014,112(6):1513-1522.
doi: 10.1016/j.prosdent.2014.05.009 pmid: 24998324
[17] Levrini L, Mangano A, Margherini S , et al. ATP bio-luminometers analysis on the surfaces of removable orthodontic aligners after the use of different cleaning methods[J]. Int J Dent, 2016,2016:5926941.
doi: 10.1155/2016/5926941 pmid: 4875988
[18] Levrini L, Novara F, Margherini S , et al. Scanning electron microscopy analysis of the growth of dental plaque on the surfaces of removable orthodontic aligners after the use of different cleaning methods[J]. Clin Cosmet Investig Dent, 2015,7:125-131.
doi: 10.2147/CCIDE.S95814 pmid: 4687621
[19] Cruz PC, Andrade IM, Peracini A , et al. The effec-tiveness of chemical denture cleansers and ultrasonic device in biofilm removal from complete dentures[J]. J Appl Oral Sci, 2011,19(6):668-673.
doi: 10.1590/S1678-77572011000600021 pmid: 22231005
[20] Nishi Y, Seto K, Kamashita Y , et al. Examination of denture-cleaning methods based on the quantity of microorganisms adhering to a denture[J]. Gerodonto-logy, 2012,29(2):e259-e266.
doi: 10.1111/j.1741-2358.2011.00461.x pmid: 21284712
[21] Paranhos HF, Silva-Lovato CH, Souza RF , et al. Effects of mechanical and chemical methods on denture biofilm accumulation[J]. J Oral Rehabil, 2007,34(8):606-612.
doi: 10.1111/j.1365-2842.2007.01753.x pmid: 17650171
[22] Sesma N, Rocha AL, Laganá DC , et al. Effectiveness of denture cleanser associated with microwave disin-fection and brushing of complete dentures: in vivo study[J]. Braz Dent J, 2013,24(4):357-361.
doi: 10.1590/0103-6440201302205 pmid: 24173256
[23] Perinetti G, Paolantonio M, Serra E , et al. Longitu-dinal monitoring of subgingival colonization by Ac-tinobacillus actinomycetemcomitans, and crevicular alkaline phosphatase and aspartate aminotransferase activities around orthodontically treated teeth[J]. J Clin Periodontol, 2004,31(1):60-67.
doi: 10.1111/j.0303-6979.2004.00450.x pmid: 15058376
[24] Kim SH, Choi DS, Jang I , et al. Microbiologic changes in subgingival plaque before and during the early period of orthodontic treatment[J]. Angle Orthod, 2012,82(2):254-260.
doi: 10.2319/030311-156.1 pmid: 21827233
[25] Levrini L, Mangano A, Montanari P , et al. Periodontal health status in patients treated with the Invisalign® system and fixed orthodontic appliances: a 3 months clinical and microbiological evaluation[J]. Eur J Dent, 2015,9(3):404-410.
doi: 10.4103/1305-7456.163218
[26] 石晶, 闫征斌, 侯景秋 , 等. 无托槽隐形矫治与传统固定矫治对牙周变异链球菌和牙龈卟啉单胞菌的影响[J]. 国际口腔医学杂志, 2016,43(2):151-154.
doi: 10.7518/gjkq.2016.02.008
Shi J, Yan ZB, Hou JQ , et al. Influence of bracketless invisible aligner technique and conventional te-chnique on the number of Streptococcus mutans and Porphyromonas gingivalis[J]. Int J Stomatol, 2016,43(2):151-154.
doi: 10.7518/gjkq.2016.02.008
[27] Karkhanechi M, Chow D, Sipkin J , et al. Periodontal status of adult patients treated with fixed buccal ap-pliances and removable aligners over one year of active orthodontic therapy[J]. Angle Orthod, 2013,83(1):146-151.
doi: 10.2319/031212-217.1 pmid: 22725616
[28] Miethke RR, Brauner K . A comparison of the perio-dontal health of patients during treatment with the Invisalign system and with fixed lingual appliances[J]. J Orofac Orthop, 2007,68(3):223-231.
doi: 10.1007/s00056-005-0436-1 pmid: 17522806
[29] Miethke RR, Vogt S . A comparison of the periodontal health of patients during treatment with the Invisa-lign system and with fixed orthodontic appliances[J]. J Orofac Orthop, 2005,66(3):219-229.
doi: 10.1007/s00056-005-0436-1 pmid: 17522806
[30] Rossini G, Parrini S, Castroflorio T , et al. Periodontal health during clear aligners treatment: a systematic review[J]. Eur J Orthod, 2015,37(5):539-543.
doi: 10.1093/ejo/cju083 pmid: 25548145
[31] 周少丽, 郭泾 . 无托槽隐形矫治技术与传统固定矫治技术对患者牙周健康影响的对比研究[J]. 国际口腔医学杂志, 2013,40(2):172-175.
doi: 10.7518/gjkq.2013.02.010
Zhou SL, Guo J . Comparison of periodontal health of patients during treatment with the invisalign system and with fixed orthodontic appliance[J]. Int J Stomatol, 2013,40(2):172-175.
doi: 10.7518/gjkq.2013.02.010
[32] 李伟, 黄玉婷 . 无托槽隐形矫治器与传统固定矫治器对患者牙周健康影响的临床观察[J]. 实用口腔医学杂志, 2017,33(2):270-272.
Li W, Huang YT . Comparation of periodontal health of patients treated by the invisalign system with those treated by fixed orthodontic appliance[J]. J Pract Stomatol, 2017,33(2):270-272.
[33] 李炎钊, 谭家莉 . 无托槽隐形矫治器与固定矫治器对牙周健康影响的纵向临床观察[J]. 临床口腔医学杂志, 2015,31(8):486-488.
doi: 10.3969/j.issn.1003-1634.2015.08.013
Li YZ, Tan JL . Effects on periodontal health in the use of the invisalign and fixed appliance: a longitu-dinal comparative study in clinic[J]. J Clin Stomatol, 2015,31(8):486-488.
doi: 10.3969/j.issn.1003-1634.2015.08.013
[34] 张玉峰, 罗三莲, 郑纪伟 , 等. 无托槽隐形矫治器与直丝弓矫治器对成人牙周炎继发错畸形矫治效果的对比研究[J]. 临床口腔医学杂志, 2015,31(10):617-619.
doi: 10.3969/j.issn.1003-1634.2015.10.016
Zhang YF, Luo SL, Zheng JW , et al. Comparison of effect of patients with malocclusion induced by adult periodontitis after treatment with bracket-less invisible appliance and straight wire appliance[J]. J Clin Sto-matol, 2015,31(10):617-619.
doi: 10.3969/j.issn.1003-1634.2015.10.016
[35] Boas Nogueira AV , Chaves de Souza JA, Kim YJ, et al. Orthodontic force increases interleukin-1β and tumor necrosis factor-α expression and alveolar bone loss in periodontitis[J]. J Periodontol, 2013,84(9):1319-1326.
doi: 10.1902/jop.2012.120510 pmid: 23205916
[1] 杨明燕,张帆,赵蕾. 口腔菌群变化影响放射治疗和化学治疗相关性口腔黏膜炎病程的研究进展[J]. 国际口腔医学杂志, 2023, 50(1): 43-51.
[2] 吕欣,樊永杰. 无托槽隐形矫治技术研究热点的可视化分析[J]. 国际口腔医学杂志, 2023, 50(1): 72-81.
[3] 王蕊,盖阔,刘梦齐,蒋丽. 原子力显微镜在细菌黏附力学研究中的应用[J]. 国际口腔医学杂志, 2019, 46(6): 687-692.
[4] 赖文莉. 无托槽隐形矫治技术推磨牙向后的临床应用策略[J]. 国际口腔医学杂志, 2019, 46(4): 373-382.
[5] 刘梦齐,盖阔,蒋丽. 抗菌性口腔种植材料的研究进展[J]. 国际口腔医学杂志, 2018, 45(5): 516-521.
[6] 柯正建,黄诗言,徐舒豪,李小兵. 个体化口腔健康宣教对无托槽隐形矫治青少年患者口腔卫生状况的影响[J]. 国际口腔医学杂志, 2018, 45(5): 534-538.
[7] 盖阔, 郝丽英, 蒋丽. 应用原子力显微镜对口腔变异链球菌黏附机制的研究[J]. 国际口腔医学杂志, 2017, 44(3): 320-324.
[8] 郑赛男,蒋丽,李伟. 口腔细菌黏附机制的研究进展[J]. 国际口腔医学杂志, 2016, 43(2): 223-227.
[9] 石晶,闫征斌,侯景秋,彭惠. 无托槽隐形矫治与传统固定矫治对牙周变异链球菌和牙龈卟啉单胞菌的影响[J]. 国际口腔医学杂志, 2016, 43(2): 151-154.
[10] 潘婷婷 房兵. 无托槽隐形矫治效能影响因素的研究进展[J]. 国际口腔医学杂志, 2015, 42(3): 364-366.
[11] 陈嵩. 无托槽隐形矫治技术——现在和将来[J]. 国际口腔医学杂志, 2013, 40(5): 561-564.
[12] 周少丽 1 郭泾 2 . 无托槽隐形矫治技术与传统固定矫治技术对患者牙周健康影响的对比研究[J]. 国际口腔医学杂志, 2013, 40(2): 172-175.
[13] 苏伟珠1 王浙君1 撒悦1综述 王贻宁1,2审校. 漂白剂对复合树脂的影响[J]. 国际口腔医学杂志, 2012, 39(4): 537-539.
[14] 于淼综述 仪虹审校. 亲子间口腔菌群的垂直传播[J]. 国际口腔医学杂志, 2010, 37(3): 327-327~329,332.
[15] 余志芬综述 张向宇审校 . 细菌黏附的研究进展[J]. 国际口腔医学杂志, 2009, 36(4): 448-450.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 汤庆奋,王学侠. 17β-雌二醇对人类阴道和口腔颊粘膜的渗透性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 潘劲松. 颈总动脉指压和颈内动脉球囊阻断试验在大脑血液动力学中的不同影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 王昆润. 后牙冠根斜形牙折的治疗[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 杨锦波. 嵌合体防龋疫苗的研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 王昆润. 下颔骨成形术用网状钛板固定植骨块[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 汪月月,郭莉莉. 口腔机能与老化—痴呆危险因素流行病学研究[J]. 国际口腔医学杂志, 1999, 26(04): .
[8] 丁刚. 应用硬组织代用品种植体行丰颏术[J]. 国际口腔医学杂志, 1999, 26(04): .
[9] 田磊. 局部应用脂多糖后结合上皮反应性增生的变化[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 戴青. 口腔念珠菌病的新分类[J]. 国际口腔医学杂志, 1999, 26(04): .