高级检索

    全冠修复在大学生智齿矫正治疗中的应用效果及对美观度的影响

    Effects of full crown restoration on the treatment of wisdom teeth correction and appearance in college students

    • 摘要: 目的 探索全冠修复在大学生智齿矫正治疗中的应用效果及对美观度的影响。方法 将250例下颌智齿已萌出的大学生随机分作观察组与对照组,观察组予以全冠修复矫正治疗,对照组予以常规保守治疗;治疗后观察与比较2组大学生龈沟液中应激介质含量、食物嵌塞状况、咬颊状况、冠周炎恢复状况以及对美观度的满意率。结果 治疗后3 d,2组大学生龈沟液中的过氧化物酶增殖物激活受体γ (PPARγ)、活性氧自由基(ROS)、丙二醛(MDA)含量均明显高于治疗前(P<0.05),谷胱甘肽过氧化物酶(GPx)、总抗氧化能力(T-AOC)含量均明显低于治疗前;且观察组大学生的PPARγ、ROS、MDA含量低于对照组(P<0.05),GPx、T-AOC含量高于对照组(P<0.05)。观察组食物嵌塞者比例明显低于对照组(重度3.2% vs 13.6%,轻度6.4% vs 14.4%),且无食物嵌塞者比例(90.4%)明显高于对照组(72.0%)。观察组咬颊未充血者比例(90.4%)明显高于对照组(71.2%)。观察组重度冠周炎与轻度冠周炎者比例明显低于对照组(P<0.05),且无冠周炎者比例(92.0%)明显高于对照组(80.0%),观察组患者对美观度的总体满意率(96.8%)显著高于对照组(82.4%),组间差异均具统计学意义(P<0.05)。结论 全冠修复在大学生智齿矫正治疗中的应用效果良好,并可提高美观度,值得借鉴。

       

      Abstract: Objective To explore the effects of full crown restoration on the treatment of wisdom teeth correction and appearance in college students. Methods A total of 250 college students with impacted mandibular wisdom teeth were selected and randomly divided into an observation group and a control group. The observation group received full crown restoration, while the control group was given routine conventional treatment. After treatment, both groups were compared for the content of stress mediators in the gingival crevicular fluid, food impaction, cheek biting congestion, pericoronitis and the satisfaction rates on appearance. Results Three days after treatment, both groups produced remarkably higher levels of peroxisome proliferator-activated receptor gamma (PPARγ), reactive oxygen species (ROS), and malondialdehyde (MDA) in the gingival crevicular fluid than those before treatment (P<0.05), as well as markedly lower levels of glutathione peroxidase (GPx) and total antioxidant capacity (T-AOC) than those before treatment (P<0.05). Compared with the control group, college student in the observation group produced remarkably reduced levels of PPARγ, ROS and MDA (P<0.05), as well as marked increased levels of GPx and T-AOC (P<0.05). The observation group presented remarkable decreases in the percentage of students with food impaction compared with the control group (serve: 3.2% vs 13.6%; mild: 6.4% vs 14.4%) and marked increases in the percentage of students without food impaction (90.4%) compared with the control group (72.0%). The observation group demonstrated an obviously higher percentage of students without cheek biting congestion (90.4%) than the control group (71.2%). The percentage of severe pericoronitis in the observation group was remarkably lower than that of the control group (92.0%), and the percentage of patients without pericoronitis in the observation group was significantly higher than that of the control group (80.0%). Students in the observation group showed a remarkably higher satisfactory rate on appearance (96.8%) than those in the control group (82.4%), with statistical significance between the two groups (P<0.05). Conclusions Full crown restoration has good effects on the treatment of wisdom teeth correction in college students, improve appearance, and is worth being prompted.

       

    /

    返回文章
    返回