切换至 "中华医学电子期刊资源库"

中华口腔医学研究杂志(电子版) ›› 2022, Vol. 16 ›› Issue (02) : 69 -73. doi: 10.3877/cma.j.issn.1674-1366.2022.02.001

中青年专家笔谈

正畸矫治器对口腔菌群的影响
孙智雯1, 麦志辉1,()   
  1. 1. 中山大学附属第三医院口腔正畸科,广州 510630
  • 收稿日期:2022-02-21 出版日期:2022-04-01
  • 通信作者: 麦志辉

Effects of orthodontic appliance on oral flora

Zhiwen Sun1, Zhihui Mai1,()   

  1. 1. Department of Orthodontics, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
  • Received:2022-02-21 Published:2022-04-01
  • Corresponding author: Zhihui Mai
  • Supported by:
    Natural Science Foundation of Guangdong Province(2016A030313212)
引用本文:

孙智雯, 麦志辉. 正畸矫治器对口腔菌群的影响[J]. 中华口腔医学研究杂志(电子版), 2022, 16(02): 69-73.

Zhiwen Sun, Zhihui Mai. Effects of orthodontic appliance on oral flora[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2022, 16(02): 69-73.

正畸矫治器是治疗错畸形的主要工具,目前临床上使用的矫治器主要有传统金属托槽固定矫治器和无托槽隐形矫治器。不论哪种矫治器都增加了牙齿表面积,促进食物滞留,同时降低口腔自洁作用,造成口腔菌群改变。本文介绍有关传统金属固定矫治器和无托槽隐形矫治器对患者口腔菌群的影响,总结正畸矫治期间菌斑控制和维持口腔菌群平衡的方法,以期为龋病等口腔常见疾病的预防提供参考。

Orthodontic appliance is the main tool for the treatment of malocclusion. At present, the dominant appliances in the market include the traditional metal bracket fixed appliance and bracket free invisible appliance. However, no matter which appliance, it increases the tooth surface area, promotes food retention, reduces the self-cleaning effect of oral cavity, and causes the change of oral flora. This article introduced the influence of the traditional fixed appliance and invisible appliance on patient oral flora, and summarized the methods of controlling plaque and maintaining oral flora balance during orthodontic treatment, so as to provide reference for the prevention of common oral diseases like dental caries.

[1]
Sampaio-Maia BCaldas IMPereira ML,et al. The oral microbiome in health and its implication in oral and systemic diseases[J]. Adv Appl Microbiol201697:171-210. DOI:10.1016/bs.aambs.2016.08.002.
[2]
Lindquist BEmilson CG. Distribution and prevalence of mutans streptococci in the human dentition[J]. J Dent Res199069(5):1160-1166. DOI:10.1177/00220345900690050801.
[3]
Furuichi YLindhe JRamberg P,et al. Patterns of de novo plaque formation in the human dentition[J]. J Clin Periodontol199219(6):423-433. DOI:10.1111/j.1600-051x.1992.tb00673.x.
[4]
Mei LChieng JWong C,et al. Factors affecting dental biofilm in patients wearing fixed orthodontic appliances[J]. Prog Orthod201718(1):4. DOI:10.1186/s40510-016-0158-5.
[5]
Yener SBÖzsoy ÖP. Quantitative analysis of biofilm formation on labial and lingual bracket surfaces[J]. Angle Orthod202090(1):100-108. DOI:10.2319/110818-803.1.
[6]
Klukowska MBader AErbe C,et al. Plaque levels of patients with fixed orthodontic appliances measured by digital plaque image analysis[J]. Am J Orthod Dentofacial Orthop2011139(5):e463-e470. DOI:10.1016/j.ajodo.2010.05.019.
[7]
Sukontapatipark Wel-Agroudi MASelliseth NJ,et al. Bacterial colonization associated with fixed orthodontic appliances. A scanning electron microscopy study[J]. Eur J Orthod200123(5):475-484. DOI:10.1093/ejo/23.5.475.
[8]
Papadopoulou AKCantele APolychronis G,et al. Changes in roughness and mechanical properties of Invisalign® appliances after one- and two-weeks use[J]. Materials(Basel)201912(15):2406. DOI:10.3390/ma12152406.
[9]
Fang DLi FZhang Y,et al. Changes in mechanical properties,surface morphology,structure,and composition of Invisalign material in the oral environment[J]. Am J Orthod Dentofacial Orthop2020157(6):745-753. DOI:10.1016/j.ajodo.2019.05.023.
[10]
Low BLee WSeneviratne CJ,et al. Ultrastructure and morphology of biofilms on thermoplastic orthodontic appliances in 'fast’ and 'slow’ plaque formers[J]. Eur J Orthod201133(5):577-583. DOI:10.1093/ejo/cjq126.
[11]
Reichardt EGeraci JSachse S,et al. Qualitative and quantitative changes in the oral bacterial flora occur shortly after implementation of fixed orthodontic appliances[J]. Am J Orthod Dentofacial Orthop2019156(6):735-744. DOI:10.1016/j.ajodo.2018.12.018.
[12]
Gujar ANAl-Hazmi ARaj AT,et al. Microbial profile in different orthodontic appliances by checkerboard DNA-DNA hybridization:An in-vivo study[J]. Am J Orthod Dentofacial Orthop2020157(1):49-58. DOI:10.1016/j.ajodo.2019.01.026.
[13]
Mummolo SNota AAlbani F,et al. Salivary levels of Streptococcus mutans and Lactobacilli and other salivary indices in patients wearing clear aligners versus fixed orthodontic appliances:An observational study[J]. PLoS One202015(4):e0228798. DOI:10.1371/journal.pone.0228798.
[14]
Sifakakis IPapaioannou WPapadimitriou A,et al. Salivary levels of cariogenic bacterial species during orthodontic treatment with thermoplastic aligners or fixed appliances:A prospective cohort study[J]. Prog Orthod201819(1):25. DOI:10.1186/s40510-018-0230-4.
[15]
Levrini LMangano AMontanari 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 Dent20159(3):404-410. DOI:10.4103/1305-7456.163218.
[16]
Kado IHisatsune JTsuruda K,et al. The impact of fixed orthodontic appliances on oral microbiome dynamics in Japanese patients[J]. Sci Rep202010(1):21989. DOI:10.1038/s41598-020-78971-2.
[17]
李佩,陈曦,林彤,等.无托槽隐形矫治器对口腔微环境影响的相关性研究[J].口腔医学202040(9):825-828. DOI:10.13591/j.cnki.kqyx.2020.09.011.
[18]
Wang QMa JBWang B,et al. Alterations of the oral microbiome in patients treated with the Invisalign system or with fixed appliances[J]. Am J Orthod Dentofacial Orthop2019156(5):633-640. DOI:10.1016/j.ajodo.2018.11.017.
[19]
Guo RLiu HLi X,et al. Subgingival microbial changes during the first 3 months of fixed appliance treatment in female adult patients[J]. Curr Microbiol201976(2):213-221. DOI:10.1007/s00284-018-1610-1.
[20]
Guo RZheng YLiu H,et al. Profiling of subgingival plaque biofilm microbiota in female adult patients with clear aligners:A three-month prospective study[J]. PeerJ20186:e4207. DOI:10.7717/peerj.4207.
[21]
Abbate GMCaria MPMontanari P,et al. Periodontal health in teenagers treated with removable aligners and fixed orthodontic appliances[J]. J Orofac Orthop201576(3):240-250. DOI:10.1007/s00056-015-0285-5.
[22]
Guo RLin YZheng Y,et al. The microbial changes in subgingival plaques of orthodontic patients:A systematic review and meta-analysis of clinical trials[J]. BMC Oral Health201717(1):90. DOI:10.1186/s12903-017-0378-1.
[23]
Levrini LPosimo DTieghi G,et al. Halitosis with fixed orthodontic appliance vs removable orthodontic aligners:A pilot study[J]. Stoma Edu J20163(2):150-155. DOI:10.25241/2016.3(2).3.
[24]
Pourhajibagher MBahador A. Enhanced reduction of polymicrobial biofilms on the orthodontic brackets and enamel surface remineralization using zeolite-zinc oxide nanoparticles-based antimicrobial photodynamic therapy[J]. BMC Microbiol202121(1):273. DOI:10.1186/s12866-021-02324-w.
[25]
Demling AElter CHeidenblut T,et al. Reduction of biofilm on orthodontic brackets with the use of a polytetrafluoroethylene coating[J]. Eur J Orthod201032(4):414-418. DOI:10.1093/ejo/cjp142.
[26]
Fatani EJAlmutairi HHAlharbi AO,et al. In vitro assessment of stainless steel orthodontic brackets coated with titanium oxide mixed Ag for anti-adherent and antibacterial properties against Streptococcus mutans and Porphyromonas gingivalis[J]. Microb Pathog2017112:190-194. DOI:10.1016/j.micpath.2017.09.052.
[27]
李娜,韩冰,张乾.无机纳米抗菌材料抗菌性能在口腔正畸中的作用[J].中国组织工程研究201519(12):1953-1957. DOI:10.3969/j.issn.2095-4344.2015.12.028.
[28]
Levrini LNovara FMargherini 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 Dent20157:125-131. DOI:10.2147/CCIDE.S95814.
[29]
Wible EAgarwal MAltun S,et al. Long-term effects of different cleaning methods on copolyester retainer properties[J]. Angle Orthod201989(2):221-227. DOI:10.2319/010218-2.1.
[30]
Agarwal MWible ERamir T,et al. Long-term effects of seven cleaning methods on light transmittance,surface roughness,and flexural modulus of polyurethane retainer material[J]. Angle Orthod201888(3):355-362. DOI:10.2319/081517-551.1.
[31]
Park SKim HHYang SB,et al. A polysaccharide-based antibacterial coating with improved durability for clear overlay appliances[J]. ACS Appl Mater Interfaces201810(21):17714-17721. DOI:10.1021/acsami.8b04433.
[32]
Xie YZhang MZhang W,et al. Gold nanoclusters-coated orthodontic devices can inhibit the formation of Streptococcus mutans biofilm[J]. ACS Biomater Sci Eng20206(2):1239-1246. DOI:10.1021/acsbiomaterials.9b01647.
[33]
Xie YZheng WJiang X. Near-infrared light-activated phototherapy by gold nanoclusters for dispersing biofilms[J]. ACS Appl Mater Interfaces202012(8):9041-9049. DOI:10.1021/acsami.9b21777.
[34]
Zhang MLiu XXie Y,et al. Biological safe gold nanoparticle-modified dental aligner prevents the porphyromonas gingivalis biofilm formation[J]. ACS Omega20205(30):18685-18692. DOI:10.1021/acsomega.0c01532.
[35]
王里媛,周红艳,梅予锋.酪蛋白磷酸肽-无定形磷酸钙再矿化作用的研究进展[J].口腔生物医学201910(1):51-53. DOI:10.3969/j.issn.1674-8603.2019.01.012.
[36]
吴泽钰,薛瑞,袁曦玉,等.青皮对主要致龋细菌生长的影响及网络药理学分析其防龋机制[J].口腔医学202040(2):101-107. DOI:10.13591/j.cnki.kqyx.2020.02.002.
[37]
肖悦,刘天佳,詹玲,等.茶多酚影响致龋菌在唾液获得性膜粘附的研究[J].华西口腔医学杂志200018(5):336-339. DOI:10.3321/j.issn:1000-1182.2000.05.015.
[1] 何仁建, 陈康, 刘旭, 罗园超, 杨富国. 肱骨髁上楔形截骨联合改良张力带钢丝治疗肘内翻[J]. 中华关节外科杂志(电子版), 2022, 16(03): 362-365.
[2] 杨蕾, 肖东琼, 钟亦思. 口腔菌群与儿童常见非口腔性疾病的关系[J]. 中华妇幼临床医学杂志(电子版), 2021, 17(05): 510-515.
[3] 李熙嵚, 彭友俭. 口腔正畸疼痛的研究新进展[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 148-152.
[4] 李振霞, 郑小雯, 纪芳, 夏伦果, 陈荣敬, 游清玲, 房兵. 基于Bloom目标分类理论的翻转课堂模式在口腔本科正畸教学中的应用[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 133-139.
[5] 叶诗洋, 黄一冰, 邱韬, 郭维华. 头帽式肌激动器矫治儿童骨性Ⅱ类错畸形1例[J]. 中华口腔医学研究杂志(电子版), 2023, 17(02): 95-100.
[6] 狄耀云, 孙英媛. 无托槽隐形矫治骨性Ⅱ类错HE畸形的临床研究[J]. 中华口腔医学研究杂志(电子版), 2022, 16(05): 294-301.
[7] 孙智雯, 潘彦君, 林天卫, 卢红飞, 艾虹, 麦志辉. 隐形功能矫治器导下颌向前治疗骨性Ⅱ类安氏Ⅱ类1分类青少年错HE的头影测量研究[J]. 中华口腔医学研究杂志(电子版), 2022, 16(05): 287-293.
[8] 马萱怡, 刘传宏, 方世殊, 宋致馨, 金作林, 刘倩. 无托槽隐形矫治青少年患者龋白斑的发病率及其影响因素[J]. 中华口腔医学研究杂志(电子版), 2022, 16(05): 275-280.
[9] 郑金绚, 孟博文, 余镕丞, 吴莉萍, 陈正元, 刘冠琪, 曹阳. 数字化效果模拟器在口腔正畸临床教学中的应用效果评估[J]. 中华口腔医学研究杂志(电子版), 2022, 16(02): 113-117.
[10] 宋雯璐, 李京, 李国英, 段俨芳, 狄心声, 胥欣. 压电骨皮质切开术在正畸中加速牙移动临床效果Meta分析[J]. 中华口腔医学研究杂志(电子版), 2022, 16(01): 41-48.
[11] 何旭顺, 陈诗菁, 黄芳. 活动矫治器推磨牙远中进行乳磨牙早失间隙管理一例[J]. 中华口腔医学研究杂志(电子版), 2021, 15(06): 360-367.
[12] 艾婷婷, 郑金绚, 陈冬茹, 吴莉萍. CBL联合TBL教学法同步培养口腔正畸专业研究生临床和科研能力的效果研究[J]. 中华口腔医学研究杂志(电子版), 2021, 15(02): 114-118.
[13] 吴文震, 邱妮, 肖玉鸿. 一种非手术组织增量方法:正畸牵引在口腔种植的应用[J]. 中华口腔医学研究杂志(电子版), 2020, 14(06): 390-395.
[14] 项露赛, 吴斯媛, 蔡斌, 郑骏明. 基于在线问卷的口腔正畸学形成性评价作业文档归集系统:研发与应用[J]. 中华口腔医学研究杂志(电子版), 2020, 14(05): 319-324.
[15] 谷芳, 谷荣. 正畸牵引对牙根发育完全和未完全的埋伏前牙牙根及牙周组织的影响[J]. 中华临床医师杂志(电子版), 2022, 16(11): 1136-1141.
阅读次数
全文


摘要