Objective: To study the aspartate aminotransferase(AST) level in gingival crevicular fluid (GCF) during early stage of orthodontics therapy with self - ligating appliance. Methods: 20 teenager patients (aged 11 - 16 years) were enrolled in this study, and each dentition was divided into two groups. The teeth in experimental group (one side of the dentition) were treated with self-ligating appliance, the teeth in control group(on the contralateral side of the dentition) were treated with straight wire appliance. GCF samples were collected before treatment, 1, 24, 48, 72, 168 h and 2 weeks after treatment. AST level was determined by automatic biochemical analysis. Results: The level of AST in experimental group was increased 24 h after treatment, but lower than that in the control group 48 and 72 hs after treatment(P <0. 05). Conclusion: Self-ligating appliance makes smaller change of AST level thanrnstraight wire appliance during orthodontics therapy and may induce less injury of periodontal tissue.%目的:分析自锁托槽矫治器在错(牙合)畸形矫治早期龈沟液天冬氨酸转氨酶(AST)水平的变化.方法:选择20例青少年患者,年龄11～16岁,每例患者随机选取同颌同名牙列分别作为实验组和对照组,实验组牙列佩戴自锁托槽矫治器;同颌对侧牙列佩戴普通直丝弓托槽,设为对照组.利用全自动生化分析仪检测矫治前、矫治后1、24、48、72、168 h及2周龈沟液中AST含量水平的变化.结果:实验组的龈沟液AST含量在加力24 h开始升高,但升高的幅度、速率明显小于对照组牙列.结论:使用自锁托槽矫治器,龈沟液AST含量水平改变较小,对牙周组织的损伤可能较小.
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