The Effects Of Traditional Fixed Orthodontic Treatment And Bracket-Free Orthodontic Treatment On Children With Malocclusion

Objective: This study was designed to compare the application effects of traditional fixed orthodontic treatment and bracket-free orthodontic treatment in the orthodontics of children with malocclusion. Methods: 103 children with malocclusion were retrospectively analyzed for their clinical data and divided into two groups based on the treatment method each received, including a control group (CG) for the traditional fixed orthodontic treatment, and an observation group (OG) for the bracket-free orthodontic treatment. The two groups were compared in their clinical effects, plaque index (PLI), SUICUS bleeding index (SBI), SUICUS probing depth (SPD), and gingival index (GI) before and after the treatment, their satisfaction after the malocclusion orthodontics and the incidences of adverse reactions during the treatment. Results: While no significant differences were found between the two groups in terms of their GI and SPD after the treatment, the OG reported lower SBI and PLI and higher language function, convenience, chewing function, fixation function, aesthetics, and comfort after treatment scores (P<0.05). The orthodontic times of tilted teeth and transpositioned teeth in the observation group was shorter than they were in the control group (P<0.05). Furthermore, the total effective rate was 96.15% in the OG, and 74.51% in the CG (P<0.05). For the incidences of endodontitis, caries, and oral mucosa injuries during the treatment, the reported data were 1.92%, 3.85% and 0.00% in the OG and 29.41%, 23.53% and 27.45% in the CG (P<0.05). Conclusion: Bracket-free orthodontic treatment yielded more favorable effects than traditional fixed orthodontic treatment in the orthodontics of children with malocclusions. It is advantageous to maintain periodontal health, improve the patients' satisfaction with orthodontics, and reduce the incidences of adverse reactions during treatment.