摘要
目的 探讨牙周组织再生术与正畸联合治疗牙周炎患者的临床疗效.方法 选取2010年1月～2011年12月口腔科收治的牙齿畸形需进行正畸治疗的牙周炎患者53例,随机分为观察组27例和对照组26例,对照组仅进行牙周组织再生术治疗,治疗组在对照组治疗基础上同时进行传统正畸治疗,观察两组患者治疗前、后1个月和3个月的牙龈指数（GI）、菌斑指数（PLI）、龈沟出血指数（SBI）、牙周探诊深度（PD）、临床牙周平均附着丧失（CAL）和牙齿松动度（TM）、上颌骨突度、下颌骨突度、上下颌骨间的矢状关系等指标的改变,并比较两组的临床疗效.结果 观察组和对照组的总有效率分别为100％和80.8％,差异有统计学意义（P＜0.05）;两组患者在治疗后牙齿松动的情况均有明显好转（P＜0.05）;治疗后1、3个月与治疗前比较,两组的GI、PLI、SBI、PD及CAL等指数均明显降低（P＜0.05）;观察组的GI、PLI、SBI、PD指数较对照组降低更为明显（P＜0.05）,且观察组的SNA角、SNB角和ANB角的改善幅度大于对照组（P＜0.05）.结论 采用牙周组织再生术与正畸联合对牙齿畸形的牙周炎患者进行治疗是一种较佳的选择,可以改善患者的多项评估指标,尽快恢复牙周功能,且不易复发,具有明显的综合优势.
Objective To investigate the clinical efficacy of combined periodontal tissue regeneration and orthodon- tic treatment on periodontitis. Methods 53 periodontitis patients with distorted teeth who needed orthodontic treatment in the department of dentistry in our hospital from January 2010 to December 2011 were randomly divided into observation group （n= 27） and control group （n= 26）. The control group was only treated with periodontal tissue regeneration, and the observation group was treated with traditional orthodontic treatment which was based on the treatment in control group. The changes of index including gingival index （G]）, plaque index （PLI）, sulcus bleeding index （SBI）, periodontal probing depth （PD）, clinical periodontal attachment loss （CAL） and tooth mobility （TM）, maxillary protrusion, man- dibular protrusion, the sagittal relationship between maxilla and mandible were observed before treatment and after treat- ment for 1 and 3 months. The clinical efficacies of the two groups were compared. Results The total effective rate of ob- servation group and control group were 100% （27/27） and 80.8% （21/26）, and the difference was statistically signifi- cant between two groups （P〈0.05）. The changes of loose teeth in two groups had significantly improved （P〈0.05）. The index of GI, PLI, SBI, PD and CAL after treatment for one and three months were significantly descended compared with before treatment （P〈0.05）. The index of GI, PLI, SBI and PD in observation group was lower than control group, and the improvement of SNA-angle, SNB-angle and ANB-angle were more significant than the control group. The differences between two groups had statistically significant （P〈0.05）. Conclusion It is better choice to use the method which combined periodontal tissue regeneration and orthodontic to treat the periodontitis patients whose teeth are malfor- mation. It can improve a number of assessment index and recover the periodontal function as soon as possible.
出处
《西部医学》
2015年第1期108-110,113,共4页
Medical Journal of West China
关键词
牙周炎
牙周组织再生术
正畸
临床疗效
Periodontitis
Periodontal tissue regeneration
Orthodontic
Clinical efficacy
