摘要
目的 探讨正畸牵引治疗牙列拥挤伴严重牙周病的临床效果。方法 选取2013年3月~2015年7月我院收治的26例牙列拥挤伴严重牙周病患者作为研究对象,所有患者均接受正畸牵引治疗,开展为期1年的随访,分析患者治疗后的牙弓长度、牙槽密度及炎症因子。结果 矫正器拆除时、矫正器拆除1年后的牙弓现有长度分别为（86.8±3.3）、（85.4±4.1）mm,显著长于矫治前的（74.2±3.6）mm,差异有统计学意义（P〈0.05）。矫正器拆除1年后上颌中切牙、左上中切牙和侧切牙间、下颌中切牙的牙间牙槽骨密度显著高于矫治前,差异有统计学意义（P〈0.05）。矫正器拆除时的IL-1β、INF-α水平显著高于矫治前,差异有统计学意义（P〈0.05）。矫正器拆除1年后的IL-1β、INF-α水平显著低于矫治前,差异有统计学意义（P〈0.05）。结论 正畸牵引治疗牙列拥挤伴严重牙周病效果良好,可有效改善牙列状况,提高牙齿健康程度,值得临床推广应用。
Objective To explore the clinical effect of orthodontic traction in treating crowded dentition with severe pe- riodontal disease.Methods 26 cases of crowded dentition with severe periodontal disease from March 2013 to July 2015 in our hospital were selected as the research objects.All patients were treated with orthodontie traction and followed-up for 1 year.Length of dental arch,alveolar density and inflammatory factors of patients after treatment were analyzed. Results When the appliance removed and one year after appliance removed,the length of dental arch was （86.8±3.3） mm and （85.4±4.1） mm respectively,which was longer than （74.2±3.6） mm before treatment,with significant difference （P〈0.05）.One year after appliance removed,the alveolar density of maxillary central incisors,left upper central incisors and low maxillary central incisors was obvious higher than that before treatment,with significant difference （P〈0.05）. When the appliance removed,the level of IL-1β and INF-α was higher than that before treatment,with significant dif- ference （P〈0.05）.One year after appliance removed,the level of IL-1β and INF-α was lower than that before treatment, with significant difference （P〈0.05）.Conclusion Orthodontic traction in treating crowded dentition with severe peri- odontal disease has good effects,which can improve dentition status effectively,enhance dental health degree,and it is worthy of clinical promotion and application.
出处
《中国当代医药》
2016年第34期107-109,共3页
China Modern Medicine
关键词
牙列拥挤
严重牙周病
正畸牵引
Crowded dentition
Severe periodontal disease
Orthodontic traction
