摘要
目的:探究正畸、牙周联合治疗牙周炎导致前牙扇形移位的临床效果。方法:选取2017年1月-2018年4月笔者所在医院收治的24例牙周炎导致前牙扇形移位患者作为研究对象,均予以正畸联合牙周常规治疗。对比患者治疗前后前牙覆盖、前牙覆合、前牙间牙槽骨高度、牙周袋探诊深度、探诊出血率、牙周出血指数及头影测量指标。结果:治疗1年后,24例患者前牙覆盖、前牙覆合、牙周袋探诊深度均较治疗前改善,差异均有统计学意义(P<0.05);前牙间牙槽骨高度与治疗前比较,差异无统计学意义(P>0.05);治疗后,24例患者探诊出血率及牙周出血指数均明显低于治疗前,差异均有统计学意义(P<0.05);治疗后U1-Ptm、U1-SN、Ls-EP均较治疗前减小,NLA较治疗前增加,差异均有统计学意义(P<0.05)。结论:正畸联合牙周治疗可以显著改善患者的牙周袋探诊深度及探诊出血率,同时减少前牙覆合覆盖,减小上前牙的突度和上唇的突度,增大鼻唇角,改善患者面型和唇齿关系,因此具备临床推广价值。
Objective:To explore the clinical effect of orthodontic and periodontal combined treatment on anterior teeth fan displacement caused by periodontitis.Method:24 cases of anterior teeth fan displacement caused by periodontitis in our hospital from January 2017 to April 2018 were selected as the subjects of the observation.All patients received routine treatment of orthodontic combined with periodontal.To compare overjet and overbite of anterior teeth, height of alveolar bone between anterior teeth,probing depth of periodontal pocket,probing bleeding rate,periodontal hemorrhage index and cephalometric measurements before and after treatment.Result:One year after treatment,the overjet and overbite of anterior teeth and probing depth of periodontal pocket of 24 patients were improved compared with that before treatment,and the differences were statistically significant(P<0.05).The height of alveolar bone between anterior teeth compared with that before treatment,the difference was not statistically significant(P>0.05).After treatment,the probing bleeding rate and periodontal hemorrhage index of 24 patients were significantly lower than those before treatment,and the differences were statistically significant(P<0.05).After treatment, U1-Ptm,U1-SN,NLA,Ls-EP were all reduced compared with those before treatment,while NLA increased compared with that before treatment,and the differences were statistically significant(P<0.05).Conclusion:Orthodontics combined with periodontal therapy can significantly improve probing depth of periodontal pocket and probing bleeding rate.The overjet and overbite of anterior teeth are reduced.And the protrusion of anterior upper teeth and upper lip are reduced,and the nasolabial angle is increased.The patients’appearance and the lip and tooth relations were improved.Therefore,this treatment method has clinical promotion value.
作者
沈娇乡
苏晶晶
SHEN Jiaoxiang;SU Jingjing(Xiamen Medical College Affiliated Oral Hospital,Xiamen 361003,China)
出处
《中外医学研究》
2019年第27期1-3,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
福建省卫生计生青年科研项目(项目编号:2016-2-74)
关键词
牙周炎
前牙扇形移位
正畸治疗
牙周治疗
Periodontitis
Anterior teeth fan displacement
Orthodontic treatment
Periodontal therapy
