牙周-正畸联合治疗牙周炎致前牙扇形移位疗效观察  

The clinical results of combined periodontal-orthodontic treatment on patients with periodontitis and labial displacement of incisors

作　　者：朱北兰[1] 郭月红[1] 周华安[1] 傅新海[1] 

机构地区：[1]浙江省金华市中心医院口腔科,浙江金华321000

出　　处：《上海口腔医学》2005年第4期431-433,共3页Shanghai Journal of Stomatology

基　　金：浙江省金华市科技计划资助项目(03-2-311)

摘　　要：目的:评价牙周-正畸联合治疗牙周炎致前牙扇形移位的临床效果。方法:对21例因牙周炎造成前牙扇形移位的患者,经牙周基础治疗,牙周炎症基本控制后,用方丝弓固定正畸方法内收并排齐扇形移位的前牙,同时配合牙周护理及调牙合等措施,消除炎症及牙合创伤,建立正常的咬合关系。共治疗74颗牙,治疗前后分别记录患牙牙周袋、牙槽骨吸收情况。所得数据采用Ridit分析及χ2检验。结果:经1～2a随访,40岁以下患者牙周袋情况有非常显著改善(P<0.01),牙槽骨吸收也有显著改善(P<0.05),治疗效果满意。结论:牙周-正畸联合治疗能有效控制牙周炎症,消除牙合创伤,排齐牙列,并使治疗效果达到长期稳定,但应注意患者年龄不宜超过40岁。PURPOSE： To evaluate the clinical effects of combined periodontal and orthodontic method in treating labial displacement of anterior teeth caused by periodontitis. METHODS： 21 cases with periodontitis and fly-out of anterior teeth were selected. After the inflammation was controlled by essential periodontal therapy, the anterior teeth were allied by edgewise appliances;meanwhile, periodontal care and oeclusal adjustment were conducted to control inflammation and occlusal trauma, until normal occlusion was established. A total of 74 teeth were treated, the periodontal probing depth and the degree of alveolar ridge resorption was recorded before and after treatment, respectively. All the data were statistically analyzed by Ridit test and Chi-square test. RESULTS： After 1-2 years of follow-up, all cases under 40 years got satisfactory effects, with significantly decreased periodontal probing depth （P〈0.01） and alveolar ridge （P〈0.05）. CONCLUSIONS： Combined periodontal and orthodontic treatment was effective in the management of periodontitis, oeclusal trauma and teeth alignment, and the effects were stable for a relatively long period. But patients over 40 years was not suitable for the treatment. Supported by Science and Technology Research Fund of Jinhua City,Zhejiang Province （03-2-311）.

关 键 词：牙周-正畸联合治疗 牙周炎 前牙扇形移位 牙周炎症 联合治疗 扇形移位 正畸方法 前牙 疗效观察 RIDIT分析 

分 类 号：R781.4[医药卫生—口腔医学]