牙周正畸联合疗法在牙周病中的应用效果  

Application efficacy of periodontal initial therapy combined with orthodontic treatment for periodontal disease

作　　者：梁德凤[1] 周鑫才[1] 魏迪欣[1] 

机构地区：[1]深圳市宝安区妇幼保健院口腔科,广东深圳518101

出　　处：《中国当代医药》2017年第14期97-99,共3页China Modern Medicine

摘　　要：目的探讨牙周正畸联合疗法与单纯性牙周治疗在牙周病中的效果。方法选择2015年10月~2016年10月于我院口腔科就诊的68例牙周病患者,随机分为联合治疗组和单纯治疗组,各34例。两组分别采用牙周正畸联合疗法与单纯性牙周治疗,比较两组的疗效指标,包括牙龈指数(GI)、探诊出血位点数(BOP)、牙周探诊深度(PD)、牙齿松动度(TM)以及牙槽骨密度(ABD)和美学指标[牙齿美学指数(DAI)、微笑相关测量值和患者满意度]。结果两组治疗后的GI、BOP、PD和TM低于治疗前,差异有统计学意义(P<0.05)。两组治疗后的GI比较,差异无统计学意义(P>0.05)。联合治疗组治疗后的BOP、PD和TM显著低于单纯治疗组,差异有统计学意义(P<0.05)。联合治疗组治疗后的ABD显著高于治疗前及单纯治疗组治疗后,差异有统计学意义(P<0.05)。联合治疗组治疗后的各项美学指标改善程度显著优于治疗前和单纯治疗组治疗后,差异有统计学意义(P<0.05)。结论相较于单纯性牙周治疗,牙周正畸联合疗法可以显著降低牙周炎症程度,减轻牙齿松动度和牙槽骨破坏,明显改善患者的牙齿美学容貌,值得推广。Objective To compare the curative effects of simple periodontal initial therapy and combined orthodontic treatment for periodontal disease.Methods From October 2015 to October 2016,68 periodontal disease patients were selectes and randomly divided into the simple treatment group and the combined treatment group,each group contained 34 patients.Patients in the simple treatment group were treated with simple periodontal initial therapy.The combined treatment group was treated by periodontal initial therapy combined with orthodontics treatment.The curative effect in- dex,such as gingival index （GD,bleeding on probing （BOP）,probing depth （PD）,tooth mobility （TM） and alveolar bone density （ABD）,and the aesthetical index such as dental aesthetic index （DAI）,measured value of smile photograph and patient satisfaction were evaluated.Results The GI,BOP,PD and TM after treatment in the two groups was lower than that before treatment,with significant difference （P〈0.OS）.There was no significant difference in the GI after treatment be- tween the two groups （P〉0.05）.The BOP,PD and TM after treatment in the combined treatment group was lower than that in the simple treatment group,with significant difference （P〈0.05）.The ABD after treatment in the combined treatment group was significantly higher than that before treatment and in the simple treatment group after treatment,with significant difference （P〈0.05）.The improvement of aesthetic index after treatment of the combined treatment group was better than that before treatment and of the simple treatment group,with significant difference （P〈0.05）.Conclusion The combined orthodontic treatment for periodontal disease can significantly reduce periodontal inflammation,tooth mobility and the destruction in alveolar bone,obviously improve the dental esthetics of patients,it is worthy of promotion.

关 键 词：牙周治疗 正畸治疗 牙周病 

分 类 号：R781[医药卫生—口腔医学]