牙周常规治疗联合正畸对慢性牙周炎上前牙唇向移位的疗效评价  

Efficacy of Routine Periodontal Treatment Combined Orthodontic on the Displacement of the Anterior Teeth Chronic Periodontitis

作　　者：杨雁[1] 卢荣 谢黎阳 杨红丽[3] 

机构地区：[1]昆明医科大学附属口腔医院正畸科,云南昆明650000 [2]昆明医科大学附属口腔医院亿大门诊部,云南昆明650000 [3]昆明医科大学附属口腔医院牙体牙髓科,云南昆明650000

出　　处：《中国美容医学》2017年第12期68-70,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:评价慢性牙周炎上前牙唇向移位牙周常规治疗联合正畸的临床疗效及其稳定性,以期为临床应用提供参考。方法:共纳入慢性牙周炎伴上前牙唇向移位患者25例,以牙周基础治疗后为基线,采用前瞻性对照设计,评价牙周联合正畸治疗(实验组)和单纯牙周手术治疗(对照组)在治疗后及12个月随访期牙周袋深度(Periodontal pocket depth,PD)、临床附着水平(Clinical attachment level,CAL)、牙龈退缩(gingival recession,REC)等临床指标改善的差异。结果:两组患者经治疗后PD、CAL均有明显改善,实验组平均PD由(6.5±1.8)mm减小到(2.3±1.1)mm;对照组平均PD由(6.3±2.0)mm减小到(3.2±1.7)mm,两组PD的减少量有统计学差异(P=0.04)。经治疗后,实验组CAL增加2.2mm,对照组CAL平均增加0.8mm,两组差异显著(P=0.02)。与治疗前相比,两组患者REC均有改善,实验组牙龈退缩较对照组改善更为显著(P=0.03)。治疗结束后12个月随访,两组患者疗效基本维持稳定。与治疗结束时相比,两组患者的各项牙周指标均无明显变化(P>0.05)。结论:对于上前牙移位的牙周炎患者,牙周常规治疗联合正畸临床疗效确切,可作为临床一线的治疗选择。Objective To evaluate the clinical efficacy and long-term stability of periodontal combined with orthodontic treatment in the treatment of chronic periodontitis with flaring upper incisors.Methods 25 Subjects with chronic periodontitis and flaring upper incisors were enrolled in this prospective controlled study.All the subjects were evaluated after the fundamental periodontal therapy.The Periodontal pocket depth（PD）,clinical attachment level（CAL）and reduction of gingival recession（REC）were evaluated during post-treatment and 12month follow-up in both test（periodontal combined with orthodontic treatment）and control（periodontal surgery）groups.Results Both groups showed significant improvement of PD and CAL after the treatment In test group,the mean PD changed from（6.5±1.8）mm to（2.3±1.1）mm,while the mean PD in control group changed from（6.3±2.0）mm to（3.2±1.7）mm,respectively.The reduction in PD was significant between the groups after treatment（P=0.04）.The CAL in test group improved 2.2mm,while control group improved 0.8mm.The improvement in CAL was also significant between the groups（P=0.02）.For REC,the changes in test group was significant compared with the control group（P=0.03）.In the evaluation of 12month follow-up,the parameters of periodontal were stable.There were no significant changes between post-treatment and 6month follow-up status.Conclusion Periodontal combined with orthodontic treatment is effective and could be regarded as the first option in chronic periodontitis with flaring upper incisors.

关 键 词：慢性牙周炎 牙周手术 正畸治疗 牙龈退缩 临床附着水平 

分 类 号：R783.5[医药卫生—口腔医学]