牙周-正畸联合治疗牙周炎致前牙扇形移位的效果  

Effect of Combined Periodontal and Orthodontic Treatment on Anterior Teeth Sector Displacement Caused by Periodontitis

作　　者：刘学勍 LIU Xue-qing(Department of Periodontics,Affiliated Stomatology Hospital of Xiamen Medical College,Xiamen,Fujian Province,361003China)

机构地区：[1]厦门市医学院附属口腔医院牙周科,福建厦门361003

出　　处：《中外医疗》2018年第24期14-16,共3页China & Foreign Medical Treatment

摘　　要：目的探讨牙周-正畸联合治疗牙周炎致前牙扇形移位的效果。方法回顾分析厦门市医学院附属口腔医院2016年5月—2017年6月收治的66例牙周炎致前牙扇形移位患者的临床资料。所有患者均给予牙周-正畸联合治疗,治疗后评价牙周-正畸联合治疗牙周炎致前牙扇形移位的效果。结果 20~30岁患者治疗后牙周袋0 mm,<3 mm和>3 mm分布情况分别为41,12颗和0颗,明显好于治疗前10、34颗及9颗,差异有统计学意义(Z=2.12,P=0.03);治疗后牙槽骨吸收在根管1/3,中1/3及根尖1/3的分布情况分别为42、11颗和0颗,显著好于治疗前26、21颗及6颗,差异有统计学意义(Z=2.01,P=0.04);31~40岁患者治疗后牙周袋0 mm,<3 mm和>3 mm分布情况分别为43、6颗和2颗,明显好于治疗前5、36颗及10颗,差异有统计学意义(Z=3.12,P=0.02);治疗后牙槽骨吸收在根管1/3,中1/3及根尖1/3的分布情况分别为45、6颗和0颗,显著好于治疗前26、19颗及6颗,差异有统计学意义(Z=2.21,P=0.03)。结论对20~40岁牙周炎引起的前牙扇形移位患者采取牙周-正畸联合治疗,能有效控制炎症,降低对患者的牙合创伤,并且长期效果较好,适于在临床上广泛应用和推广。Objective To investigate the effect of periodontal and orthodontic treatment of anterior teeth sector displacementcaused by periodontitis. Methods The clinical data of 66 patients with anterior segmental dislocation caused by periodontitis from May 2016 to June 2017 in the Affiliated Stomatological Hospital of Xiamen Medical University were retrospectivelyanalyzed. All patients were given periodontal-orthodontic treatment. After treatment, the periodontal-orthodontic treatmentcombined with periodontal treatment was used to evaluate the effect of fan-shaped displacement of the anterior teeth. Results The distributions of periodontal pockets 0, 〈3 mm, and 〉3 mm in patients aged 20-30 years were 41, 12 and 0, respectively, which were significantly better than those before treatment 10, 34 and 9. The difference was statistically significant （Z=2.12, P=0.03）. The distribution of alveolar bone resorption after treatment was 1/3 in the root canal, 1/3 in the middle, and 1/3 in the apical ridge. The distributions were 42, 11 and 0, respectively, which were significantly better than the26, 21 and 6 before treatment. There was a statistically significant （Z=2.01, P=0.04）; after treatment, the periodontal pocketsof patients aged 31-40 years were 0 mm, 〈3 mm and 〉3 mm, and the distributions were 43, 6, and 2 respectively, whichwas significantly better than before treatment 5, 36 and 10. The difference was statistically significant （Z=3.12, P=0.02）; thedistribution of alveolar bone resorption after treatment was 1/3 in the root canal, 1/3 in the center, and 1/3 in the apicalridge were 45, 6 and 0, respectively, significantly better than before treatment 26, 19 and 6, the difference was statisticallysignificant（Z=2.21, P=0.03）. Conclusion Took periodontal-orthodontic treatment of patients with anterior segmental dislocation caused by periodontitis for 20-40 years old combined treatment can effectively control inflammation, reduce the traumaof patients with spasticity, and has good long-term effect, and

关 键 词：牙周炎 正畸矫正 前牙扇形移位 效果 

分 类 号：R783.5[医药卫生—口腔医学]