口腔正畸治疗联合牙周组织再生术对牙周炎患者的疗效观察  

Observation on the effect of oral orthodontic treatment combined with periodontal tissue regeneration on the treatment of the patients with periodontitis

作　　者：周叶青[1] 宣桂红[1] 王海花[1] ZHOU Ye-qing;XUAN Gui-hong;WANG Hai-hua(Department of Dental, Shaoxing People’s Hospital, Shaoxing 312000, China)

机构地区：[1]绍兴市人民医院口腔科,浙江绍兴312000

出　　处：《中国生化药物杂志》2017年第12期330-332,共3页Chinese Journal of Biochemical Pharmaceutics

摘　　要：目的研究牙周组织再生术联合口腔正畸术对牙周炎的疗效。方法选取绍兴市人民医院门诊确诊为牙周炎患者52例，根据随机数表法将所有患者平分为观察组（n=26）和对照组（n=26），对照组给予单纯正畸治疗，观察组在对照组的基础上增加牙周组织再生术，对比2组牙周指标及X线头影测量结果。结果2组术前GI、PLI、SBI、PD和CAL差异均无统计学差异，观察组术后GI为（0.31±0.14）分，显著低于对照组的（0.56±0.20）分（t=6.827，P＜0.001）；观察组术后PLI为（0.96±0.27）分，显著低于对照组的（1.23±0.34）分（t=4.161，P＜0.001）；观察组术后SBI为（1.82±0.38）分，显著低于对照组的（2.12±0.37）分（t=3.898，P＜0.001）；观察组术后PD为（2.84±0.18）min，显著低于对照组的（3.14±0.24）min（t=6.317，P＜0.001）；观察组术后CAL为（1.89±0.57）min，显著低于对照组的（2.29±0.54）min（t=3.419，P=0.013）。2组治疗前SNA、SNB、ANB测量结果差异无统计学意义；观察组治疗后SNA为（71.4±2.5）°，低于对照组的（73.1±2.6）°（t=4.181，P＜0.001）；观察组治疗后SNB为（72.2±1.2）°，低于对照组的（73.9±1.3）°（t=3.181，P=0.023）；观察组治疗后ANB为（0.7±0.2）°，低于对照组的（0.8±0.2）°（t=2.016，P=0.041）；观察组总有效率为96.15%，显著高于对照组的88.46%（χ2=3.876，P=0.037）。结论牙周组织再生术联合口腔正畸术的临床疗效显著优于纯口腔正畸术。Objective To study the effect of oral orthodontic treatment combined withperiodontal tissue regeneration on the treatment of the patients with periodontitis.Methods52patients diagnosed as periodontitis in Shaoxing People’s Hospital were selected as the subjects.All the patients were divided into the observation group(n=26)and the control group(n=26)according to the random number table method.The control group were received orthodontic treatment,at this basis,the observation group were received periodontal tissue regeneration.The periodontal index and cephalometric results in the two groups were compared.Results There were no significant differences in GI,PLI,SBI,PD and CAL between the two groups.The GI of postoperative was(0.31±0.14)in the observation group,which was significantly lower than(0.56±0.20)in the control group(t=6.827,P<0.001).The postoperative PLI was(0.96±0.27)in the observation group,which was significantly lower than(1.23±0.34)in the control group(t=4.161,P<0.001).The postoperative SBI was(1.82±0.38)in the observation group,which was significantly lower than(2.12±0.37)in the control group(t=3.898,P<0.001).PD of the observation group was(2.84±0.18)min,significantly lower than(3.14±0.24)min that of the control group(t=6.317,P<0.001).CAL of the observation group was(1.89±0.57)min,significantly lower than(2.29±0.54)min of the control group(t=3.419,P=0.013).There was no significant difference between the two groups before treatment,SNA,SNB,and ANB.After treatment,the SNA of the observation group was(71.4±2.5)°,lower than(73.1±2.6)°of the control group(t=4.181,P<0.001).The observation group after treatment SNB was(72.2±1.2)°,lower than(73.9±1.3)°of the control group(t=3.181,P=0.023).The observation group after treatment ANB was(0.7±0.2)°,lower than(0.8±0.2)°of the control group(t=2.016,P=0.041).The total efficiency of the observation group was96.15%,significantly higher than the control group88.46%(χ2=3.876,P=0.037).Conclusion The clinical effect of periodontal tissue regenerati

关 键 词：牙周炎 口腔正畸术 牙周组织再生术 

分 类 号：R781.42[医药卫生—口腔医学]