牙周病致前牙移位行口腔正畸治疗的疗效分析  

Analysis of the efficacy of orthodontic treatment on anterior teeth displacement caused by periodontal disease

作　　者：高白露 GAO Bai-lu(Baocheng Stomatological Hospital,Shenzhen 518100,China)

机构地区：[1]广东省深圳市深圳宝城口腔医院,518100

出　　处：《中国实用医药》2023年第1期36-40,共5页China Practical Medicine

摘　　要：目的探讨牙周病致前牙移位行口腔正畸治疗的疗效。方法150例牙周病致前牙移位患者,依据治疗方法不同分为口腔正畸治疗组和牙周基础治疗组,每组75例。牙周基础治疗组患者采用牙周基础治疗,口腔正畸治疗组患者采用牙周基础治疗联合口腔正畸治疗。比较两组患者的疼痛程度、牙周情况、牙齿松动度、牙齿功能、血清炎症因子水平、临床疗效、并发症发生情况、满意度。结果治疗后,两组患者的疼痛评分、前牙覆盖、前牙覆、牙周袋深度、探诊出血率均低于本组治疗前,差异具有统计学意义(P<0.05);两组患者牙槽骨高度与本组治疗前比较差异均无统计学意义(P>0.05)。治疗后,口腔正畸治疗组患者的疼痛评分(3.24±1.03)分、前牙覆盖(2.72±1.20)mm、前牙覆(2.56±1.22)mm、牙周袋深度(3.60±1.00)mm、探诊出血率(25.40±4.20)%均低于牙周基础治疗组的(5.21±1.14)分、(4.85±1.22)mm、(4.24±1.24)mm、(4.11±1.14)mm、(46.34±3.96)%,差异具有统计学意义(P<0.05);两组患者的牙槽骨高度比较差异无统计学意义(P>0.05)。治疗后,两组患者的牙齿松动度优于本组治疗前,且口腔正畸治疗组患者优于牙周基础治疗组,差异具有统计学意义(P<0.05)。治疗后,两组患者的咀嚼功能、固定程度、舒适程度、美观程度评分均高于本组治疗前,血清肿瘤坏死因子-α、白细胞介素-6、白细胞介素-8水平均低于本组治疗前,且口腔正畸治疗组患者的咀嚼功能评分(3.25±0.58)分、固定程度评分(3.33±0.32)分、舒适程度评分(4.51±0.26)分、美观程度评分(3.54±0.61)分均高于牙周基础治疗组的(3.03±0.70)、(2.67±0.40)、(3.66±0.42)、(3.23±0.58)分,血清肿瘤坏死因子-α(3.51±1.11)ng/ml、白细胞介素-6(3.15±0.85)ng/L、白细胞介素-8(5.03±1.42)ng/ml均低于牙周基础治疗组的(3.95±1.25)ng/ml、(3.58±1.02)ng/L、(6.22±1.10)ng/ml,差异具有统计学意义(P<0.05)。口腔Objective To discuss the efficacy of orthodontic treatment on anterior teeth displacement caused by periodontal disease. Methods A total of 150 patients with anterior teeth displacement caused by periodontal disease were divided into orthodontic treatment group and periodontal basic treatment group according to different treatment methods, with 75 patients in each group. Patients in the periodontal basic treatment group were treated with periodontal basic treatment, and patients in the orthodontic treatment group were treated with periodontal basic treatment and orthodontic treatment. Both groups were compared in terms of pain degree,periodontal condition, tooth mobility, tooth function, serum inflammatory factor level, clinical efficacy, occurrence of complications, and satisfaction. Results After treatment, the pain score, anterior teeth coverage, anterior teeth overbite, periodontal pocket depth, and blooding on probing rate of the two groups were lower than those of this group before treatment, and the difference was statistically significant (P<0.05). The alveolar bone height in the two groups were compared with that before surgery in this group, and the difference was not statistically significant (P>0.05). After treatment, the orthodontic treatment group had pain score of (3.24±1.03) points,anterior tooth coverage of (2.72±1.20) mm, anterior tooth overbite of (2.56±1.22) mm, periodontal pocket depth of (3.60±1.00) mm, and blooding on probing rate of (25.40±4.20) %, which were lower than (5.21±1.14) points,(4.85±1.22) mm, (4.24±1.24) mm, (4.11±1.14) mm, and (46.34±3.96) % in the periodontal basic treatment group, and the differences were statistically significant (P<0.05). There was no statistically significant difference in alveolar bone height between the two groups (P>0.05). After treatment, the tooth mobility of the two groups was better than that before treatment in this group, and the orthodontic treatment group was better than the periodontal basic treatment group, and the differences were

关 键 词：牙周病 前牙移位 口腔正畸 疗效 牙齿松动度 牙齿功能 炎症因子 

分 类 号：R783.5[医药卫生—口腔医学]