探讨中重度牙周炎伴发错颌畸形的不同治疗方法及其疗效观察  

Explore the Different Treatment Methods of Malocclusion with Moderate and Severe Periodontitis

作　　者：尹艳波 赵鑫[2] YIN Yanbo;ZHAO Xin(Department of Orthodontics,Jinshui Weimei Zhengbian Road Outpatient Department,Zhengzhou Henan 450000,China;Saisi Stomatological Hospital of Henan University,Zhengzhou Henan 450000,China)

机构地区：[1]金水唯美郑汴路门诊部正畸科,河南郑州450000 [2]河南大学赛思口腔医院口腔修复科,河南郑州450000

出　　处：《临床研究》2023年第4期83-86,共4页Clinical Research

摘　　要：目的 探讨中重度牙周炎伴发错颌畸形的不同治疗方法,并对其临床效果比对分析。方法 选取河南大学赛思口腔医院自2018年1月至2019年8月收治的120例中重度牙周炎伴错颌畸形患者作为研究对象,按照随机数字表达法将所有研究对象随机分为研究组(60例,在牙周基础治疗、牙周组织再生术后行正畸治疗)与对照组(60例,在牙周基础治疗的同时接受HX直丝弓矫治器正畸治疗),对两组患者的探诊深度(PD)指数、龈沟出血(SBI)指数及菌斑指数(PLI),并发症发生情况、牙齿功能评分及炎性因子水平等指标进行比较,确定两组患者的治疗效果。结果 治疗前,两组PD指数、SBI指数及PLI指数比较,差异无统计学意义(P>0.05),治疗后6个月,研究组、对照组PD指数、SBI指数及PLI指数均明显改善,研究组改善幅度显著大于对照组,差异有统计学意义(P<0.05);治疗后12个月两组组间比较,差异有统计学意义(P<0.05)。矫治术后12个月内,研究组不良事件发生率显著低于对照组,差异有统计学意义(P<0.05)。研究组各项牙齿功能评分均更高,研究组治疗后肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)及白细胞介素-8(IL-8)水平均更低,差异有统计学意义(P<0.05)。结论 在中重度牙周炎伴错颌畸形的治疗中,采用牙周组织再生术后再行正畸矫治,正畸效果更加显著,且可保持牙周健康状况,减轻炎性水平,提高牙齿功能,可作为有效的矫治方法使用。Objective To investigate the different treatment methods of malocclusion with moderate and severe periodontitis,and to compare and analyze the clinical effects.Methods:A total of 120 patients with moderate to severe periodontitis and malocclusion admitted to the Sais Hospital of Stomatology of Henan University from January 2018 to August 2019 were selected as the research objects.According to the random number table method,all subjects were randomly divided into the study group(60 cases received orthodontic treatment after periodontal primary treatment and periodontal tissue regeneration)and the control group(60 cases received orthodontic treatment with HX orthodontic appliance after periodontal primary treatment).The probing depth(PD)index,sulcus bleeding(SBI)index,plaque index(PLI),complications,tooth function score,and inflammatory factor levels were compared between the two groups to determine the treatment effect of the two groups.Results Before treatment,there was no significant difference in the PD index,SBI index,and PLI index between the two groups(P>0.05).After 6 months of treatment,the PD index,SBI index,and PLI index of the study group and the control group were significantly improved,and the improved range of the study group was significantly greater than that of the control group(P<0.05).At 12 months after treatment,the difference between the two groups was statistically significant(P<0.05).The incidence of adverse events in the study group was significantly lower than that in the control group within 12 months after treatment,and the difference was statistically significant(P<0.05).All the dental function scores in the study group were higher,and the levels of tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), and interleukin-8 (IL-8) were lower in the study group after treatment, with statistical significance (P < 0.05). Conclusion In the treatment of moderate and severe periodontitis with malocclusion, the orthodontic treatment after periodontal tissue regeneration has a more significant ef

关 键 词：中重度牙周炎 错颌畸形 正畸治疗 牙周组织再生术 疗效 

分 类 号：R783.5[医药卫生—口腔医学]