牙周疾病基础治疗联合口腔正畸治疗对牙周病致前牙移位患者牙周袋深度、出血指数影响研究  

Effect of basic treatment combined with orthodontic treatment on periodontal pocket depth and bleeding index in patients with anterior tooth displacement caused by periodontal disease

作　　者：朱云芳 胡丽风 吴珠燕 Zhu Yunfang;Hu Lifeng;Wu Zhuyan(Zhejiang Chinese Medical University,Hangzhou 310053,China;Department of Stomatology,the Second People′s Hospital of Yueqing,Yueqing 325608,China)

机构地区：[1]浙江中医药大学,杭州川310053 [2]乐清市第二人民医院口腔科,乐清325608

出　　处：《中国医师进修杂志》2024年第10期903-907,共5页Chinese Journal of Postgraduates of Medicine

摘　　要：目的分析牙周疾病基础治疗联合口腔正畸治疗对牙周病致前牙移位患者牙周袋深度、出血指数的影响。方法前瞻性选择乐清市第二人民医院2020年10月至2022年10月诊治的136例牙周病致前牙移位患者,按随机数字表法分为两组,各68例,对照组给予牙周疾病基础治疗,试验组在对照组基础上联合口腔正畸治疗,比较两组的临床疗效、咀嚼效率、牙周袋深度(PD)、探诊出血指数(BI)、龈沟液炎性因子水平及并发症发生率。结果试验组总有效率高于对照组[95.59%(65/68)比79.41%(54/68)],差异有统计学意义(χ^(2)=8.14,P<0.05)。治疗3个月后试验组咀嚼效率高于对照组,PD、BI低于对照组[(70.52±6.88)%比(61.52±4.04)%、(2.12±0.62)mm比(3.18±0.85)mm、(1.26±0.26)分比(2.42±0.33)分],差异均有统计学意义(P<0.05)。治疗3个月后试验组龈沟液肿瘤坏死因子-α、白细胞介素(IL)-6、IL-8水平低于对照组[(11.16±1.85)μg/L比(16.92±2.84)μg/L、(8.16±1.34)ng/L比(15.49±2.74)ng/L、(6.18±1.46)ng/L比(10.33±1.75)ng/L],差异有统计学意义(P<0.05)。试验组并发症发生率低于对照组[1.47%(1/68)比11.76%(8/68)],差异有统计学意义(χ^(2)=4.28,P<0.05)。结论牙周疾病基础治疗联合口腔正畸可有效提高牙周病致前牙移位患者咀嚼效率,降低PD、BI,减轻龈沟炎性反应,降低并发症发生率。Objective To analyze the effects of basic treatment of periodontal diseases combined with orthodontic treatment on periodontal pocket depth and bleeding index(BI)in patients with anterior tooth displacement caused by periodontal diseases.Methods A total of 136 patients with anterior tooth displacement due to periodontal disease treated in the Second People′s Hospital of Yueqing from October 2020 to October 2022 were enrolled and they were divided into two groups by random number table method,and each group with 68 cases.The control group was given basic treatment for periodontal disease,while the experimental group was combined with orthodontic treatment on the basis of the control group.The clinical efficacy,masticatory efficiency,periodontal pocket depth(PD),probing BI,gingival sulcus inflammatory factors and the total incidence of complications were compared between the two groups.Results The total effective rate in the experimental group was higher than that in the control group:95.59%(65/68)vs.79.41%(54/68),there was statistical difference(P<0.05).After treatment for 3 months,the masticatory efficiency in the experimental group was higher than that in the control group,and PD,BI in the experimental group were lower than that in the control group:(70.52±6.88)%vs.(61.52±4.04)%,(2.12±0.62)mm vs.(3.18±0.85)mm,(1.26±0.26)scores vs.(2.42±0.33)scores,there were statistical differences(P<0.05).After treatment,the levels of tumor necrosis factor-α(TNF-α),interleukin(IL)-6 and IL-8 in the experimental group were lower than those in the control group:(11.16±1.85)μg/L vs.(16.92±2.84)μg/L,(8.16±1.34)ng/L vs.(15.49±2.74)ng/L,(6.18±1.46)ng/L vs.(10.33±1.75)ng/L,there were statistical differences(P<0.05).The total complication rate in the experimental group was lower than that in the control group:1.47%(1/68)vs.11.76%(8/68),there was statistical difference(P<0.05).Conclusions Basic treatment of periodontal diseases combined with orthodontics can effectively improve the masticatory efficiency of patients wi

关 键 词：口腔正畸学 牙周疾病 牙移位 牙周袋 出血指数 

分 类 号：R783.5[医药卫生—口腔医学] R781.4[医药卫生—临床医学]