检索历史 清除

目的 探讨牙周基础治疗对牙周病患者正畸治疗的效果.方法 选取2008年7月至2016年7月大同市南郊区人民医院采用牙周基础治疗联合正畸治疗的68例牙周病患者.观察患者牙周治疗前(T0阶段)、连续12周牙周基础处理(T1阶段)以及患者牙周病情稳定静止期联合牙周正畸治疗后(T2阶段)不同治疗周期内的探诊深度及牙松动度,记录探诊出血点及附着丧失情况,应用锥形束CT(CBCT)测量牙根长度、牙槽骨密度以及釉牙骨质界与牙槽嵴顶间距等指标,并评估患者治疗前后咀嚼效能的改善情况.结果 治疗期间,牙周病患者牙根长度、釉牙骨质界与牙槽嵴顶间距差异无统计学意义(P>0.05),说明牙周基础治疗与正畸纠正治疗对牙根及牙槽骨吸收均无显著影响.T1、T2阶段与T0阶段比较,牙槽骨密度差异有统计学意义(P<0.05);其中,T2阶段与T1阶段比较差异更为显著.经牙周基础治疗及正畸矫正治疗后,牙周病患者的探诊深度、牙周松动度、附着丧失情况及探诊出血点均得到明显改善,T1、T2阶段牙周指标均显著优于T0阶段,差异有统计学意义(P<0.05);牙周病患者的咀嚼效能显著提升,差异有统计学意义(P<0.05).结论 采用牙周基础治疗可节制牙周病变发展,提高牙周质量,达到正畸纠正的最大化,提高牙周美学形态,改善患者的咀嚼效能.

Objective To investigate the basic periodontal treatment of periodontal disease treatment effect of orthodontic patients.Methods A retrospective study was performed on 68 cases of periodontal disease who were admitted from July 2008 to July 2016.Patients received periodontal basic treatment combined with orthodontic treatment,the periodontal treatment was observed before(T0 stage),12 consecutive weeks of periodontal treatment(T1 stage),patients with periodontal disease stable quiescent teeth after treatment combined with orthodontic treatment(T2 stage)and different treatment period of periodontal depth,loose,the bleeding on probing were recorded,attachment loss,application of CBCT measurement of root length,density of alveolar bone and the cemento enamel junction and the alveolar ridge crest spacing and other indicators,assessment of patients before and after treatment were performed.Results During the treatment,patients with root length,cemento enamel junction and the alveolar ridge crest spacing had no statistically significant difference(P>0.05),the tooth periodontal treatment and orthodontic treatment were corrected on the root and alveolar bone resorption which had no obvious effect.T1 and T2 stage alveolar bone density and T0 stages had obvious differences,especially the T2 stage compared with T1 had more significant differences(P<0.05).The masticatory efficiency improvement of periodontal disease in patients with periodontal treatment and orthodontic treatment,the probing depth and mobility of the loss of status and bleeding on probing point proportion were improved significantly,T1 and T2 stages of periodontal indices were significantly higher than those of T0 stage,the difference was statistically significant(P<0.05).After the treatment,the masticatory efficiency was significantly increased(P<0.05).Conclusion Periodontal treatment can take control of periodontal disease development,through oral environmental control to improve the quality of the late periodontal orthodontic corrective maintenance,help to maximize efficacy,improve the patients' periodontal aesthetic form,and improve the chewing function.