河北医科大学学报

• 论著 • 上一篇    下一篇

牙周炎患者应用牙周组织再生术联合正畸治疗的临床效果评价

  

  1. 江苏省南京市大厂医院,东南大学附属中大医院江北院区口腔科,江苏 南京 210044
  • 出版日期:2017-03-25 发布日期:2017-03-29
  • 作者简介:喻爱霞(1981-),女,江苏南京人,江苏省南京市大厂医院,东南大学附属中大医院江北院区主治医师,医学学士,从事口腔疾病诊治研究。

Evaluation of the clinical effect of periodontal tissue regeneration combined with orthodontic treatment in patients with periodontitis

  1. Department of Stomatology, Nanjing Dachang Hospital, Zhongda Hospital Southeast University (Jiangbei), Jiangsu Province, Nanjing 210044, China
  • Online:2017-03-25 Published:2017-03-29

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗观察牙周炎患者采用牙周组织再生术联合正畸治疗的临床效果和对口腔功能恢复的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析牙周炎患者80例,根据随机数字表法分为对照组和观察组各40例。2组患者入组后均先采取基础治疗,对照组在常规治疗的基础上实施牙周组织再生术,观察组在常规治疗的基础上实施牙周组织再生术联合正畸治疗。
〖HTH〗结果〖HTSS〗〖KG*2〗观察组临床总有效率明显高于对照组,临床疗效优于对照组(P<005)。治疗后2组菌斑指数(plaque index,PLI)、牙龈指数(gingival index,GI)、探诊出血(bleeding on probing,BOP)、龈沟出血指数(sulcus bleeding index,SBI)、牙周探诊深度(pocket depch,PD)、临床牙周平均附着丧失(clinical attachment,CAL)明显低于治疗前(P<005);观察组PLI、GI、BOP、SBI、PD明显低于对照组(P<005); 2组CAL差异无统计学意义(P>005)。治疗后2组牙齿松动情况均较治疗前明显改善(P<005),但2组间牙齿松动情况差异无统计学意义(P>005)。
〖HTH〗结论〖HTSS〗〖KG*2〗牙周炎患者采用牙周组织再生术和正畸联合治疗,可以明显改善牙周炎的临床症状,明显改善患者的牙周相关指标,促进患者口腔的全面恢复,是一种值得广泛应用的治疗方案。

关键词: 牙周炎, 引导组织再生, 牙周, 牙正畸牵引

Abstract: [Abstract]  Objective〖HTSS〗〓To analyze the clinical effect of periodontal tissue regeneration combined with orthodontic treatment and its effect on the recovery of oral function in patients with periodontitis.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Eighty cases of patients with periodontitis were analyzed retrospectively. According to the random number table, all patients were divided into observation group and control group,40 cases in each. Patients in the two groups were treated with basic treatment,and then, patients in the control group were treated with periodontal tissue regeneration on the basis of routine treatment, while the patients in the observation group received periodontal tissue regeneration and orthodontic treatment on the basis of routine treatment.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The total clinical effective rate of the observation group was significantly higher than that of the control group, and the clinical effect was also better than that of control group(P<005). The plaque index(PLI), gingival index(GI), bleeding on probing(BOP), sulcus bleeding index(SBI), pocket depth(PD) and clinical attachment(CAL) of patients in the two groups after treatment were significantly lower than that before treatment(P<005). The PLI, GI, BOP, SBI, and PD in the observation group after treatment were significantly lower than that in the control group(P<005). There was no significant difference in the periodontal index of CAL of the two groups after treatment(P>005). After the treatment, the tooth mobility was significantly better than that before treatment of the two groups(P<005),but there was no significant difference between the two groups(P>005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Periodontal tissue regeneration combined with orthodontic treatment in patients with periodontitis can significantly improve the clinical symptoms of periodontitis and periodontal index of patients, also can promote the comprehensive recovery of oral cavity. It is worthy of being widely used.

Key words: periodontitis, guided tissue regeneration, periodontal, orthodontic extrusion