[1]黄 婧,颜孟雄,童国勇,等.正畸配合牙槽骨再生术治疗成人中重度牙周炎错牙合畸形临床疗效分析[J].中国美容医学,2023,(11):119-122.[doi:10.15909/j.cnki.cn61-1347/r.005982]
　HUANG Jing,YAN Mengxiong,TONG Guoyong,et al.Effi cacy of Alveolar Bone Regeneration Orthodontic Treatment on Adults with Moderate-to-Severe Periodontitis with Malocclusion[J].Medical Aesthetics and Beauty,2023,(11):119-122.[doi:10.15909/j.cnki.cn61-1347/r.005982]
点击复制

正畸配合牙槽骨再生术治疗成人中重度牙周炎错牙合畸形临床疗效分析()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年11期
页码:
119-122
栏目:
出版日期:
2023-11-10

文章信息/Info

Title:
Effi cacy of Alveolar Bone Regeneration Orthodontic Treatment on Adults with Moderate-to-Severe Periodontitis with Malocclusion
文章编号:
1008-6455（2023）11-0119-04
作者:
黄 婧; 颜孟雄; 童国勇; 邓亮亮
(恩施土家族苗族自治州中心医院口腔诊疗中心 湖北 恩施 445000)
Author(s):
HUANG Jing; YAN Mengxiong; TONG Guoyong; DENG Liangliang
(Center of Stomatology,the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture,Enshi 445000,Hubei,China)
关键词:
牙槽骨再生技术; 正畸; 成人; 牙周炎; 错牙合畸形
Keywords:
alveolar bone regeneration technique;  orthodontics;  adults;  periodontitis;  malocclusion
分类号:
R783.5
DOI:
10.15909/j.cnki.cn61-1347/r.005982
文献标志码:
A
摘要:
目的：探究正畸配合牙槽骨再生治疗成人中重度牙周炎错牙合畸形的临床疗效。方法：选取笔者医院2017年1月-2021年 1月收治的102例中重度牙周炎错牙合畸形成人患者，采取正畸配合牙槽骨再生治疗。比较患者治疗前后牙周情况、牙齿松动 度、咬合关系及美观性。结果：相较于治疗前，患者治疗后3个月及治疗后6个月的牙周探诊深度、附着丧失、龈沟出血指数 值均逐渐减小，牙齿松动Ⅱ度及Ⅲ度例数、咬合时间、左右侧咬合力平衡度均逐渐减少（均P＜0.05），牙齿松动Ⅰ度例数 及咬合力占最大咬合力百分比均逐渐增加（P＜0.05）；患者治疗后6个月、治疗后1年，IOTN-AC美观评分、上下唇角及软组 织面角均较治疗前逐渐降低（P＜0.05），鼻唇角、颏唇沟角均逐渐增大（P＜0.05）。结论：正畸配合牙槽骨再生治疗中重 度牙周炎错牙合畸形患者效果显著，可有效改善患者牙槽骨吸收及牙齿松动情况，促进患者咬合功能恢复，提升面部美观度。
Abstract:
Objective To explore the clinical effi cacy and aesthetic eff ect of alveolar bone regeneration orthodontic treatment on adults with moderate-to-severe periodontitis with malocclusion. Methods 102 adults with moderate-to-severe periodontitis complicated with malocclusion who were treated in author’s hospital were selected between January 2017 and January 2021, and they received alveolar bone regeneration combined with orthodontic treatment. The periodontal status, tooth mobility, occlusal relation and aesthetics of patients were compared before and after treatment. Results Compared with before treatment, the periodontal probing depth, attachment loss, sulcus bleeding index , the number of cases with degree Ⅱ and degree Ⅲ tooth mobility, the occlusal time and bite force distribution balance of patients at 3 months and 6 months after treatment were gradually decreased (P＜0.05). The number of cases with degree I tooth mobility and the maximum area bite force/max movie force were increased gradually (P＜0.05). Compared with that before treatment, the patients’ IOTN-AC aesthetic score, upper and lower lip angles and soft tissue facial angles decreased gradually 6 months after treatment and 1 year after treatment (P＜0.05), and nasolabial angle and geniolabial groove angle increased gradually (P ＜0.05). Conclusion Alveolar bone regeneration orthodontic treatment has a signifi cant effi cacy on patients with moderate-to-severe periodontitis and malocclusion. It can effectively improve the alveolar bone resorption and tooth mobility, promote the recovery of occlusal function, and enhance the facial aesthetic degree, with high clinical value.

相似文献/References:

[1]邹毅军,罗 琴,张靖江,等. 渗透树脂对正畸后牙齿白垩斑的疗效及牙面微硬度和颜色稳定性的影响[J].中国美容医学,2018,(03):87.
　ZOU Yi-jun,LUO Qin,ZHANG Jing-jiang,et al. The Effect of Penetration Resin on the Cretaceous Teeth and Its Effect on the Micro Hardness and Color Stability of the Tooth Surface[J].Medical Aesthetics and Beauty,2018,(11):87.
[2]张晓敏,谭军艳,付兆江. 咬合调整联合正畸治疗牙周病临床观察[J].中国美容医学,2018,(10):114.
　ZHANG Xiao-min,TAN Jun-yan,FU Zhao-jiang. Observation of Effect of Occlusion Adjustment Combined with Orthodontics on Patients with Periodontal[J].Medical Aesthetics and Beauty,2018,(11):114.
[3]霍 丽,高 鹏,冯 雪,等. 活动腭杆在牙性前牙开牙合治疗中的应用[J].中国美容医学,2018,(10):120.
　HUO Li,GAO Peng,FENG Xue,et al. Application of Removable Palatal Bar in the Treatment of Anterior Open Bite[J].Medical Aesthetics and Beauty,2018,(11):120.
[4]张 喆,李大旭,李英杰,等. 骨皮质切开术对大鼠正畸牙牙龈成纤维细胞黏附分子表达水平的影响[J].中国美容医学,2018,(11):141.
　ZHANG Zhe,LI Da-xu,LI Ying-jie,et al. The Effect of Cortical Incision on the Expression of Adhesion Molecules in Rat Gingival Fibroblasts[J].Medical Aesthetics and Beauty,2018,(11):141.
[5]刘梦蕾,刘静雅,韩 晶,等. 渗透树脂对正畸后牙齿白垩斑的疗效及牙面粗糙程度和颜色的影响分析[J].中国美容医学,2019,(06):122.
　LIU Meng-lei,LIU Jing-ya,HAN Jing,et al.Effect of Penetration Resin on the Effect of Dental Plaque and the Roughness andColor of Dental Surface after Orthodontic Treatment[J].Medical Aesthetics and Beauty,2019,(11):122.
[6]冯小东,殷卫红.无托槽隐形矫治对牙周炎正畸患者龈沟液及血清PGE2、sICAM-1、ALP、PAK5的影响[J].中国美容医学,2019,(07):108.
　PGE,sICAM-,ALP,et al.Influences of No Recessive Rectification on Gingival Crevicular Fluid and Serum[J].Medical Aesthetics and Beauty,2019,(11):108.
[7]陈欣媛,唐丽宇,樊 硕,等.比较无托槽隐形矫治器与固定矫治器在正畸中对患者牙周健康的影响[J].中国美容医学,2019,(07):112.
　CHEN Xin-yuan,TANG Li-yu,FAN Shuo,et al.To Compare the Effects of Non-bracket Invisible Orthodontic Appliance and FixedOrthodontic Appliance on Periodontal Health of Patients[J].Medical Aesthetics and Beauty,2019,(11):112.
[8]邓溪川,曾翠敏,沈 悦,等. 振动法缓解正畸治疗儿童患者复诊加力后疼痛的有效性分析[J].中国美容医学,2019,(09):129.
　DENG Xi-chuan,ZENG Cui-min,SHEN Yue,et al. Effectiveness of Vibration Method in Relieving Pain after Orthodontic Force for Children[J].Medical Aesthetics and Beauty,2019,(11):129.
[9]于 兰,吕敏敏. 牙周基础治疗联合正畸治疗侵袭性牙周炎疗效评价[J].中国美容医学,2019,(11):103.
　YU Lan,LV Min-min. Evaluation of the Efficacy of Periodontal Orthodontics in the Treatment of Aggressive Periodontitis[J].Medical Aesthetics and Beauty,2019,(11):103.
[10]张 正,张晓筱,桑媛媛,等. 青少年不同矢状骨面型中上颌后牙牙根与上颌窦底的位置关系[J].中国美容医学,2019,(12):73.
　ZHANG Zheng,ZHANG Xiao-xiao,SANG Yuan-yuan,et al. Relationship Between the Roots of Posterior Teeth and the Maxillary Sinus inAdolescents with Different Sagittal Facial Patterns[J].Medical Aesthetics and Beauty,2019,(11):73.

更新日期/Last Update: 2023-12-01