[1]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):103-107.
　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):103-107.
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年11期
页码:
103-107
栏目:
出版日期:
2019-11-05

文章信息/Info

Title:
 Evaluation of the Efficacy of Periodontal Orthodontics in the Treatment of Aggressive Periodontitis
文章编号:
1008-6455(2019)11-0103-05
作者:
 于 兰; 吕敏敏
Author(s):
 YU Lan;  LV Min-min
关键词:
 ; [关键词]牙周; 正畸; 联合治疗; 侵袭性牙周炎; 疗效; 评价
Keywords:
 ; Key words: periodontal;  orthodontics;  combination therapy;  invasive periodontitis;  therapeutic effect;  evaluation
分类号:
R783.5
文献标志码:
A
摘要:
[摘要]目的：探究牙周基础治疗联合正畸治疗广泛型侵袭性牙周炎合并牙槽骨缺损的美学效果。方法：选取笔者医院2015年
1月-2017年1月收治的广泛型侵袭性牙周炎合并牙槽骨缺损的140例患者，按照随机数表法将患者分为观察组和对照组，每
组70例。对照组采用常规牙周基础治疗和牙周再生术，观察组采用牙周基础治疗联合正畸治疗和牙周再生术。对比分析两
组患者治疗效果和治疗后美学改善效果。结果：牙周一般情况：治疗后，两组患者的牙周探诊深度(Periodontal probing
depth,PD)，附着丧失值(Attachment loss value,AL)，龈沟出血指数(Sulcus bleeding index,SBI)，牙齿松动度(Tooth
mobility,TM)，菌斑指数(Plaque index,PLI)，较治疗前均有明显改善(P ＜0.05)，且治疗后观察组PD、AL、SBI、PLI均
优于对照组，组间比较有显著性差异(P ＜0.05)；牙齿松动改善情况：治疗后，观察组患者的0度松动牙齿比例明显大于对
照组(P ＜0.05)。组内前后比较，对照组牙齿松动度情况无明显改善，而观察组0度松动患者数明显升高(P ＜0.05)，Ⅲ度
松动患者数明显减少(P ＜0.05)；牙槽骨缺损情况：治疗后，两组患者的牙槽骨密度均显著增加(P ＜0.05)，牙槽骨缺损
高度均显著减少(P ＜0.05)，组间比较，观察组牙槽骨密度明显大于对照组(P ＜0.05)，牙槽骨缺损高度明显低于对照组
(P ＜0.05)；口腔美学评价：观察组患者的视觉类比刻度尺法(Visual analog scale method,VAS)和粉红美学指数(Pink
aesthetic index,PES)均高于对照组，组间比较有显著性差异(P ＜0.05)。观察组患者治疗总满意率为91.43%，对照组为
74.29%，组间比较有显著性差异(P ＜0.05)。结论：对于广泛型侵袭性牙周炎合并牙槽骨缺损的患者，牙周基础治疗联合
正畸不仅能够对患者炎症进行有效控制，还能有效提高治疗后的美学评价，改善牙槽骨缺损情况，提升患者治疗满意度，
值得临床推广应用。
Abstract:
Abstract: Objective To explore the aesthetic effect of periodontal basic therapy combined with orthodontics in the treatment
of extensive invasive periodontitis with alveolar bone defect. Methods 140 patients with extensive invasive periodontitis
complicated with alveolar bone defect were selected from January 2015 to January 2017 in our hospital. According to the
random number table method, the patients were divided into observation group and control group, 70 cases in each group.
Patients in the control group were treated with conventional periodontal basic therapy and periodontal regeneration, while
patients in the observation group were treated with periodontal basic therapy combined with orthodontic treatment and
periodontal regeneration. The therapeutic effect and aesthetic improvement after treatment were compared and analyzed
between the two groups. Results General condition of periodontal period: After treatment, PD, AL ,SBI and PLI in both
groups were significantly improved compared with those before treatment (P ＜0.05). After treatment, PD, AL, SBI and PLI in
the observation group were better than those in the control group, and the difference between the two groups was significant
(P ＜0.05). Improvement of tooth loosening: After treatment, the percentage of 0 degree loosening teeth in the observation
group was significantly higher than that in the control group (P ＜0.05). Intra-group comparisons were made before and after
treatment, compared with before treatment, there was no significant improvement in tooth mobility in the control group. In the
observation group, the number of patients with 0 degree loosening increased significantly (P <0.05), and the number of patients
with Ⅲ degree loosening decreased significantly (P <0.05). Alveolar bone defect: After treatment, alveolar bone mineral density
increased significantly in both groups (P ＜0.05), alveolar bone defect height decreased significantly (P <0.05). Compared with
the control group, alveolar bone mineral density in the observation group was significantly higher (P ＜0.05), alveolar bone
defect height was significantly lower than that in the control group (P ＜0.05). Oral aesthetic evaluation: The VAS score and
PES of the patients in the observation group were higher than those in the control group, with significant difference between the
two groups (P ＜0.05).The total satisfaction rate was 91.43% in the observation group and 74.29% in the control group. There
was a significant difference between the two groups (P ＜0.05). Conclusion For patients with extensive invasive periodontitis
complicated with alveolar bone defect, periodontal basic therapy combined with orthodontics can not only effectively control
inflammation, but also effectively improve the aesthetic evaluation after treatment, improve alveolar bone defect and improve
patients’ treatment satisfaction, which is worthy of popularization and application.

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更新日期/Last Update: 2019-12-10