口腔正畸联合牙周基础治疗在牙周病致前牙移位患者中的应用效果及对牙周指标的影响
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1.江苏护理职业学院·2.淮安市博瑞口腔门诊部 江苏淮安

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2023 年江苏省高职院校专业带头人访学研修项目(2023112C713/003)


Clinical efficacy analysis of orthodontic treatment for anterior tooth displacement caused by periodontal disease
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    摘要:

    【】目的:为牙周病致前牙移位的患者采用牙周基础和口腔正畸联合疗法,改善错合畸形和牙周病,对疗效进行分析。方法:研究对象选择牙周病致前牙移位患者,均于2019.05-2024.05期间,在我院诊治,共计60例,借助单盲分组法进行1:1比例分组。对照组和研究组分别给予单用牙周基础治疗、牙周基础治疗合并口腔正畸疗法,比较治疗效果。结果:研究组治疗有效率高于对照组,疼痛程度轻于对照组(P<0.05)。研究组治疗后前牙错合畸形和牙周指标中,前牙覆盖、前牙覆颌、牙槽骨高度、牙周袋深度、探诊出血率分别为(2.61±1.18)mm、(2.45±1.11)mm、(5.05±0.07)mm、(3.50±0.25)mm、(25.31±4.16)%,均优于常规组,差异性明显(T=7.239,5.954,6.433,3.653,20.378)。研究组牙列情况中,咀嚼功能、稳定程度、舒适程度、美观程度评分分别为(3.36±0.29)分、(3.45±0.43)分、(4.62±0.37)分、(3.43±0.21)分,均高于对照组(T=4.863,8.792,12.141,3.991)。结论:为牙周病致前牙移位的患者进行治疗时,选择牙周基础合并口腔正畸疗法,可获得较单一牙周基础治疗更好的治疗结果。

    Abstract:

    Objective: To analyze the effect of combined periodontal basic treatment and orthodontic treatment for the patients with anterior tooth displacement caused by periodontal disease. Methods: A total of 60 patients with anterior tooth displacement due to periodontal disease were selected and treated in our hospital from May 2019.05 to May 2024.05. The patients were grouped 1:1 by single blind grouping method. The routine group and the study group were given periodontal basic treatment alone and orthodontic therapy, respectively, and the treatment results were compared. Results: The effective rate and pain degree of the study group were higher than those of the conventional group (P<0.05). The periodontal indexes of the study group were (2.61±1.18) mm, (2.45±1.11) mm, (5.05±0.07) mm, (3.50±0.25) mm and (25.31±4.16) %, respectively, which were better than those of the conventional group. The difference was significant (T=7.239, 5.954, 6.433, 3.653, 20.378). The scores of chewing function, fixation, comfort and aesthetics in the study group were (3.36±0.29) points, (3.45±0.43) points, (4.62±0.37) points and (3.43±0.21) points, respectively, which were higher than those in the conventional group (T=4.863, 8.792, 12.141, 3.991). Conclusion: When choosing orthodontic treatment for patients with anterior tooth displacement caused by periodontal disease, it can obtain better treatment results than single periodontal basic treatment.

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  • 收稿日期:2024-09-03
  • 最后修改日期:2024-11-27
  • 录用日期:2024-12-02
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