中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
18期
26-28
,共3页
牙周炎%牙周组织%再生术%正畸治疗%效果
牙週炎%牙週組織%再生術%正畸治療%效果
아주염%아주조직%재생술%정기치료%효과
Periodontitis%Periodontal tissue regeneration operation%Orthodontic treatment%Effect
目的：评价牙周组织再生术联合正畸治疗牙周炎的临床效果。方法选取2012年6月~2013年7月在本院口腔科存在不同程度咬合创伤要求进行正畸治疗的牙周炎患者23例(29颗患牙)，对所有患者进行牙周组织再生术联合正畸治疗，对两种方式治疗前后的牙周袋探诊深度(PPD)和临床附着丧失(CAL)情况分别进行记录。结果所有患者再生性手术和正畸治疗的平均疗程为(27.3±1.7)个月，再生性手术治疗后患牙角形骨吸收侧的CAL、PPD分别为(3.41±1.43)、(2.84±0.87)mm，均较治疗前明显减少，垂直缺损侧的CAL和PPD分别为(3.79±1.60)、(3.12±1.11)mm，均较治疗前明显减少，差异均有统计学意义(P<0.05)；正畸治疗后患牙缺损侧和垂直骨缺损侧的CAL均较治疗前减少，差异均有统计学意义(P<0.05)，患牙骨缺损侧和垂直骨缺损侧的PPD与治疗前差异无统计学意义(P>0.05)。结论牙周组织再生术联合正畸对牙周炎患者的治疗行之有效，有助于改善牙周健康状况，解决咬合创伤，有助于提高患者的牙齿功能和美观，值得临床推广应用。
目的：評價牙週組織再生術聯閤正畸治療牙週炎的臨床效果。方法選取2012年6月~2013年7月在本院口腔科存在不同程度咬閤創傷要求進行正畸治療的牙週炎患者23例(29顆患牙)，對所有患者進行牙週組織再生術聯閤正畸治療，對兩種方式治療前後的牙週袋探診深度(PPD)和臨床附著喪失(CAL)情況分彆進行記錄。結果所有患者再生性手術和正畸治療的平均療程為(27.3±1.7)箇月，再生性手術治療後患牙角形骨吸收側的CAL、PPD分彆為(3.41±1.43)、(2.84±0.87)mm，均較治療前明顯減少，垂直缺損側的CAL和PPD分彆為(3.79±1.60)、(3.12±1.11)mm，均較治療前明顯減少，差異均有統計學意義(P<0.05)；正畸治療後患牙缺損側和垂直骨缺損側的CAL均較治療前減少，差異均有統計學意義(P<0.05)，患牙骨缺損側和垂直骨缺損側的PPD與治療前差異無統計學意義(P>0.05)。結論牙週組織再生術聯閤正畸對牙週炎患者的治療行之有效，有助于改善牙週健康狀況，解決咬閤創傷，有助于提高患者的牙齒功能和美觀，值得臨床推廣應用。
목적：평개아주조직재생술연합정기치료아주염적림상효과。방법선취2012년6월~2013년7월재본원구강과존재불동정도교합창상요구진행정기치료적아주염환자23례(29과환아)，대소유환자진행아주조직재생술연합정기치료，대량충방식치료전후적아주대탐진심도(PPD)화림상부착상실(CAL)정황분별진행기록。결과소유환자재생성수술화정기치료적평균료정위(27.3±1.7)개월，재생성수술치료후환아각형골흡수측적CAL、PPD분별위(3.41±1.43)、(2.84±0.87)mm，균교치료전명현감소，수직결손측적CAL화PPD분별위(3.79±1.60)、(3.12±1.11)mm，균교치료전명현감소，차이균유통계학의의(P<0.05)；정기치료후환아결손측화수직골결손측적CAL균교치료전감소，차이균유통계학의의(P<0.05)，환아골결손측화수직골결손측적PPD여치료전차이무통계학의의(P>0.05)。결론아주조직재생술연합정기대아주염환자적치료행지유효，유조우개선아주건강상황，해결교합창상，유조우제고환자적아치공능화미관，치득림상추엄응용。
Objective To evaluate the clinical effect of periodontal tissue regeneration operation combined with or-thodontics treating periodontitis. Methods 23 patients with periodontitis (29 ill tooth) existing different levels of oc-clusal trauma requiring orthodontic treating in our hospital from June 2012 to July 2013 were selected,all patients were given periodontal tissue regeneration operation and orthodontic treatment,periodontical pocket depth (PPD) and clinical attachment loss (CAL) before and after treatment of two kinds of treatment methods were recorded. Results The mean du-ration of treatment of was (27.3±1.7) months for patients treated with periodontal tissue regeneration operation and or-thodontic treatment.After regeneration operation,CAL,PPD of trouble tooth angle bone absorption side [(3.41±1.43), (2.84±0.87) mm respectively] were significantly reduced compared with before treatment,CAL,PPD of vertical defect side [(3.79±1.60), (3.12±1.11) mm respectively] were significantly reduced compared with before treatment and there was a statistical difference (P<0.05);after orthodontic treatment,CALof affected teeth defect side and vertical bone defect side were significantly reduced compared with before treatment,and there was a statistical difference (P<0.05),there was no statistical difference of CALfor affected teeth defect side and vertical bone defect side compared with before treatment (P>0.05). Conclusion The clinical effect of periodontal tissue regeneration operation combined orthodontic treatment treating periodontitis is effective,and it helps to improve the periodontal health,solve the occlusal trauma,at the same time,helps to improve the patients’teeth functionality and aesthetics.It is worthy of clinical promotion and application.
