CAJ | 학술논문

目的：研究牙周组织再生术联合正畸治疗牙周炎患者的疗效。方法选择2010年3月至2013年3月接诊的50例牙周炎患者进行研究。按照随机数字表法，随机分为观察组和对照组。对照组仅采用牙周组织再生术对患者进行治疗，观察组采用牙周组织再生术联合正畸矫正手术对患者进行治疗。术后，分析记录两组患者的菌斑指数、龈沟出血指数、临床附着丧失、牙周探诊深度及探诊出血率。随访调查1年，记录分析两组患者的术后并发症，以及牙周附着获得、牙周袋深度减少、牙槽骨深度增加和根分叉深度减少值。结果术后，检查发现观察组患者的菌斑指数、龈沟出血指数、临床附着丧失及牙周探诊深度均明显低于对照组（P ＜0．01），患者探诊出血率（16．9％）明显低于对照组（60．0％），两组比较差异有统计学意义（χ2＝10．2716，P ＝0．0014）。随访调查发现两组患者并发症的发生率差异无统计学意义（χ2＝0．0891，P ＝0．7653）。牙周附着获得、牙周袋深度减少、牙槽骨深度增加及根分叉深度减少值均明显高于对照组（P ＜0．01），表明观察组的牙周各项指标改善程度明显高于对照组（P ＜0．01）。观察组的美观评分、牙龈健康状况评分、口腔清洁评分及患者的整体满意度评分明显高于对照组（P ＜0．05），两组比较差异有统计学意义（t＝2．0563，P ＝0．0452）。结论牙周组织再生术联合正畸治疗牙周炎，可显著改善患者的牙周状况，效果明显优于单纯使用牙周组织再生术。
목적：연구아주조직재생술연합정기치료아주염환자적료효。방법선택2010년3월지2013년3월접진적50례아주염환자진행연구。안조수궤수자표법，수궤분위관찰조화대조조。대조조부채용아주조직재생술대환자진행치료，관찰조채용아주조직재생술연합정기교정수술대환자진행치료。술후，분석기록량조환자적균반지수、간구출혈지수、림상부착상실、아주탐진심도급탐진출혈솔。수방조사1년，기록분석량조환자적술후병발증，이급아주부착획득、아주대심도감소、아조골심도증가화근분차심도감소치。결과술후，검사발현관찰조환자적균반지수、간구출혈지수、림상부착상실급아주탐진심도균명현저우대조조（P ＜0．01），환자탐진출혈솔（16．9％）명현저우대조조（60．0％），량조비교차이유통계학의의（χ2＝10．2716，P ＝0．0014）。수방조사발현량조환자병발증적발생솔차이무통계학의의（χ2＝0．0891，P ＝0．7653）。아주부착획득、아주대심도감소、아조골심도증가급근분차심도감소치균명현고우대조조（P ＜0．01），표명관찰조적아주각항지표개선정도명현고우대조조（P ＜0．01）。관찰조적미관평분、아간건강상황평분、구강청길평분급환자적정체만의도평분명현고우대조조（P ＜0．05），량조비교차이유통계학의의（t＝2．0563，P ＝0．0452）。결론아주조직재생술연합정기치료아주염，가현저개선환자적아주상황，효과명현우우단순사용아주조직재생술。
Objective The efficacy of periodontal tissue regeneration combined orthodontic to periodontitis pa-tients.Methods Fifty cases of periodontitis patients from March 2010 to March 2013 were studied.According to a random number table method,they were randomly divided into observation group and control group.The control group were used only periodontal tissue regeneration to patients,and the observation group were used periodontal tis-sue regeneration orthodontic surgery combined to patients.After surgery,plaque index,sulcus bleeding index,clinical attachment loss,probing depth and bleeding on probing rate of the patients were analyzed.1-year follow-up survey, the postoperative complications,and periodontal attachment gain,reducing periodontal pocket depth of the two groups were analyzed,alveolar depth added value and the depth of the root bifurcation reduced value were analyzed.Results After the operation,the plaque index,sulcus bleeding index,clinical attachment loss and probing depth in the observa-tion group were significantly lower than those in the control group(P <0.01),the bleeding on probing rate(16.9%) was significantly lower than that in the control group(60.0%),the two groups was statistically significant(χ2 =10.271 6,P =0.001 4).Follow-up survey found that the incidence of complications of the two groups were not sig-nificant different(χ2 =0.089 1,P =0.765 3).Periodontal attachment to obtain,periodontal pocket depth reduction, the depth of the alveolar bone increased and the depth of the root furcation reduced value of the observation group were significantly higher than those in the control group(P <0.01).The beautiful score,gingival health evaluation, the patient′s oral hygiene scores and overall satisfaction score of the observation group were significantly higher than those of the control group(P <0.05),the two groups were statistically significant(t=2.056 3,P =0.045 2).Conclu-sion The periodontal tissue regeneration combined orthodontic for periodontitis can significantly improve the perio-dontal status of patients,the effect was better than the use of periodontal tissue regeneration.