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牙周病致前牙移位采用口腔正畸治疗的临床效果 被引量:4

Clinical Effect of Orthodontic Treatment of Anterior Tooth Displacement Caused by Periodontal Disease
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摘要 目的分析口腔正畸在牙周病致前牙移位治疗中的应用效果.方法选取2018年12月—2020年12月本院收治的82例牙周病致前牙移位患者,随机分为对照组与观察组,每组41例.对照组采用牙周基础治疗,观察组在此基础上进行口腔正畸.对比两组的治疗效果.结果观察组的治疗总有效率为92.68%,高于对照组的75.61%,差异有统计学意义(P<0.05).治疗后,观察组的牙槽骨高度、牙周袋深度、探诊出血率均低于对照组,组间差异有统计学意义(P<0.05).观察组的不良反应发生率为4.88%,低于对照组的19.51%,差异有统计学意义(P<0.05).治疗后,观察组的各项炎症因子水平均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的美观、咬合关系、牙齿排列整齐状况评分均高于对照组,组间差异有统计学意义(P<0.05).结论口腔正畸在牙周病致前牙移位治疗中的应用效果显著,可改善患者牙周袋深度及牙槽骨高度,减轻炎症反应,维持良好的口腔功能,值得临床推广使用. Objective To analyze the effect of orthodontics in the treatment of anterior tooth displacement caused by periodontal disease.Methods A total of 82 patients with anterior tooth displacement caused by periodontal disease treated in the hospital from December 2018 to December 2020 were randomly divided into a control group and an observation group,with 41 cases in each group.The control group received periodontal basic treatment,and the observation group received orthodontics on this basis.The therapeutic effects of the two groups were compared.Results The total effective rate of observation group was 92.68%,higher than 75.61%of control group,the difference was statistically significant(P<0.05).After treatment,the height of alveolar bone,the depth of periodontal pocket and the probing bleeding rate in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of adverse reactions in the observation group was 4.88%,lower than 19.51%in the control group,and the difference was statistically significant(P<0.05).After treatment,the levels of inflammatory factors in the observation group were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the scores of aesthetics,occlusal relationship and orderly tooth arrangement in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Orthodontic treatment of anterior tooth displacement caused by periodontal disease can improve the depth of periodontal pocket and height of alveolar bone,reduce inflammation and maintain good oral function,which is worthy of clinical application.
作者 朱红 ZHU Hong(Department of Stomatology,The Fifth Hospital of Harbin,Heilongjiang Province,Harbin Heilongjiang,150036,China)
出处 《反射疗法与康复医学》 2022年第8期154-157,共4页 Reflexology And Rehabilitation Medicine
关键词 口腔正畸 牙周病 前牙移位 Orthodontics Periodontal disease Anterior tooth displacement
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