口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (11): 1200-1203.DOI: 10.13701/j.cnki.kqyxyj.2018.11.013

• 牙周病学研究 • 上一篇    下一篇

正畸-牙周联合治疗对成人牙周病患者磨牙区牙龈的影响

杨宝宽1, 施星辉2*   

  1. 1. 南京医科大学口腔疾病研究江苏省重点实验室, 南京医科大学附属口腔医院正畸科 江苏 南京 210029;
    2. 南京医科大学附属口腔医院第三门诊部 江苏 南京 210029
  • 收稿日期:2018-06-12 出版日期:2018-11-28 发布日期:2018-11-23
  • 通讯作者: 施星辉,E-mail:porl@163.com
  • 作者简介:杨宝宽(1981~ ),男,江苏人,硕士,主治医师,主要从事口腔正畸的临床治疗工作。
  • 基金资助:
    江苏省科技厅省自然科学基金(编号:BK2009347)

Effects of Orthodontic Accompanied with Periodontal Treatment on Gums in the Molar Area of Adult Periodontal Patients

YANG Bao-kuan1, SHI Xing-hui2*   

  1. 1. Jangsun Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Orthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University. Nanjing 210029, China;
    2. The Third Outpatient Clinic, Affiliated Stomatology Hospital of Nanjing Medical University, Nanjing 210029, China.
  • Received:2018-06-12 Online:2018-11-28 Published:2018-11-23

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摘要： 目的:通过对正畸-牙周联合治疗前后磨牙区牙周状况和牙龈外形指数进行观察和分析,评估正畸-牙周联合治疗后成人牙周病患者磨牙区牙龈组织健康状况。方法:以我院第三门诊部24例中重度牙周病患者为观察对象,患者经过充分的牙周支持治疗,待牙周炎症稳定控制后采取正畸治疗,比较正畸治疗前后的口腔卫生指标及牙龈状况,包括口腔菌斑指数PLI、出血指数BI、磨牙区的牙龈外形指数PPI、临床附着丧失CAL以及牙周袋探诊深度PD等相关指标的变化。结果:24例患者接受正畸-牙周联合治疗前后的对比发现:PLI、BI、PPI、PD及CAL等指标在治疗后均显著改善,P＜0.05,差异具有统计学意义,证实磨牙区牙龈健康状况较治疗前明显提升。结论:正畸-牙周联合治疗能够纠正牙体的畸形,重建正常的咬合关系,改善磨牙区的牙龈状态,同时有利于菌斑的控制和牙周组织炎症反应的缓解,可以作为中重度牙周病患者的临床治疗方案应用于临床实践。

关键词: 正畸-牙周综合治疗, 牙周炎, 牙龈健康, 磨牙区

Abstract: Objective: To explore the clinical effects of orthodontic-periodontal treatment on gums in the molar area of adult periodontal patients, through the observation and analysis of periodontal status and gingival appearance index of molar. Methods: 24 patients with moderate or severe periodontal disease from our Department were included and treated with adequate periodontal support therapy. After periodontal inflammation was controlled, orthodontic treatment was performed by an experienced oral doctor. The plaque index (PLI), bleed on probing (BOP), modified bleeding index (BI), papilla presence index (PPI), probing depth (PD), and clinical attachment loss were compared before and after treatment. Results: 24 patients with moderate and severe periodontitis had significant improvement in oral plaque index (PLI), probe hemorrhage (BOP), bleeding index (BI), molar profile index (PPI) of the gum area and probing depth of periodontal pocket (PD) (P<0.05). The health condition of gums was significantly improved after treatment. Conclusion: After orthodontic combined with periodontal treatment, the deformity of the tooth was corrected, the occlusal relationship was rebuilt, and the gingival state of the molar area was improved, which is beneficial to the control of plaque and oral hygiene. So orthodontic accompanied with periodontal treatment is worthy of clinical application as a treatment option for patients with moderate to severe periodontal disease.

Key words: Orthodontic accompanied with periodontal treatment, Periodontitis, Gingival health, Molar area