劉西霞
摘 要:目的 研究口腔正畸治療牙周病致前牙移位的臨床效果。方法 回顧分析2017年2月~2018年2月我院接診的68例牙周病致前牙移位的患者臨床資料,均采用口腔正畸治療,觀察臨床治療成功率、治療前后牙周袋深度、牙周出血指數、前牙槽高度、前牙覆蓋、前牙覆合等臨床指標以及臨床治療滿意度。結果 68例患者總治療成功率為92.64%。治療后牙周袋深度、牙周出血指數、前牙槽高度、前牙覆蓋、前牙覆合均改善,與治療前對比,差異有統計學意義(P<0.05)。隨訪6個月,牙周袋深度、牙周出血指數、前牙槽高度、前牙覆蓋、前牙覆合各指標保持良好,與治療前對比,差異有統計學意義(P<0.05)。臨床治療滿意度為89.70%。結論 口腔正畸治療牙周病致前牙移位效果良好,尤其是在牙周控制方面,可以改善牙齒咀嚼功能,且可滿足患者的美觀要求,具有臨床應用的重要意義。
關鍵詞:口腔正畸;牙周病;前牙移位
中圖分類號:R783.5 文獻標識碼:B DOI:10.3969/j.issn.1006-1959.2018.17.060
文章編號:1006-1959(2018)17-0185-03
Abstract:Objective To study the clinical effect of orthodontics on the displacement of anterior teeth caused by periodontal disease. Methods The clinical data of 68 patients with anterior teeth displacement caused by periodontal disease in our hospital from February 2017 to February 2018 were retrospectively analyzed.Oral orthodontic treatment was used to observe clinical treatment success rate,periodontal pocket depth before and after treatment,periodontal bleeding index,anterior alveolar height,anterior teeth coverage,anterior teeth lamination and other clinical indicators as well as clinical treatment satisfaction.Results The total treatment success rate of 68 patients was 92.64%.The depth of periodontal pocket,periodontal bleeding index,anterior alveolar height,anterior teeth coverage and anterior teeth lamination were improved after treatment,the difference was statistically significant(P<0.05).After 6 months of follow-up,the periodontal pocket depth,periodontal bleeding index,anterior alveolar height,anterior teeth coverage,and anterior teeth lamination were all well maintained,the difference was statistically significant(P<0.05).Clinical treatment satisfaction was 89.70%.Conclusion Orthodontic treatment of periodontal disease has a good effect on anterior teeth displacement,especially in periodontal control,which can improve the function of tooth chewing and meet the aesthetic requirements of patients.It has important significance in clinical application.
Key words:Orthodontic;Periodontal disease;Anterior teeth displacement
牙周疾病容易導致前牙移位,是臨床常見的口腔疾病,主要由于牙周支持組織受損引發[1]。臨床主要表現為前牙唇呈現扇形分散展開、前牙出現移位或前牙縫隙增加,嚴重時發生脫落。牙周疾病發展到一定程度,固定牙齒的牙槽骨遭到破壞,前牙會向破壞嚴重的一側傾斜移位。前牙移位不僅會影響患者的咀嚼功能,嚴重時會發生脫落或導致牙齒被拔除,并且會使患者面部發生畸形,在心理上對患者造成傷害。因此,應及時進行糾正治療。臨床常規治療不徹底,整體效果較差,不能滿足臨床治療需求。口腔正畸治療可及時糾正前牙移位,阻斷不良的咬合關系,且可達到患者的美觀要求。本文結合臨床資料,研究口腔正畸治療牙周病致前牙移位臨床效果,希望為臨床提供一定的參考依據。
1資料與方法
1.1一般資料 回顧分析2017年2月~2018年2月濟南市第五人民醫院接診的68例牙周病致前牙移位的患者臨床資料,本研究經過醫院倫理委員會批準。……