果利黑龙江省大庆龙南医院，黑龙江大庆　163453

正畸治疗对糖尿病合并牙周病患者牙周状况及血糖水平的影响

果利
黑龙江省大庆龙南医院，黑龙江大庆163453

目的 观察正畸治疗对糖尿病合并牙周患者牙周状况及血糖水平的影响。方法 选取2013年10月—2015年6月期间该院收治的糖尿病合并牙周病患者56例，随机分为观察组与对照组，各28例，两组均给予常规牙周治疗，牙周组织炎症消除后观察组实施正畸治疗。观察治疗后两组牙周袋深度、牙齿松动程度、牙槽骨吸收程度、操诊出血面与深度以及血糖水平，并进行比较分析。结果 观察组牙齿松动程度、牙袋深度、牙槽骨吸收度均优于对照组，差异具有统计学意义（P＜0.05）；观察组操诊深度、操诊出血面、糖化血红蛋白指标均明显低于对照组，差异具有统计学意义（P＜0.05）。结论 正畸治疗糖尿病合并牙周效果显著，使患者咀嚼功能基本恢复，生活质量得到改善，并在一定程度上改善血糖水平，有效缓解糖尿病症状。

牙周炎；正畸治疗；糖尿病；血糖水平；牙周状况

DOI：10.16658/j.cnki.1672-4062.2016.10.128

［Abstract］Objective To observe the effect of orthodontic treatment week status and blood glucose levels in diabetic patients with periodontal teeth.Methods During October 2013-2015 year in June in our hospital were diabetic patients with periodontal disease in 56 cases,were randomly divided into observation group and control group,28 cases each,two groups were given routine periodontal treatment.Periodontal tissue inflammation eliminated after orthodontic treatment.Observation group of two groups were observed after treatment of periodontal pocket depth,loose teeth,alveolar bone resorption,operating surface and depth as well as blood glucose levels in diagnosis of hemorrhage,and comparative analysis.Results In the observation group,loose teeth,periodontal pocket depth,alveolar bone resorption degree than the control group,significant difference（P＜0.05）；observation group operation diagnosis depth,operation bleeding,hemoglobin index were significantly lower than the control group,the difference was significant（P＜0.05）.Conclusion The orthodontic treatment of diabetic patients with periodontal effect,make the patient Masticatory function was restored,improved quality of life,and improve blood sugar levels in a certain extent,effectively alleviate the symptoms of diabetes.

［Key words］Periodontitis；Orthodontic treatment；Diabetes mellitus；Blood glucose；Periodontal status

牙周炎是一种由菌斑、牙石、创伤性咬合等引发牙周组织发炎的慢性炎症，随着炎症的扩散，牙周炎患者易出现牙齿松动、牙周袋、牙周溢脓等症状。牙周炎严重影响患者咀嚼功能，且疼痛令人难以忍受，导致患者生活质量严重下降［1］。牙周炎是糖尿病等系统性疾病的高危因素，同时糖尿病也是增加牙周病发病率的重要因素之一，由于糖尿病与牙周炎存在共同危险因素，两种疾病互为高危因素，为双向关系，牙周炎在一定程度上可增加糖尿病并发症的发生率，因此有效的牙周炎治疗有利于血糖的控制［2］。……