梁德凤+++周鑫才++魏迪欣

[摘要]目的 探討牙周正畸联合疗法与单纯性牙周治疗在牙周病中的效果。方法 选择2015年10月～2016年10月于我院口腔科就诊的68例牙周病患者，随机分为联合治疗组和单纯治疗组，各34例。两组分别采用牙周正畸联合疗法与单纯性牙周治疗，比较两组的疗效指标，包括牙龈指数（GI）、探诊出血位点数（BOP）、牙周探诊深度（PD）、牙齿松动度（TM）以及牙槽骨密度（ABD）和美学指标[牙齿美学指数（DAI）、微笑相关测量值和患者满意度]。结果 两组治疗后的GI、BOP、PD和TM低于治疗前，差异有统计学意义（P<0.05）。两组治疗后的GI比较，差异无统计学意义（P>0.05）。联合治疗组治疗后的BOP、PD和TM显著低于单纯治疗组，差异有统计学意义（P<0.05）。联合治疗组治疗后的ABD显著高于治疗前及单纯治疗组治疗后，差异有统计学意义（P<0.05）。联合治疗组治疗后的各项美学指标改善程度显著优于治疗前和单纯治疗组治疗后，差异有统计学意义（P<0.05）。结论 相较于单纯性牙周治疗，牙周正畸联合疗法可以显著降低牙周炎症程度，减轻牙齿松动度和牙槽骨破坏，明显改善患者的牙齿美学容貌，值得推广。

[关键词]牙周治疗；正畸治疗；牙周病

[中图分类号] R781 [文献标识码] A [文章编号] 1674-4721（2017）05（b）-0097-03

Application efficacy of periodontal initial therapy combined with orthodontic treatment for periodontal disease

LIANG De-feng ZHOU Xin-cai WEI Di-xin

Department of Stomatology，Maternal and Child Health Care Hospital of Baoan District in Shenzhen City，Guangdong Province，Shenzhen 518101，China

[Abstract]Objective To compare the curative effects of simple periodontal initial therapy and combined orthodontic treatment for periodontal disease.Methods From October 2015 to October 2016，68 periodontal disease patients were selectes and randomly divided into the simple treatment group and the combined treatment group，each group contained 34 patients.Patients in the simple treatment group were treated with simple periodontal initial therapy.The combined treatment group was treated by periodontal initial therapy combined with orthodontics treatment.The curative effect index，such as gingival index （GI），bleeding on probing （BOP），probing depth （PD），tooth mobility （TM） and alveolar bone density （ABD），and the aesthetical index such as dental aesthetic index （DAI），measured value of smile photograph and patient satisfaction were evaluated.Results The GI，BOP，PD and TM after treatment in the two groups was lower than that before treatment，with significant difference （P<0.05）.There was no significant difference in the GI after treatment between the two groups （P>0.05）.The BOP，PD and TM after treatment in the combined treatment group was lower than that in the simple treatment group，with significant difference （P<0.05）.The ABD after treatment in the combined treatment group was significantly higher than that before treatment and in the simple treatment group after treatment，with significant difference （P<0.05）.The improvement of aesthetic index after treatment of the combined treatment group was better than that before treatment and of the simple treatment group，with significant difference （P<0.05）.Conclusion The combined orthodontic treatment for periodontal disease can significantly reduce periodontal inflammation，tooth mobility and the destruction in alveolar bone，obviously improve the dental esthetics of patients，it is worthy of promotion.

[Key words]Periodontal initial therapy；Orthodontic treatment；Periodontal disease

牙周病（periodontal disease）是指發生在牙周组织（如牙龈、牙周膜、牙槽骨以及牙骨质）的一组慢性感染性疾病的统称，是常见的口腔疾患，也是造成牙齿丧失的重要原因之一。牙周病不仅严重影响口腔的功能，还对患者颜面部外貌有负面影响。近年来的多项流行病学研究显示，牙周病是冠状动脉粥样硬化性心脏病、高血压等疾病的重要危险因素之一。牙周正畸联合治疗是在单纯性牙周治疗的基础上，矫正因牙周组织病变而失常的牙列，恢复牙齿功能[1]。但是，关于牙周正畸联合治疗的疗效存在一定争议。本研究旨在探讨牙周正畸联合疗法与单纯性牙周治疗在牙周病中的疗效差异，现报道如下。

1资料与方法

1.1一般资料

选择2015年10月～2016年10月于我院口腔科就诊的68例牙周病患者，随机分为联合治疗组和单纯治疗组，各34例。……