刘学勍

[摘要] 目的 探討牙周-正畸联合治疗牙周炎致前牙扇形移位的效果。 方法 回顾分析厦门市医学院附属口腔医院2016年5月—2017年6月收治的66例牙周炎致前牙扇形移位患者的临床资料。所有患者均给予牙周-正畸联合治疗，治疗后评价牙周-正畸联合治疗牙周炎致前牙扇形移位的效果。 结果 20～30岁患者治疗后牙周袋0 mm， <3 mm和>3 mm分布情况分别为41，12颗和0颗，明显好于治疗前10、34颗及9颗，差异有统计学意义（Z=2.12， P=0.03）;治疗后牙槽骨吸收在根管1/3，中1/3及根尖1/3的分布情况分别为42、11颗和0颗，显著好于治疗前26、21颗及6颗，差异有统计学意义（Z=2.01， P=0.04）;31～40岁患者治疗后牙周袋0 mm， <3 mm和>3 mm分布情况分别为43、6颗和2颗，明显好于治疗前5、36颗及10颗，差异有统计学意义（Z=3.12， P=0.02）;治疗后牙槽骨吸收在根管1/3，中1/3及根尖1/3的分布情况分别为45、6颗和0颗，显著好于治疗前26、19颗及6颗，差异有统计学意义（Z=2.21， P=0.03）。 结论 对20～40岁牙周炎引起的前牙扇形移位患者采取牙周-正畸联合治疗，能有效控制炎症，降低对患者的■创伤，并且长期效果较好，适于在临床上广泛应用和推广。

[关键词] 牙周炎;正畸矫正;前牙扇形移位;效果

[中图分类号] R783.5          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0014-03

Effect of Combined Periodontal and Orthodontic Treatment on Anterior Teeth Sector Displacement Caused by Periodontitis

LIU Xue-qing

Department of Periodontics， Affiliated Stomatology Hospital of Xiamen Medical College， Xiamen， Fujian Province， 361003 China

[Abstract] Objective To investigate the effect of periodontal and orthodontic treatment of anterior teeth sector displacement caused by periodontitis. Methods The clinical data of 66 patients with anterior segmental dislocation caused by periodontitis from May 2016 to June 2017 in the Affiliated Stomatological Hospital of Xiamen Medical University were retrospectively analyzed. All patients were given periodontal-orthodontic treatment. After treatment， the periodontal-orthodontic treatment combined with periodontal treatment was used to evaluate the effect of fan-shaped displacement of the anterior teeth. Results The distributions of periodontal pockets 0， <3 mm， and >3 mm in patients aged 20-30 years were 41， 12 and 0， respectively， which were significantly better than those before treatment 10， 34 and 9. The difference was statistically significant （Z=2.12， P=0.03）. The distribution of alveolar bone resorption after treatment was 1/3 in the root canal， 1/3 in the middle， and 1/3 in the apical ridge. The distributions were 42， 11 and 0， respectively， which were significantly better than the 26， 21 and 6 before treatment. There was a statistically significant （Z=2.01， P=0.04）; after treatment， the periodontal pockets of patients aged 31-40 years were 0 mm， <3 mm and >3 mm， and the distributions were 43， 6， and 2 respectively， which was significantly better than before treatment 5， 36 and 10. The difference was statistically significant （Z=3.12， P=0.02）; the distribution of alveolar bone resorption after treatment was 1/3 in the root canal， 1/3 in the center， and 1/3 in the apical ridge were 45， 6 and 0， respectively， significantly better than before treatment 26， 19 and 6， the difference was statistically significant（Z=2.21， P=0.03）. Conclusion Took periodontal-orthodontic treatment of patients with anterior segmental dislocation caused by periodontitis for 20-40 years old combined treatment can effectively control inflammation， reduce the trauma of patients with spasticity， and has good long-term effect， and is suitable for wide application and promotion in clinical practice.

[Key words] Periodontitis; Orthodontic correction; Displacement of anterior teeth; Effect

牙周炎是一种临床常见病，目前临床上针对牙周炎引起的前牙扇形移位主要以牙周基础治疗为主，但长期疗效不佳[1]，该研究通过对该院收治的部分牙周炎所致前牙扇形移位患者采取牙周-正畸联合治疗，在一定程度上提高了患者的预后[2]，现对2016年5月—2017年6月该院收治的66例牙周炎致前牙扇形移位患者的临床资料进行回顾分析，现报道如下。……