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中国初级卫生保健:2017,(11):94-
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牙周正畸联合治疗牙周病的疗效评价
Evaluation of efficacy of combined periodontal-orthodontic treatment in periodontosis
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中文摘要: 目的 评估牙周正畸联合治疗牙周病的临床疗效。方法 选取轻、中度牙周病患者45例,在牙周基础治疗后结合正畸联合治疗,观察患者治疗前及治疗后不同时间点牙周袋探诊深度(PD)、牙冠长度、牙根长度及不同区域牙槽骨密度的变化。结果 与治疗前比较,牙周基础治疗及正畸治疗后患者牙周袋PD明显减小,牙冠长度明显增加,牙周正畸治疗效果更为显著(P<0.05或P<0.01);牙根长度治疗前后未见明显变化(P>0.05)。与治疗前比较,牙周基础治疗后患者牙槽嵴顶及根尖区骨密度明显增加(P<0.05),而牙周正畸治疗后明显减少(P<0.05或P<0.01),且显著低于牙周基础治疗后(P<0.01)。结论 牙周正畸联合治疗牙周病可有效改善牙周状况,增加牙冠长度,减少牙槽骨密度,且对牙根长度无明显影响。
Abstract:OBJECTIVE To evaluate the clinical efficacy of combined periodontal-orthodontic treatment in periodontosis. METHODS A total of 45 patients with mild and moderate periodontosis were selected and treated with combined periodontal-orthodontic treatment based on periodontal non-surgical treatment. The changes of probing depth (PD) of periodontal pocket, the length of dental crown and teeth root, as well as the density of alveolar bones in different areas were observed at different time points before and after treatment. RESULTS Compared treatment before, PD of periodontal pocket decreased evidently, and the length of dental crown increased markedly in patients treated with combined periodontal-orthodontic treatment based on periodontal non-surgical treatment, with more significant periodontal-orthodontic efficacy obtained (P<0.05or P<0.01), but there was not significant change in the length of teeth root before and after treatment (P>0.05). Compared treatment before, the density of bone in alveolar ridge crest and apical region increased apparently in patients after periodontal non-surgical treatment (P<0.05), but decreased notably after periodontal-orthodontic treatment (P<0.05 or P<0.01), which was significantly lower than that after periodontal non-surgical treatment (P<0.01). CONCLUSION Combined periodontal-orthodontic treatment can effectively improve the periodontal conditions, increase the length of dental crown, and decrease the density of alveolar bones without influencing the length of teeth root of patients with periodontosis.
文章编号:3201711038     中图分类号:R781.4    文献标志码:
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贾双琴1    丁艳美1    万小卫1  
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