成人口腔正畸治疗牙周病的临床分析(1)
[摘要]目的：讨论并临床分析成人口腔正畸手段对牙周病的治疗。方法：将我院口腔科自2013年3月～2013年12月中收治的120例牙周病成年患者分为两组，一组只采取常规治疗(60例)，一组结合正畸治疗(60例)，并在治疗结束后对患者的牙龈出血指数、牙齿松动度、牙周带深度、前牙覆盖、牙槽骨高度等方面的改善程度进行观察。结果：在进行过口腔正畸治疗牙周病后，60例成人患者各方面情况对照基本治疗组均有明显好转，患者在治疗前后的病情存在明显差异，治疗有效率显著，存在统计学差异(P<0.05)。结论：成人牙周病患者在常规治疗的基础上再结合口腔正畸治疗，可有效改善牙龈的出血状况，使牙齿松动度降低，稳定性增强且排列整齐，牙周袋深度浅化或消除，牙槽骨吸收减少或停止，促进患者的牙周健康，增强了他们的自信，提高了生活品质。
[关键词]正畸治疗；牙周病；成人
[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2014)22-1908-04
Clinical analysis of adult orthodontic treatment of periodontal disease
CHEN Zhao-she
(Department of Stomatology，Shaanxi Provincial People's Hospital，Xi'an 710068，Shaanxi，China)
Abstract： Objective To discuss and clinical analysis on adult orthodontic treatment on periodontal disease. Methods 120 adult patients with periodontal disease in Department of stomatology in our hospital from Mar.2013 to Jan.2014 were divided into two groups in a set of parallel， members of one groups(60 cases) taken only conventional treatment，anther group (60 cases) combined with orthodontic treatment，and at the end of treatment on patients，these indicators，for example gingival bleeding index， loose teeth，periodontal depth，coverage of anterior teeth，height of alveolar bone and other improvements，were observed. Results After orthodontic treatment of periodontal disease， 60 cases of patients with the adult control basic treatment group were obviously improved， the condition of patients have obvious differences than before and treatment of the effective rate is significant (P<0.05). Conclusion Adult periodontitis patients， who were treated by orthodontic treatment on the basis of conventional therapy，can effectively improve the gingival bleeding condition，reduce the degree of loose teeth，enhance the stability ，improve the order，shallow or eliminate periodontal pocket depth，reduce or stop alveolar bone absorption，and promote patients periodontal health，which will enhance their self-confidence，along with improve the quality of life.
Key words：orthodontic treatment； periodontal disease；adult
社会文明不断进步的同时也促进人类健康保健及审美意识的提高，越来越多的成人也日益重视口腔的功能和美观，然而成人往往伴有不同程度的牙周疾病。牙周病这一古老而常见的疾病是指发生在牙齿支持组织(牙龈、牙周膜、牙槽骨等)的多种慢性、破坏性疾病的总称[1]，致病患者会出现牙齿松动、移位，甚至脱落的情形，进而继发牙颌畸形及咬合创伤并进一步加重牙周炎，严重影响患者的自身形象和自信心。但目前对于这类疾病的患者除了常规治疗方法，即牙周基础治疗、局部或全身用药、维护和观察外，尚未找到更好的治疗办法。我院在对收治的成人患者在采取常规治疗后结合口腔正畸治疗后，通过分析牙周病患者采取正畸治疗的临床资料，发现效果良好，现报道如下。
1 资料和方法
1.1 一般资料：选取我院口腔科2013年3月～2013年12月收治的牙周病患者120例(男44例，女76例)，年龄27～62岁，平均(46.5±8.46)岁。患者均有不同程度的牙龈出血萎缩、牙齿松动、移位、伸长、倾斜、牙间隙较宽、口臭，及深覆牙合，牙体呈扇形改变等情况。其中牙周袋深度<3mm者48例，4～5mm 者58例，>5mm者14例，所有患者X线片均显示牙槽骨吸收。120例成年患者均无其他重大全身性疾病(如心脏病、糖尿病)，依从性良好[2]。将120位成年患者分为两组，其中观察组60例，在常规治疗的基础上再结合口腔正畸治疗；对照组60例，仅采取牙周病基础治疗，不进行正畸治疗(对照组患者不愿采取正畸治疗)。两组患者在性别、年龄、临床表现及就医原因等方面亦无明显差异，具有可比性。 (陈兆社)
[关键词]正畸治疗；牙周病；成人
[中图分类号]R783.5 [文献标识码]A [文章编号]1008-6455(2014)22-1908-04
Clinical analysis of adult orthodontic treatment of periodontal disease
CHEN Zhao-she
(Department of Stomatology，Shaanxi Provincial People's Hospital，Xi'an 710068，Shaanxi，China)
Abstract： Objective To discuss and clinical analysis on adult orthodontic treatment on periodontal disease. Methods 120 adult patients with periodontal disease in Department of stomatology in our hospital from Mar.2013 to Jan.2014 were divided into two groups in a set of parallel， members of one groups(60 cases) taken only conventional treatment，anther group (60 cases) combined with orthodontic treatment，and at the end of treatment on patients，these indicators，for example gingival bleeding index， loose teeth，periodontal depth，coverage of anterior teeth，height of alveolar bone and other improvements，were observed. Results After orthodontic treatment of periodontal disease， 60 cases of patients with the adult control basic treatment group were obviously improved， the condition of patients have obvious differences than before and treatment of the effective rate is significant (P<0.05). Conclusion Adult periodontitis patients， who were treated by orthodontic treatment on the basis of conventional therapy，can effectively improve the gingival bleeding condition，reduce the degree of loose teeth，enhance the stability ，improve the order，shallow or eliminate periodontal pocket depth，reduce or stop alveolar bone absorption，and promote patients periodontal health，which will enhance their self-confidence，along with improve the quality of life.
Key words：orthodontic treatment； periodontal disease；adult
社会文明不断进步的同时也促进人类健康保健及审美意识的提高，越来越多的成人也日益重视口腔的功能和美观，然而成人往往伴有不同程度的牙周疾病。牙周病这一古老而常见的疾病是指发生在牙齿支持组织(牙龈、牙周膜、牙槽骨等)的多种慢性、破坏性疾病的总称[1]，致病患者会出现牙齿松动、移位，甚至脱落的情形，进而继发牙颌畸形及咬合创伤并进一步加重牙周炎，严重影响患者的自身形象和自信心。但目前对于这类疾病的患者除了常规治疗方法，即牙周基础治疗、局部或全身用药、维护和观察外，尚未找到更好的治疗办法。我院在对收治的成人患者在采取常规治疗后结合口腔正畸治疗后，通过分析牙周病患者采取正畸治疗的临床资料，发现效果良好，现报道如下。
1 资料和方法
1.1 一般资料：选取我院口腔科2013年3月～2013年12月收治的牙周病患者120例(男44例，女76例)，年龄27～62岁，平均(46.5±8.46)岁。患者均有不同程度的牙龈出血萎缩、牙齿松动、移位、伸长、倾斜、牙间隙较宽、口臭，及深覆牙合，牙体呈扇形改变等情况。其中牙周袋深度<3mm者48例，4～5mm 者58例，>5mm者14例，所有患者X线片均显示牙槽骨吸收。120例成年患者均无其他重大全身性疾病(如心脏病、糖尿病)，依从性良好[2]。将120位成年患者分为两组，其中观察组60例，在常规治疗的基础上再结合口腔正畸治疗；对照组60例，仅采取牙周病基础治疗，不进行正畸治疗(对照组患者不愿采取正畸治疗)。两组患者在性别、年龄、临床表现及就医原因等方面亦无明显差异，具有可比性。 (陈兆社)