正畸联合牙周夹板治疗牙周炎所致前牙扇形移位的美学效果观察

doi:10.19439/j.sjos.2019.04.016

摘要/Abstract

摘要： 目的探讨正畸联合牙周夹板治疗牙周炎所致前牙扇形移位的美学效果。方法选取 2013年1月—2018年10月中国人民解放军东部战区空军医院口腔科收治的牙周炎所致前牙扇形移位患者50例,按随机数字表法分为对照组（n=25）及实验组（n=25）。对照组给予常规牙周夹板治疗,实验组在对照组的基础上联合正畸治疗。采用Florida牙周探针观察比较2组患者治疗前、治疗后1个月牙周探诊深度（PD）、牙龈指数（GI）、附着丧失（AL）、龈沟出血指数（SBI）、菌斑指数（PLI）及松动度;利用酶联免疫吸附法检测并比较2组患者治疗前及治疗后1个月血清炎性因子白细胞介素4（IL-4）、白细胞介素6（IL-6）、肿瘤坏死因子α（TNF-α）和C反应蛋白（CRP）水平及骨钙素（OC）水平。采用SPSS 21.0软件包对数据进行统计学分析。结果与治疗前相比,治疗后2组患者PD和GI均明显下降,且实验组显著低于对照组（P<0.05）;治疗后2组患者AL、SBI、PLI水平及松动度显著降低,且实验组显著低于对照组（P<0.05）;与治疗前相比,治疗1个月后,2组患者血清中IL-4、IL-6、TNF-α、CRP水平显著降低,且实验组低于对照组（P<0.05）;治疗后实验组不同时间点骨钙素水平均显著高于对照组（P<0.05）,实验组治疗后1 d骨钙素水平达峰值,以后逐渐回落,治疗后7 d基本恢复术前水平。结论采用正畸联合牙周夹板治疗牙周炎所致前牙扇形移位效果显著,牙周炎症状可得到有效改善,牙也得到有效矫正,患者面部美观度得到提高。

关键词: 牙周炎, 正畸, 炎性因子, 骨钙素, 扇形移位

Abstract: PURPOSE: To explore the aesthetic effect of orthodontics treatment combined with periodontal splint in the treatment of fan-shaped displacement of anterior teeth caused by periodontitis. METHODS: Fifty patients with fan-shaped displacement of anterior teeth caused by periodontitis in PLA air force hospital from January 2013 to October 2018 were selected and randomly divided into the control group (n=25) and the experimental group (n=25). Patients in the control group were treated with conventional periodontal splint, while patients in the experimental group were treated with combined orthodontic treatment on the basis of the control group. Florida periodontal probe exploration depth (PD), gingival index (GI), attachment loss (AL), sulcus bleeding index (SBI), plaque index (PLI) and mobility were observed and compared before and 1 month after treatment between both groups. The levels of serum inflammatory factors interleukin-4 (IL-4), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), C-reactive protein (CRP) and osteocalcin (OC) were measured and compared by ELISA before treatment and 1 month after treatment in both 2 groups. The data were analyzed with SPSS 21.0 software package. RESULTS: Compared with before treatment, PD and GI in both groups decreased significantly after treatment, and significantly lower in the experimental group than that in the control group (P<0.05); the levels of AL, SBI, PLI and tooth looseness in both 2 groups were significantly lower after treatment, and significantly lower in the experimental than in the control group (P<0.05); compared with before treatment, the levels of IL-4, IL-6, TNF-a and serum CRP in both 2 groups were significantly lower after treatment, and the experimental group was much lower than that in the control group (P<0.05). The level of osteocalcin in the experimental group was significantly higher than that in the control group at different time points after treatment (P<0.05). The level of osteocalcin in the experimental group reached its peak one day after treatment, and then gradually declined, the preoperative level was basically restored 7 days after treatment. CONCLUSIONS: Using orthodontics combined with periodontal splint in the treatment of fan-shaped displacement of anterior teeth caused by periodontitis has a remarkable effect. The symptoms of periodontitis can be effectively improved, the teeth can be effectively corrected and facial profiles of the patients can be improved.

Key words: Periodontitis, Orthodontics, Inflammatory factors, Osteocalcin, Fan-shaped displacement

中图分类号:

R781.4

钟寒, 蒋慧娟, 潘玉之. 正畸联合牙周夹板治疗牙周炎所致前牙扇形移位的美学效果观察[J]. 上海口腔医学, 2019, 28(4): 417-421.

ZHONG Han, JIANG Hui-juan, PAN Yu-zhi. Aesthetic effect of orthodontics treatment combined with periodontal splint in the treatment of fan-shaped displacement of anterior teeth caused by periodontitis[J]. Shanghai Journal of Stomatology, 2019, 28(4): 417-421.

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