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商丘市中医院口腔科
纸质出版日期:2022,
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于淼, 卢明举. 牙周基础治疗联合正畸治疗对慢性牙周炎合并上前牙唇向移位患者牙齿功能的影响[J]. 保健医学研究与实践, 2022,19(4):48-51.
Yu Miao, Lu Mingju. Effect of basic periodontal treatment combined with orthodontic treatment on dental function in patients with chronic periodontitis combined with labial displacement of upper anterior teeth[J]. Health Medicine Research and Practice, 2022,19(4):48-51.
于淼, 卢明举. 牙周基础治疗联合正畸治疗对慢性牙周炎合并上前牙唇向移位患者牙齿功能的影响[J]. 保健医学研究与实践, 2022,19(4):48-51. DOI:
Yu Miao, Lu Mingju. Effect of basic periodontal treatment combined with orthodontic treatment on dental function in patients with chronic periodontitis combined with labial displacement of upper anterior teeth[J]. Health Medicine Research and Practice, 2022,19(4):48-51. DOI:
目的 探讨牙周基础治疗联合正畸治疗对慢性牙周炎合并上前牙唇向移位患者牙齿功能的影响。方法选取2019年1月—2020年1月河南省某医院收治的慢性牙周炎上前牙唇向移位患者101例为研究对象。采用随机数字表法将患者分为对照组(n=49)和观察组(n=52)。对照组患者均进行牙周基础治疗
观察组患者在对照组治疗基础上联合使用正畸治疗。比较2组患者治疗3个月时牙齿功能评价量表评分;比较2组患者治疗前及治疗后3个月时龈沟液中白介素-5(IL-5)、白介素-8(IL-8)、白介素-1β(IL-1β)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)水平及牙周袋深度、出血指数、临床附着水平情况。比较2组患者治疗后3个月时并发症发生情况。结果 观察组患者牙齿功能评价量表中吞咽功能、咀嚼功能以及语言功能评分均明显高于对照组
差异均具有统计学意义(P<0.05)。治疗前
2组患者IL-5、IL-8、IL-1β、hs-CRP、TNF-α水平比较
差异无统计学意义(P>0.05)。治疗后3个月时
2组患者IL-5、IL-8、IL-1β、hs-CRP、TNF-α水平均低于治疗前
且观察组低于对照组
差异均有统计学意义(P<0.05)。治疗前
2组患者牙周袋深度、出血指数、临床附着水平比较
差异无统计学意义(P>0.05)。治疗后3个月时
2组患者牙周袋深度、出血指数、临床附着水平均小于治疗前
且观察组小于对照组
差异均有统计学意义(P<0.05)。观察组患者并发症总发生率(3.84%)低于对照组(16.32%)
差异具有统计学意义(P<0.05)。结论 对慢性牙周炎合并上前牙唇向移位患者行牙周基础治疗联合正畸治疗
可有效改善患者牙齿功能
减轻牙周炎症反应
降低并发症发生率
值得临床推广应用。
Objective To investigate the effect of basic periodontal treatment combined with orthodontic treatment on the dental function of patients with chronic periodontitis combined with labial displacement of upper anterior teeth. Methods One hundred and one patients with chronic periodontitis combined with labial displacement of upper anterior teeth admitted to a hospital in Henan from January 2019 to January 2020 were selected as study subjects. The patients were divided into a control group(n=49) and an observation group(n=52) using a random number table. Patients in the control group were treated with basic periodontal therapy
while patients in the observation group were treated with orthodontic therapy on the basis of the control group. The dental function evaluation scale scores at 3 months of treatment were compared between the 2 groups; the levels of interleukin-5(IL-5)
interleukin-8(IL-8)
interleukin-1β(IL-1β)
hypersensitive C-reactive protein(hs-CRP)
tumor necrosis factor-α(t TNF-α)
periodontal pocket depth
bleeding index and clinical adhesion level were compared between the 2 groups before and at 3 months of treatment. Complications at 3 months after treatment were compared between the 2 groups. Results The scores of swallowing function
chewing function and speech function in the dental function evaluation scale of the patients in the observation group were significantly higher than those in the control group
and the differences were all statistically significant(P<0.05). Before treatment
there was no statistically significant difference between the levels of IL-5
IL-8
IL-1β
hs-CRP and TNF-α in the 2 groups(P>0.05). At 3 months after treatment
the levels of IL-5
IL-8
IL-1β
hs-CRP
and TNF-α were lower in the 2 groups than before treatment and lower in the observation group than in the control group
with statistically significant differences(P<0.05). Before treatment
there was no statistically significant difference between the periodontal pocket depth
bleeding index
and clinical attachment level in the 2 groups(P>0.05). At 3 months after treatment
the periodontal pocket depth
bleeding index
and clinical attachment level of the patients in the 2 groups were smaller than those before treatment and smaller in the observation group than in the control group
with statistically significant differences(P <0.05). The total complication rate of patients in the observation group(3.84%) was lower than that in the control group(16.32%)
and the difference was statistically significant(P<0.05). Conclusion Basic periodontal treatment combined with orthodontic treatment for patients with chronic periodontitis combined with labial displacement of upper anterior teeth can effectively improve the dental function of patients
reduce periodontal inflammation response and decrease the incidence of complications
which makes it worthy of clinical promotion.
牙周基础治疗正畸治疗慢性牙周炎合并上前牙唇向移位牙齿功能
Basic periodontal treatmentOrthodontic treatmentChronic periodontitis combined with labial displacement of upper anterior teethDental function
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