| 周维君,车英林,苏 野,邓秋艳,乐志亮.牙周组织再生术联合正畸治疗对牙周炎患者牙周状况及满意度的影响[J].现代生物医学进展英文版,2019,19(9):1683-1686. |
| 牙周组织再生术联合正畸治疗对牙周炎患者牙周状况及满意度的影响 |
| The Effect of Periodontal Tissue Regeneration Combined with Orthodontic Treatment on Periodontal Status and Satisfaction of Patients with Periodontitis |
| Received:October 26, 2018 Revised:November 21, 2018 |
| DOI：10.13241/j.cnki.pmb.2019.09.017 |
| 中文关键词: 牙周组织再生术 正畸治疗 牙周炎 牙周状况 满意度 |
| 英文关键词: Periodontal tissue regeneration Orthodontic treatment Periodontitis Periodontal status Satisfaction |
| 基金项目:广东省医学科研立项基金资助项目（A2015497） |
| Author Name | Affiliation | E-mail | | ZHOU Wei-jun | Department of Stomatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, China | zsgnwo@163.com | | CHE Ying-lin | Department of Stomatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, China | | | SU Ye | Department of Stomatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, China | | | DENG Qiu-yan | Department of Stomatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, China | | | LE Zhi-liang | Department of Stomatology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, Guangdong, 510000, China | |
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| 中文摘要: |
| 摘要 目的：探讨牙周组织再生术联合正畸治疗对牙周炎患者牙周状况及满意度的影响。方法：选取我院于2016年3月-2017年4月期间收治的牙周炎患者76例为研究对象。按照随机数字表法将患者分为研究组（n=38）与对照组（n=38），对照组行牙周组织再生术，研究组行牙周组织再生术联合正畸治疗。于治疗前、治疗后3个月检查患者牙周指标情况和X线头影测量情况，对比两组患者治疗前后视觉模拟疼痛评分（VAS），随访一年，于治疗1年后采用医院自制调查问卷评价患者满意度，观察并比较两组患者治疗后并发症发生情况。结果：治疗后3个月，两组患者的牙龈指数（GI）、菌斑指数（PLI）、龈沟出血指数（SBI）、牙周探诊深度（PD）以及临床牙周平均附着丧失（CAL）均显著降低，且研究组低于对照组（P<0.05）。治疗后3个月，两组患者的SNA角、SNB角均显著降低，且研究组低于对照组，两组患者的ANB角显著升高，且研究组高于对照组（P<0.05）。两组患者治疗后VAS评分较治疗前显著降低，且研究组低于对照组（P<0.05）。研究组患者牙龈健康状况评分、口腔清洁能力评分、美观评分、满意度均高于对照组（P<0.05），而两组患者咀嚼功能评分相比无统计学差异（P>0.05）。两组患者治疗后并发症发生率比较无统计学差异（P>0.05）。结论：牙周组织再生术与正畸治疗联合运用，对牙周组织健康状况有显著改善作用，且安全有效，提升患者满意度。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of periodontal tissue regeneration combined with orthodontic treatment on peri- odontal status and satisfaction of patients with periodontitis. Methods: 76 cases of periodontitis treated in our hospital during the period of March 2016 to April 2017 were selected as the subjects. The patients were divided into study group (n=38) and control group (n=38) ac- cording to the random number table method, the control group underwent periodontal tissue regeneration, the study group underwent or- thodontic treatment on the basis of the control group. The periodontal index and X-ray cephalometric measurement were examinated be- fore and 3 months after treatment, the Visual analogue pain scores (VAS) before and after treatment in two groups were compared, after a year of follow-up, the hospital self-made questionnaire was used to evaluate the patient satisfaction after 1 years of treatment, the postop- erative complications of the two groups were observed and compared. Results: The gingival index(GI), plaque index(PLI), gingival crevicular bleeding index(SBI), periodontal probing depth(PD) and clinical periodontal average attachment loss (CAL) in the two groups 3 months after treatment were significantly decreased, and the study group was lower than the control group(P<0.05). 3 months after treatment, the SNA angle and SNB angle of the two groups were significantly decreased, and the study group was lower than the control group, the ANB angle of the two groups increased significantly, and the study group was higher than the control group(P<0.05). The scores of VAS in the two groups after treatment was significantly lower than that before treatment, and the study group was lower than the control group(P<0.05). The gingival health scores, the oral cleanliness scores, the aesthetic scores and the satisfaction in the study group were higher than those in the control group(P<0.05). There was no significant difference in masticatory function scores be- tween the two groups(P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups (P>0.05). Conclusion: The combined use of periodontal tissue regeneration and orthodontic treatment has a significant effect on the health of periodontal tissue, and it is safe and effective to improve patient satisfaction. |
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