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咬合调整联合正畸治疗牙周病临床观察(1)
http://www.100md.com 2018年5月15日 《中国美容医学》 2018年第10期
     [摘要]目的:探讨咬合调整联合正畸治疗牙周病患者的临床疗效。方法:选取2017年9月-2018年2月笔者医院收治的牙周病患者80例,随机分为研究组与对照组。对照组采用咬合调整治疗,研究组采用咬合调整联合正畸治疗。结果:研究组牙齿整齐良好、后牙咬合良好和前牙覆牙合覆盖良好的患者例数均显著高于对照组,差异具有统计学意义(P<0.05);研究组菌斑指数、牙周探诊深度和龈沟出血指数显著优于对照组,差异具有统计学意义(P<0.05);对照组临床疗效优良率为77.5%,研究组临床疗效优良率为97.5%,研究组临床疗效显著优于对照组,差异具有统计学意义(P<0.05)。结论:采用咬合调整联合正畸治疗牙周病患者疗效好,在改善患者牙齿功能的同时,还保持了牙齿的美观,值得在临床上推广应用。

    [关键词]咬颌;正畸;牙周病;效果

    [中图分类号]R783.5 [文献标志码]A [文章编号]1008-6455(2018)10-0114-03
, 百拇医药
    Abstract: Objective To investigate the clinical analysis of occlusion adjustment combined with orthodontics on patients with periodontal disease. Methods 80 patients which were admitted to our hospital due to periodontal disease from September 2017 to February 2018 were randomly divided into the study group and the control group, the patients in the control group were given occlusion adjustment treatment, the patients in the study group were given occlusion adjustment combined with orthodontic treatment. Results The patients with neat teeth, good occlusion of posterior teeth and good overbite of anterior teeth were significantly more than that of the control group ,the difference was statistically significant(P<0.05). The plaque index、probing depth and the bleeding index of gingival sulcus in the study group were significantly more than that of the control group(P<0.05).The good rate of clinical efficacy in the control group is 77.5%, and the good rate of clinical efficacy in the study group is 97.5%, the clinical efficacy of the study group was significantly better than that of the control group,the difference was statistically significant (P<0.05). Conclusion Adopting occlusion adjustment combined with orthodontic treatment for patients with periodontal disease can get a good orthopedic effect. While improving the patient's dental function, it also keeps the teeth beautiful.It should be further popularized in clinic.
, 百拇医药
    Key words: occlusion; orthodontics; periodontal disease; effect

    近年來,牙周病患者的人数在逐年上升,牙周病使得患者的牙间隙变大,牙齿出现伸长或倾斜,甚至发生严重磨损,对患者的正常饮食造成严重影响,尤其是对咀嚼能力,更有甚者会出现牙齿脱落。牙周病是一种慢性口腔疾病,临床症状表现为牙龈肿痛、牙齿松动等。随着口腔技术的不断提高,牙周病患者都得到了有效治疗,现今,患者对治疗后的效果也有了更高的要求[1]。他们不仅追求牙齿功能的恢复,更加注重牙齿的美观,这就要求医生拥有更精湛的技术。为了找到最佳的治疗方法,2017年9月-2018年2月,笔者医院将收治的80例牙周病患者随机分为研究组和对照组治疗,探讨咬合调整联合正畸对牙周病患者临床疗效,现将结果报道如下。

    1 资料和方法

    1.1 一般资料:选择笔者医院收治的80例牙周病患者为研究对象,随机分为研究组和对照组。对照组:40例,其中男23例,女17例,年龄35~67岁,平均为(45.93±3.58)岁,病程3~8年,平均为(5.53±2.54)年;研究组:40例,男24例,女16例,年龄36~65岁,平均为(46.32±3.62)岁,病程4~10年,平均为(5.83±2.75)年。两组患者一般资料比较,无显著性差异,具有可比性(P>0.05),所有患者均知情同意本研究,并经过医院伦理委员会批准。, http://www.100md.com(张晓敏 谭军艳 付兆江)
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