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牙周—正畸聯(lián)合治療對成人牙周病患者切牙區(qū)的美學重建研究

發(fā)布時間:2018-03-08 10:12

  本文選題:牙周基礎(chǔ)治療 切入點:正畸治療 出處:《華西口腔醫(yī)學雜志》2014年05期  論文類型:期刊論文


【摘要】:目的評估牙周—正畸聯(lián)合治療對成人牙周病患者切牙區(qū)美學重建的作用。方法選擇13例患者接受牙周基礎(chǔ)治療及正畸治療,在全口潔治后獲得統(tǒng)一基線,在牙周基礎(chǔ)治療后3個月及正畸治療結(jié)束對13例患者的102顆切牙進行牙周臨床檢查,比較治療前后的差異。檢查項目包括:探診深度(PD),每顆牙檢查6個位點,102顆切牙共612個位點;探診出血(BOP),每顆牙檢查頰、舌兩個位點,共204個位點;齦乳頭指數(shù)(PI)和齦乳頭高度(PH),共128個齦乳頭。結(jié)果牙周基礎(chǔ)治療3個月后,79.58%(487/612)的位點PD≤3 mm,88.73%(181/204)的位點BOP陰性,較基線時[分別為26.31%(161/612)和22.06%(45/204)]明顯改善。正畸治療前,僅8個齦乳頭的PI為Ⅲ級,齦乳頭完全充盈牙間隙,21個為Ⅱ級;正畸治療結(jié)束后,51個齦乳頭的PI達到Ⅲ級,68個齦乳頭的PI達到Ⅱ級。PH由正畸治療前的(1.69±0.57)mm增加到治療后的(2.84±0.62)mm,治療前后的差異有統(tǒng)計學意義(P0.05)。結(jié)論牙周—正畸聯(lián)合治療有利于成人牙周病患者切牙區(qū)的美學重建。
[Abstract]:Objective to evaluate the effect of combined periodontal and orthodontic treatment on aesthetic reconstruction of incisor region in adult patients with periodontal disease. Methods 13 patients were selected to receive periodontal basic treatment and orthodontic treatment, and a unified baseline was obtained after complete oral scaling. 102 incisors of 13 patients were examined 3 months after basic periodontal treatment and the end of orthodontic treatment. The differences before and after treatment were compared. The examination items included: probing depth and PD, 102 incisors with 6 sites per tooth, BOPU with two loci of buccal and tongue for each tooth, 204 loci for each tooth. Results after three months of basic periodontal treatment, there were 128 gingival papillaries. Results the BOP at the locus PD 鈮,

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