国际口腔医学杂志

国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (1): 50-54.doi: 10.7518/gjkq.2017.01.010

• ·论著· • 上一篇    下一篇

咬合调整对牙周炎正畸治疗患者牙周状况的影响

姚霜, 刘晓君, 周治, 杨鸘, 季娟娟, 周新, 沈勇   

  1. 云南省第二人民医院口腔正畸科 昆明 650021
  • 收稿日期:2016-05-12 出版日期:2017-01-01 发布日期:2017-01-01
  • 通讯作者: 姚霜,主任医师,学士,Email：ynhhzqys@163.com
  • 作者简介:姚霜,主任医师,学士,Email：ynhhzqys@163.com
  • 基金资助:
    云南省科技厅自然科学基金（2011FZ286）; 中华口腔医学会西部行口腔医学临床科研基金（CSA-W2012-04）

Effect of occlusal adjustments on the periodontal status of patients with periodontitis after orthodontic treatment

Yao Shuang, Liu Xiaojun, Zhou Zhi, Yang Shuang, Ji Juanjuan, Zhou Xin, Shen Yong.   

  1. Dept. of Orthodontics, The Second People’s Hospital of Yunnan Province, Kunming 650021, China
  • Received:2016-05-12 Online:2017-01-01 Published:2017-01-01

RichHTML

12

PDF (PC)

645

被引次数

32

摘要： 目的观察咬合调整对牙周病患者正畸治疗前后牙周状况改变的影响。方法选择成人牙周病正畸患者47例,按照正畸治疗中是否进行咬合调整分为观察组和对照组,对所有患者正畸治疗前、后及治疗后6个月随访时进行牙周状况的检查评估,并作统计学分析。结果观察组患者在治疗后及随访时的牙周探诊深度（PD）、临床附着丧失（CAL）、出血指数（BI）均较治疗前有明显降低,牙齿松动度（TM）也较治疗前有明显减小,而在随访时与治疗后相比较,PD和CAL的变化也有统计学意义（P<0.05）,松动度也有明显减小。对照组患者治疗后的PD、BI及随访时的BI均较治疗前有明显降低,随访时的牙齿松动度较治疗前明显减低,与治疗后比较也有明显变化。组间同期比较,观察组在随访时的PD和CAL与对照组有明显差异,在治疗后及随访时的TM也与对照组间存在明显差异。结论在牙周炎错患者的正畸治疗中,及时进行咬合调整,能去除病理性因素,消除咬合创伤,恢复咬合平衡,有利于牙周组织的改建及修复。

关键词: 咬合调整, 牙周炎, 正畸治疗, 牙周检查

Abstract: Objective To observe the changes in occlusal adjustments on periodontal status of patients with periodontal disease before and after orthodontic treatment. Methods Forty-seven cases of adult orthodontic patients periodontal were selected and divided into two groups according to whether occlusal adjustment, named observation group and control group. The periodontal status of all the patients was evaluated during the first visit. After 6 and 12 months, the periodontal status of the patients was evaluated again. The changes in the periodontal status were recorded, and statistical analysis was performed. Results Periodontal probing depth(PD), clinical attachment loss(CAL), and bleeding index(BI) observed after six months of the treatment, were significantly lower than those before treatment(P<0.05). Tooth loose degrees(TM) also significantly reduced compared to that before treatment. PD and CAL changes of the group six months after treatment compared with treatment was completed, were also lower. The degree of looseness was significantly reduced. PD, BI of the group 6 months after treatment decreased than those before treatment and the control group. The tooth mobility of 6 months after treatment was significantly lower than that before treatment and just after treatment. The PD, CAL and TM of the observed group are statistically different from those in the control group. Conclusion Occlusal adjustment for the malocclusion patients with periodontitis in the cause of orthodontic therapy, which helped to remove pathological factors, eliminate occlusal trauma, and build the occlusal balance, showed effectiveness in treatment of reconstruction and repair of periodontal tissues.

Key words: occlusal adjustment, periodontitis, ortho-dontic treatment, periodontal examination

中图分类号: 

  • R783.5
[1] Feijo CV, Lucena JG, Kurita LM, et al. Evaluation of cone beam computed tomography in the detection of horizontal periodontal bone defects: an in vivo
study[J]. Int J Periodontics Restorative Dent, 2012, 32(5):e162-e168.
[2] Oh SL. An interdisciplinary treatment to manage pathologic tooth migration: a clinical report[J]. J Prosthet Dent, 2011, 106(3): 153-158.
[3] Palaskar JN, Murali R, Bansal S. Centric relation definition: a historical and contemporary prostho-dontic perspective[J]. J Indian Prosthodont Soc, 2013, 13(3):149-154.
[4] Henriques JC, Fernandes Neto AJ, Almeida Gde A, et al. Cone-beam tomography assessment of condylar position discrepancy between centric relation and maximal intercuspation[J]. Braz Oral Res, 2012, 26 (1):29-35.
[5] Xie Y, Zhao Q, Tan Z, et al. Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth[J]. Am J Orthod Dentofacial Orthop, 2014, 145(5):685-693.
[6] Tavares CA, Allgayer S, Calvete Eda S, et al. Ortho-dontic treatment for a patient with advanced perio-dontal disease: 11-year follow-up[J]. Am J Orthod Dentofacial Orthop, 2013, 144(3):455-465.
[7] Khalid G, Bassel T. Trimeric model: a new model of periodontal treatment planning[J]. J Clin Diagn Res, 2014, 8(7):ZE17-ZE20.
[8] Haralur SB. Digital evaluation of functional occlusion parameters and their association with temporomandi-bular disorders[J]. J Clin Diagn Res, 2013, 7(8): 1772-1775.
[9] Martin D, Cocconi R. Orthodontic dental casts: the case for routine articulator mounting[J]. Am J Orthod Dentofacial Orthop, 2012, 141(1):8-14.
[10] West NX, Lussi A, Seong J, et al. Dentin hypersensi-tivity: pain mechanisms and aetiology of exposed cervical dentin[J]. Clin Oral Investig, 2013, 17(Suppl
1):S9-S19.
[11] Lee SP, Kim TI, Kim HK, et al. Discriminant analy-sis for the thin periodontal biotype based on the data acquired from three-dimensional virtual models of Korean young adults[J]. J Periodontol, 2013, 84(11): 1638-1645.
[12] Tran DT, Gay I, Du XL, et al. Assessing perio-dontitis in populations: a systematic review of the validity of partial-mouth examination protocols[J]. J Clin Periodontol, 2013, 40(12):1064-1071.
[13] Tran DT, Gay I, Du XL, et al. Assessment of partial-mouth periodontal examination protocols for perio-dontitis surveillance[J]. J Clin Periodontol, 2014, 41 (9):846-852.
[14] Tran DT, Gay IC, Diaz-Rodriguez J, et al. Survival of dental implants placed in grafted and nongrafted bone: a retrospective study in a university setting[J]. Int J Oral Maxillofac Implants, 2016, 31(2):310-317.
[15] Gay IC, Tran DT, Weltman R, et al. Role of supportive maintenance therapy on implant survival: a university-based 17 years retrospective analysis[J]. Int J Dent Hyg, 2016, 14(4):267-271.
[1] 傅豫, 何薇, 黄兰. 铁死亡在口腔疾病中的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 36-44.
[2] 罗晓洁,王德续,陈晓涛. 基于生物信息学分析铁死亡调控基因与牙周炎的关系[J]. 国际口腔医学杂志, 2023, 50(6): 661-668.
[3] 黄元鸿,彭显,周学东. 骨碎补在治疗口腔骨相关疾病的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 679-685.
[4] 龚美灵,程兴群,吴红崑. 牙周炎与帕金森病相关性的研究进展[J]. 国际口腔医学杂志, 2023, 50(5): 587-593.
[5] 孙佳,韩烨,侯建霞. 白细胞介素-6-铁调素信号轴调控牙周炎相关性贫血致病机制的研究进展[J]. 国际口腔医学杂志, 2023, 50(3): 329-334.
[6] 刘体倩,梁星,刘蔚晴,李晓虹,朱睿. 咬合创伤在牙周炎发生发展中的作用及机制的研究进展[J]. 国际口腔医学杂志, 2023, 50(1): 19-24.
[7] 李琼,于维先. 白藜芦醇治疗牙周炎及其生物利用度的研究进展[J]. 国际口腔医学杂志, 2023, 50(1): 25-31.
[8] 王启秋,支清惠. 釉质白垩斑治疗方法的研究进展[J]. 国际口腔医学杂志, 2022, 49(6): 717-723.
[9] 黄伟琨,徐秋艳,周婷. 黄芩苷抑制脂多糖促巨噬细胞氧化应激损伤作用的研究[J]. 国际口腔医学杂志, 2022, 49(5): 521-528.
[10] 周剑鹏,谢旭东,赵蕾,王骏. 辅助性T细胞17及白细胞介素17在牙周炎中的作用及机制的研究进展[J]. 国际口腔医学杂志, 2022, 49(5): 586-592.
[11] 陈荟宇,白明茹,叶玲. 信号素3A与口腔常见病关系的研究进展[J]. 国际口腔医学杂志, 2022, 49(5): 593-599.
[12] 周佳佳,赵蕾,徐欣. 牙周炎相关基因多态性的研究进展[J]. 国际口腔医学杂志, 2022, 49(4): 432-440.
[13] 马玉,左玉,张鑫. 光动力疗法辅助治疗牙周炎治疗效果的Meta分析[J]. 国际口腔医学杂志, 2022, 49(3): 305-316.
[14] 钱素婷,丁玲敏,纪雅宁,林军. 微小RNA在牙周炎龈沟液中的表达差异及对牙周炎的调控机制[J]. 国际口腔医学杂志, 2022, 49(3): 349-355.
[15] 蒋端,申道南,赵蕾,吴亚菲. 内皮发育调节基因-1与牙周炎相关性的研究进展[J]. 国际口腔医学杂志, 2022, 49(2): 244-248.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .