牙周炎致病理性牙移位成人患者的正畸治疗效果分析

The effects of orthodontic treatment on periodontal patients with tooth migration

目的研究成人牙周炎致病理性牙移位患者进行正畸治疗的临床疗效。方法对11例病理性牙移位的牙周炎成人患者进行正畸治疗,通过临床牙周检查、X线检查和模型分析、面部软组织侧貌分析以及问卷调查的方法,比较正畸治疗前后的变化。结果患者正畸治疗后覆盖减小,U1-SN角度减小,U1-L1夹角增大,H角减小,鼻唇角增大,患者满意度也提高,以上差异均有统计学显著意义(P<0.05)。而患者牙周探诊深度、出血指数、牙齿松动度和上颌前牙牙槽骨高度等在治疗前后差异无统计学意义(P>0.05)。结论牙周炎致病理性牙移位成人患者经过正畸治疗能够改善患牙咬合关系及软组织侧貌,牙周支持组织健康,对患者心理和情绪也有积极的作用。

Objective To evaluate the effects of the orthodontic treatment on the periodontal patients with tooth migration. Methods Periodontal indices, X-ray analysis, model analysis, soft tissues analysis and questionnaire analysis were used. The changes of malocclusion and periodontal health before and after orthodontic treatment were compared. Results The patients＇ periodontal health were maintained; the overjet and overbite were decreased. The facial balance self-confidence were improved. Conclusion Orthodontic treatment could correct the malpositioned teeth, maintain the periodontium conditions and gain the positive psychological effect for the patients.