糖尿病患者牙周病的正畸治疗对牙周状况及血糖水平的影响

Effect of Orthodontic Treatment on Blood Sugar Lever of Periodontitis with Type 2 Diabetes Mellitus

目的:探讨牙周病的正畸治疗对糖尿病患者的牙周炎症控制与血糖水平的影响。方法:选择12例患有2型糖尿病的牙周炎患者先行牙周洁、刮治术,待牙周组织炎症消除后再行正畸治疗,并对牙龈炎的严重度、牙齿松动度、牙周袋探诊深度、牙槽骨吸收度及糖化血红蛋白水平进行评价。结果:通过正畸治疗,探诊出血、探诊深度明显减少。糖化血红蛋白从(7.87±1.12)%降低为(7.02±0.97)%。结论:糖尿病患者的牙周炎症通过正畸治疗显著好转,基本达到个别牙合正常、恢复咀嚼功能,并能在一定程度上改善糖代谢水平,且改善的效果可能与牙周炎症控制有关。

Objective： To ivestigate the effect of the orthodontic treatment on blood sugar level of the periodontitis with type 2 diabetes mellitus. Methods： 12 patints with diabetes and periodontitis were selected from patients of our hospital after supragingival and subgingival scaling. After initial periodontal treatment, the severity degree of gingivitis, tooth mobility, probing depth, alveolarbone loss, and glycosylated hemoglobin level of the 12 pateints were assessed. Result： The bleeding on probing, probing depth and gly cosy lated hemoglobin level were reduced in all the patients after treatment. Conclusion： Orthodontic treatment on periodontal disease can basically achieve the individual normal occlusion, masticatory function. It can improve metabolism to some extent in patients with diabetes mellitus, but the effect may relate to the control of the inflammation of the periodontal.