正畸-牙周联合治疗成人牙周病伴错畸形

Combined orthodontic-periodontal treatment on adult malocclusion with periodontitis

目的:探讨正畸治疗对错畸形伴牙周病的治疗作用。方法:通过对20例安氏Ⅰ类错、深覆、深覆盖、上下颌牙列稀疏、上颌前突伴牙周病的病人采取正畸-牙周联合治疗,并对患牙牙周、牙槽骨情况进行对比观察。治疗时间12～18个月。结果:20例病人的错畸形得到有效矫正,达到个别正常。矫治结束时牙周情况较矫治前有明显改善(P<0.05)。使用牙周夹板固定保持器进行保持,可达到稳定的远期治疗效果。结论:对安氏Ⅰ类错、深覆、深覆盖、上下颌牙列稀疏、上颌前突伴牙周病的病人采用牙周洁治、牙周夹板、正畸联合治疗,效果良好。

AIM：To examine the effects of a combined orthodontic treatment method on patients with malocclusion and periodontal disease.METHODS：Twenty patients met the inclusion criteria were selected and treated by combined orthodontic-periodontal treatment.The related measurements were performed and the status of periodontal tissues and alveolar bone was observed before and after treatment.The treatment period lasted for 12~18 months.The average treatment time was of 14.6 months.RESULTS：Individual normal occlusion was achieved after the treatment.The periodontal status was improved significantly（P〈0.05） after the treatment.Through the combined orthodontic-periodontal treatment,not only periodontal status could be improved,but also a stable and functional occlusion and aesthetic outcome could be achieved. CONCLUSION：For patients with malocclusion and periodontal disease,combined orthodontic-periodontal treatment is an effective method.