牙周组织再生术联合正畸治疗牙周炎患者的疗效观察

Efficacy of periodontal tissue regeneration combined orthodontic to periodontitis patients

目的研究牙周组织再生术联合正畸治疗牙周炎患者的疗效。方法选择2010年3月至2013年3月接诊的50例牙周炎患者进行研究。按照随机数字表法，随机分为观察组和对照组。对照组仅采用牙周组织再生术对患者进行治疗，观察组采用牙周组织再生术联合正畸矫正手术对患者进行治疗。术后，分析记录两组患者的菌斑指数、龈沟出血指数、临床附着丧失、牙周探诊深度及探诊出血率。随访调查1年，记录分析两组患者的术后并发症，以及牙周附着获得、牙周袋深度减少、牙槽骨深度增加和根分又深度减少值。结果术后，检查发现观察组患者的菌斑指数、龈沟出血指数、临床附着丧失及牙周探诊深度均明显低于对照组（P〈0．01），患者探诊出血率（16．9％）明显低于对照组（60．0％），两组比较差异有统计学意义（x2=10．2716，P=0．0014）。随访调查发现两组患者并发症的发生率差异无统计学意义（x2=0．0891，P=0．7653）。牙周附着获得、牙周袋深度减少、牙槽骨深度增加及根分叉深度减少值均明显高于对照组（P〈0．01），表明观察组的牙周各项指标改善程度明显高于对照组（P〈0．01）。观察组的美观评分、牙龈健康状况评分、口腔清洁评分及患者的整体满意度评分明显高于对照组（P〈0．05），两组比较差异有统计学意义（t=2．0563，P=0．0452）。结论牙周组织再生术联合正畸治疗牙周炎，可显著改善患者的牙周状况，效果明显优于单纯使用牙周组织再生术。

Objective The efficacy of periodontal tissue regeneration combined orthodontic to periodontitis patients. Methods Fifty cases of periodontitis patients from March 2010 to March 2013 were studied. According to a random number table method, they were randomly divided into observation group and control group. The control group were used only periodontal tissue regeneration to patients, and the observation group were used periodontal tissue regeneration orthodontic surgery combined to patients. After surgery,plaque index,sulcus bleeding index, clinical attachment loss, probing depth and bleeding on probing rate of the patients were analyzed. 1-year follow-up survey, the postoperative complications, and periodontal attachment gain, reducing periodontal pocket depth of the two groups were analyzed, alveolar depth added value and the depth of the root bifurcation reduced value were analyzed. Results After the operation, the plaque index,sulcus bleeding index, clinical attachment loss and probing depth in the observation group were significantly lower than those in the control group（P〈0. 01） ,the bleeding on probing rate（16.9%） was significantly lower than that in the control group （60. 0%）, the two groups was statistically significant （X2= 10. 271 6,P= 0. 001 4）. Follow-up survey found that the incidence of complications of the two groups were not sig- nificant different（xz =0. 089 1 ,P= 0. 765 3）. Periodontal attachment to obtain,periodontal pocket depth reduction, the depth of the alveolar bone increased and the depth of the root furcation reduced value of the observation group were significantly higher than those in the control group（P〈0.01）. The beautiful score, gingival health evaluation, the patient＇s oral hygiene scores and overall satisfaction score of the observation group were significantly higher than those of the control group（P〈0.05）, the two groups were statistically significant（t= 2. 056 3,P= 0. 045 2）. Conclusion The periodontal tissue regeneration combined orthodontic for periodontitis can significantly improve the periodontal status of patients, the effect was better than the use of periodontal tissue regeneration.