牙周基础治疗影响慢性牙周炎伴咬合创伤患牙转归的临床分析

A clinical study on the effect of periodontal treatment on the outcome of patients with chronic periodontitis with occlusal trauma

目的分析牙周基础治疗对慢性牙周炎伴咬合创伤患牙转归的临床应用效果。方法选取慢性牙周炎伴咬合创伤患者77例,按照分层区分为对照组和观察组。对照组38例,采用咬合创伤牙位咬合调整治疗1个月+全口洁刮治与根面平整(SRP)治疗;观察组39例,采用全口SRP治疗1个月+咬合创伤牙位咬合调整治疗。1个月后比较两组患者临床指标与咬合指数变化情况。结果治疗1个月后,观察组与对照组比较,出血指数、牙周袋深度与附着水平降低,咬合时间缩短、咬合受力百分比降低,差异有统计学意义(P<0.01)。结论全口SRP治疗可有效缩短牙周炎伴咬合创伤患者患牙的咬合时间,明显改善患者的临床症状,具有重要的临床研究意义。

Objective To study the effect of periodontal treatment on the outcome of the patients with chron- ic periodontitis with occlusal trauma. Methods 77 patients with chronic periodontitis and occlusal trauma were select- ed and divided into the control group and the observation group according to the stratification. The control group （ n =38） was treated with occlusal trauma teeth and adjustment in combination with full mouth scaling and root plane （SRP） for one month. The observation group（n = 39） was treated with full mouth SRP, occlusal trauma teeth and adjustment for 1 month. The clinical indicators and the changes of the indexes of occlusion were compared between the two groups one month after the treatment. Results After one month of the treatment, compared with those in the control group, the bleeding index, periodontal pocket depth and attachment level were significantly decreased; the oc- clusion time was significantly shortened and the occlusal force was significantly decreased in the observation group（P 〈 0. 05）. Conclusion Total SRP treatment can effectively shorten the duration of occlusion in the patients with peri- odontitis and occlusal trauma, and significantly improves the clinical symptoms of the patients.