牙周组织再生术联合正畸治疗对牙周炎患者牙周状况及满意度的影响

The Effect of Periodontal Tissue Regeneration Combined with Orthodontic Treatment on Periodontal Status and Satisfaction of Patients with Periodontitis

目的:探讨牙周组织再生术联合正畸治疗对牙周炎患者牙周状况及满意度的影响。方法:选取我院于2016年3月-2017年4月期间收治的牙周炎患者76例为研究对象。按照随机数字表法将患者分为研究组(n=38)与对照组(n=38),对照组行牙周组织再生术,研究组行牙周组织再生术联合正畸治疗。于治疗前、治疗后3个月检查患者牙周指标情况和X线头影测量情况,对比两组患者治疗前后视觉模拟疼痛评分(VAS),随访一年,于治疗1年后采用医院自制调查问卷评价患者满意度,观察并比较两组患者治疗后并发症发生情况。结果:治疗后3个月,两组患者的牙龈指数(GI)、菌斑指数(PLI)、龈沟出血指数(SBI)、牙周探诊深度(PD)以及临床牙周平均附着丧失(CAL)均显著降低,且研究组低于对照组(P<0.05)。治疗后3个月,两组患者的SNA角、SNB角均显著降低,且研究组低于对照组,两组患者的ANB角显著升高,且研究组高于对照组(P<0.05)。两组患者治疗后VAS评分较治疗前显著降低,且研究组低于对照组(P<0.05)。研究组患者牙龈健康状况评分、口腔清洁能力评分、美观评分、满意度均高于对照组(P<0.05),而两组患者咀嚼功能评分相比无统计学差异(P>0.05)。两组患者治疗后并发症发生率比较无统计学差异(P>0.05)。结论:牙周组织再生术与正畸治疗联合运用,对牙周组织健康状况有显著改善作用,且安全有效,提升患者满意度。

Objective: To investigate the effect of periodontal tissue regeneration combined with orthodontic treatment on periodontal status and satisfaction of patients with periodontitis. Methods: 76 cases of periodontitis treated in our hospital during the period of March 2016 to April 2017 were selected as the subjects. The patients were divided into study group(n=38) and control group(n=38) according to the random number table method, the control group underwent periodontal tissue regeneration, the study group underwent orthodontic treatment on the basis of the control group. The periodontal index and X-ray cephalometric measurement were examinated before and 3 months after treatment, the Visual analogue pain scores(VAS) before and after treatment in two groups were compared, after a year of follow-up, the hospital self-made questionnaire was used to evaluate the patient satisfaction after 1 years of treatment, the postoperative complications of the two groups were observed and compared. Results: The gingival index(GI), plaque index(PLI), gingival crevicular bleeding index(SBI), periodontal probing depth(PD) and clinical periodontal average attachment loss(CAL) in the two groups3 months after treatment were significantly decreased, and the study group was lower than the control group(P<0.05). 3 months after treatment, the SNA angle and SNB angle of the two groups were significantly decreased, and the study group was lower than the control group, the ANB angle of the two groups increased significantly, and the study group was higher than the control group(P<0.05). The scores of VAS in the two groups after treatment was significantly lower than that before treatment, and the study group was lower than the control group(P<0.05). The gingival health scores, the oral cleanliness scores, the aesthetic scores and the satisfaction in the study group were higher than those in the control group(P<0.05). There was no significant difference in masticatory function scores be-tween the two groups(P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05). Conclusion: The combined use of periodontal tissue regeneration and orthodontic treatment has a significant effect on the health of periodontal tissue, and it is safe and effective to improve patient satisfaction.