賀中基 楊曉丹 王文君 于爽
[摘要] 目的 探討牙周引導(dǎo)組織再生術(shù)用于錯畸形伴牙周病治療的效果。方法 隨機選擇2017年1月—2019年2月該院的治療錯畸形伴牙周病的患者60例作為研究對象,隨機數(shù)字表分為對照組(n=30)和觀察組(n=30)。對照組采用常規(guī)治療方式,觀察組采用牙周引導(dǎo)組織再生術(shù)治療,比較兩組治療后牙齦美容形態(tài)評分、根分叉水平探入深度、牙周袋深度情況及治療效率。結(jié)果 觀察組牙齦美容形態(tài)評分顯著優(yōu)于對照組(P<0.05),觀察組根分叉水平探入深度及牙周袋深度情況顯著優(yōu)于對照組(P<0.05),觀察組總有效率為90.00%,顯著高于對照組的66.67%,差異有統(tǒng)計學意義(χ2=6.231,P<0.05)。結(jié)論 牙周引導(dǎo)組織再生術(shù)用于錯畸形伴牙周病的治療效果顯著,牙齦美容形態(tài)評分明顯提升,有效改善根分叉水平探入深度及牙周袋深度的情況,值得推廣應(yīng)用。
[關(guān)鍵詞] 牙周引導(dǎo)組織再生術(shù);錯畸形;牙周病
[中圖分類號] R783.5? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1674-0742(2020)07(c)-0038-03
[Abstract] Objective To explore the effect of periodontal guided tissue regeneration for the treatment of malocclusion and periodontal disease. Methods From January 2017 to February 2019, 60 cases of patients with malocclusion and periodontal disease in our hospital were randomly selected as the research object. The random number table was divided into a control group (n= 30) and an observation group (n=30). The control group was treated with conventional treatment, and the observation group was treated with periodontal guided tissue regeneration. The gingival cosmetic morphology score, root bifurcation level penetration depth, periodontal pocket depth and treatment efficiency were compared between the two groups after treatment. Results The gingival cosmetic morphology score of the observation group was significantly better than that of the control group (P<0.05). The depth of root bifurcation level and periodontal pocket depth of the observation group were significantly better than the control group (P<0.05). The total effective rate of the observation group was 90.00%, significantly higher than 66.67% of the control group,the difference was statistically significant(χ2= 6.231, P<0.05). Conclusion Periodontal guided tissue regeneration is effective in the treatment of malocclusion and periodontal disease. The gingival cosmetic morphology score is significantly improved, and the depth of root bifurcation level and periodontal pocket depth is effectively improved.
[Key words] Periodontal guided tissue regeneration; Malocclusion; Periodontal disease
錯牙畸形主要是由于牙合,顱面之間的關(guān)系不調(diào)而進一步引起的各種畸形,該病病因復(fù)雜,大多與遺傳,替牙畸形以及環(huán)境因素有關(guān),該病發(fā)病時臨床癥狀多種多樣,病情較輕的患者僅個別牙齒出現(xiàn)錯位,比如第二雙尖牙出現(xiàn)舌側(cè)、低位、旋轉(zhuǎn)3種類型的錯位。病情嚴重的患者會表現(xiàn)出牙弓,頜骨以及顱面的異常,主要表現(xiàn)為牙弓狹窄,牙弓寬大以及牙弓的不對稱。牙周病主要是指發(fā)生在牙支持組織的疾病,主要包括僅累及牙齦組織的牙齦病,以及波及深層牙周組織的牙周炎兩大類[1-2]。該文隨機選擇2017年1月—2019年2月的治療錯畸形伴牙周病的患者60例作為研究對象,探討牙周引導(dǎo)組織再生術(shù)用于錯畸形伴牙周病治療的效果,現(xiàn)報道如下。
1? 資料與方法
1.1? 一般資料
隨機選擇該院治療錯畸形伴牙周病的患者60例作為研究對象,隨機數(shù)字表分為對照組(n=30)和觀察組(n=30)。對照組,男20例,女10例;年齡28~41歲,平均(33.23±3.50)歲;病程1~8 d,平均(1.5±4.3)d。觀察組,男23例,女7例;年齡27~42歲,平均(34.11±3.57)歲;病程1~9 d,平均(4.2±1.2)d。兩組臨床資料比較,差異無統(tǒng)計學意義(P>0.05),具有可比性。納入標準:①符合錯畸形伴牙周病患者的診斷標準,均經(jīng)影像檢查進行確診;②所有患者均為第一次使用牙周引導(dǎo)組織再生術(shù)進行治療;③意識清楚,能與醫(yī)生進行溝通、交流。④患者及其家屬愿意且積極配合醫(yī)護人員進行治療。經(jīng)過倫理委員會批準。排除標準:①合并傳染性疾病、重要臟器損傷或惡性腫瘤者;②合并神經(jīng)功能、認知功能異?;虬橛袃?nèi)分泌疾病者;③近1個月居其他方法治療會對該研究產(chǎn)生不良影響或入院資料不全者。