Li Yijie, Wang Yang, Yin Yue, Liu Peng
Department of Stomatology, North China University of Science and Technology Affiliated Hospital Tangshan 063000, Hebei Province, China.
Department of Orthodontics and Prosthodontics, North China University of Science and Technology Affiliated Hospital Tangshan 063000, Hebei Province, China.
Am J Transl Res. 2022 Sep 15;14(9):6332-6340. eCollection 2022.
Objective To analyze the efficacy of simple periodontal therapy combined with periodontal orthodontics in the treatment of periodontal diseases (PD) and its effect on serum inflammatory factors. Methods The case data of 113 patients with PD admitted to the North China University of Science and Technology Affiliated Hospital between July 2019 and July 2021 were retrospectively analyzed. According to the treatment plans, patients were divided into the control group (56 cases undergoing simple periodontal treatment), and the observation group (57 cases undergoing orthodontic treatment combined with simple periodontal treatment). Treatment efficacy, gingival index (GI), plaque index (PI), clinical attachment loss (CAL), periodontal pocket depth (PPD), anterior tooth coverage distance and alveolar bone reconstruction distance before and after treatment were evaluated and compared between the two groups. The post-treatment tooth function and tooth mobility were also compared. Finally, serum inflammatory factors in both groups before and after treatment were detected and compared. Results The effective rate in the observation group was markedly higher than that in the control group (P<0.05). Before treatment, there was no marked difference regarding GI, PI and CAL, PPD, anterior tooth coverage distance and alveolar bone reconstruction between the two groups before treatment. While each of the indexes improved significantly in both groups after treatment, there was more significant improvement in the observation group (P<0.05). After treatment, tooth function and tooth mobility of the observation group were better as compared with the control group (P<0.05). In addition, serum inflammatory factors of both groups improved after treatment, with more obvious alleviation in the observation group (P<0.05). Conclusion Simple periodontal treatment combined with orthodontic treatment can effectively reduce inflammation in PD patients, improve their periodontal condition, promote periodontal tissue regeneration and repair, reduce tooth loosening, and improve masticatory function and aesthetics; moreover, it is beneficial for patients to maintain good oral hygiene for a long time, which is worthy of clinical application.
目的 分析单纯牙周治疗联合牙周正畸治疗对牙周病（PD）的疗效及其对血清炎症因子的影响。方法 回顾性分析2019年7月至2021年7月在华北理工大学附属医院收治的113例PD患者的病例资料。根据治疗方案，将患者分为对照组（56例接受单纯牙周治疗）和观察组（57例接受正畸治疗联合单纯牙周治疗）。评估并比较两组治疗前、后的治疗效果、牙龈指数（GI）、菌斑指数（PI）、临床附着丧失（CAL）、牙周袋深度（PPD）、前牙覆盖距离和牙槽骨重建距离。同时比较两组治疗后的牙齿功能和牙齿松动度。最后，检测并比较两组治疗前、后的血清炎症因子。结果 观察组的有效率显著高于对照组（P<0.05）。治疗前，两组的GI、PI、CAL、PPD、前牙覆盖距离和牙槽骨重建情况无显著差异。两组治疗后各项指标均显著改善，但观察组改善更显著（P<0.05）。治疗后，观察组的牙齿功能和牙齿松动度优于对照组（P<0.05）。此外，两组治疗后的血清炎症因子均有所改善，观察组缓解更明显（P<0.05）。结论 单纯牙周治疗联合正畸治疗可有效减轻PD患者的炎症，改善牙周状况，促进牙周组织再生和修复，减少牙齿松动，提高咀嚼功能和美观度；此外，有利于患者长期保持良好的口腔卫生，值得临床应用。
