Liu Yan, Shi Xie, Lin Gengbing, Guo Nan
Yan Liu, Department of Stomatology, Fujian Provincial People's Hospital, Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine, Fuzhou 350005, Fujian, China.
Xie Shi, Department of Orthodontics, Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key lab of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University & Institute of Stomatology, Fujian Medical University, Fuzhou 350002, Fujian, China.
Pak J Med Sci. 2023 Nov-Dec;39(6):1620-1625. doi: 10.12669/pjms.39.6.7135.
To evaluate the effects of periodontal initial therapy combined with orthodontic treatment on anterior tooth function and inflammatory factors in gingival crevicular fluid in patients with periodontal disease induced anterior tooth displacement.
This was a clinical comparative study. A total of 140 patients with anterior teeth displacement caused by periodontal disease in Fujian University of Traditional Chinese Medicine from May 2020 to May 2022 were selected and randomly divided into two groups. Patients in the control group received periodontal initial therapy, and those in the study group were provided with orthodontic treatment on the basis of initial therapy. Further comparative analysis was performed focusing on the clinical effects of the two groups, the changes of probing depth, anterior overjet degree, oral function and inflammatory factors in gingival crevicular fluid before and after treatment.
The efficacy of the study group was significantly higher than that of the control group(p=0.00). After treatment, the probing depth, the anterior overjet degree and the rate of bleeding on probing in the study group were significantly lower than those in the control group(P=0.00). Furthermore, the proportion of tooth mobility degrees I, II and III in the study group was significantly lower than that in the control group after treatment(P<0.05). The levels of post-treatment inflammatory factors in the study group were significantly lower than those in the control group(p=0.00).
Periodontal initial therapy combined with orthodontic treatment has a significant effect on anterior teeth displacement caused by periodontal disease, which deserves promotion clinically.
评估牙周基础治疗联合正畸治疗对牙周病致前牙移位患者前牙功能及龈沟液中炎症因子的影响。
本研究为临床对照研究。选取2020年5月至2022年5月福建中医药大学附属口腔医院收治的140例牙周病致前牙移位患者,随机分为两组。对照组患者接受牙周基础治疗,研究组患者在基础治疗的基础上接受正畸治疗。进一步对比分析两组的临床疗效、治疗前后探诊深度、前牙覆盖度、口腔功能及龈沟液中炎症因子的变化。
研究组的治疗总有效率显著高于对照组(P=0.00)。治疗后,研究组的探诊深度、前牙覆盖度及探诊出血率均显著低于对照组(P=0.00)。此外,治疗后研究组Ⅰ度、Ⅱ度及Ⅲ度牙齿松动比例显著低于对照组(P<0.05)。研究组治疗后的炎症因子水平显著低于对照组(P=0.00)。
牙周基础治疗联合正畸治疗对牙周病致前牙移位有显著疗效,值得临床推广。