正畸治疗对因牙周病导致前牙移位患者牙周健康和咀嚼功能的影响。
Effect of orthodontic treatment on periodontal health and masticatory function in patients with anterior teeth displacement due to periodontal disease.
作者信息
Jiang Bingkun, Wang Mengxi, Wang Minjie
机构信息
Department of Stomatology, Song Jiang Hospital Affiliated to The Shanghai Jiao Tong University Medical School Shanghai 201613, China.
Department of Stomatology, Suqian Stomatological Hospital Suqian 223800, Jiangsu, China.
出版信息
Am J Transl Res. 2025 Aug 15;17(8):6470-6480. doi: 10.62347/IFFB7880. eCollection 2025.
AIMS
To evaluate the combined effect of orthodontic treatment and periodontal care on improving periodontal health and masticatory function in patients with anterior teeth displacement caused by periodontal disease.
METHODS
This retrospective study involved 200 patients with anterior teeth displacement due to periodontal disease, treated between January 2022 and January 2025. Patients were divided into a control group (n=103), receiving standard periodontal treatment, and an observation group (n=97), receiving combined periodontal and orthodontic treatment. Clinical measurements, including probing depth (PD), clinical attachment level (CAL), gingival bleeding index (GBI), occlusal force, and chewing efficiency, were taken before, after treatment, and during a 12-month follow-up. Paired t-tests and regression models compared the outcomes.
RESULTS
The observation group showed significant improvement in periodontal health compared to the control group (P>0.05). Post-treatment, CAL, GBI and PD decreased significantly (all P<0.001). Masticatory function, including occlusal force and chewing efficiency, improved significantly in the observation group (P<0.001). The overall effective rate was higher in the observation group (96.91%) compared to the control group (74.75%) (P=0.017). Additionally, pain levels, measured by visual analog scale (VAS), were lower in the observation group (P<0.001). Incidence of dental diseases, including gingival bleeding and periodontal abscess, was also significantly lower (P<0.001). Multivariate analysis identified orthodontic treatment (OR: 2.883, 95% CI: 2.183-3.799, P<0.001) as a significant contributor to clinical efficacy.
CONCLUSION
The combination of orthodontic treatment and periodontal care significantly enhances periodontal health, masticatory function, and reduces dental complications in patients with anterior teeth displacement due to periodontal disease.
目的
评估正畸治疗与牙周护理联合应用对改善牙周病致前牙移位患者牙周健康和咀嚼功能的综合效果。
方法
本回顾性研究纳入了2022年1月至2025年1月期间治疗的200例因牙周病导致前牙移位的患者。患者分为对照组（n = 103），接受标准牙周治疗；观察组（n = 97），接受牙周与正畸联合治疗。在治疗前、治疗后及12个月随访期间进行临床测量，包括探诊深度（PD）、临床附着水平（CAL）、牙龈出血指数（GBI）、咬合力和咀嚼效率。采用配对t检验和回归模型比较结果。
结果
与对照组相比，观察组牙周健康状况有显著改善（P>0.05）。治疗后，CAL、GBI和PD显著降低（均P<0.001）。观察组的咀嚼功能，包括咬合力和咀嚼效率，有显著改善（P<0.001）。观察组的总有效率（96.91%）高于对照组（74.75%）（P = 0.017）。此外，观察组采用视觉模拟量表（VAS）测量的疼痛程度较低（P<0.001）。包括牙龈出血和牙周脓肿在内的牙病发生率也显著较低（P<0.001）。多因素分析确定正畸治疗（OR：2.883，95%CI：2.183 - 3.799，P<0.001）是临床疗效的重要贡献因素。
结论
正畸治疗与牙周护理相结合可显著改善牙周病致前牙移位患者的牙周健康、咀嚼功能，并减少牙科并发症。
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