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(cuò)畸形伴牙周病治療的效果。方法 隨機(jī)選擇2017年1月—2019年2月該院的治療錯(cuò)畸形伴牙周病的患者60例作為研究對(duì)象,隨機(jī)數(shù)字表分為對(duì)照組(n=30)和觀察組(n=30)。對(duì)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(píng)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(píng)分顯著優(yōu)于對(duì)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(duì)照組(P<0.05),觀察組總有效率為90.00%,顯著高于對(duì)照組的66.67%,差異有統(tǒng)計(jì)學(xué)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(cuò)畸形伴牙周病的治療效果顯著,牙齦美容形態(tài)評(píng)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(cuò)畸形;牙周病
[中圖分類號(hào)] R783.5? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 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(cuò)牙畸形主要是由于牙合,顱面之間的關(guān)系不調(diào)而進(jìn)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(shí)臨床癥狀多種多樣,病情較輕的患者僅個(gè)別牙齒出現(xiàn)錯(cuò)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(cuò)位。病情嚴(yán)重的患者會(huì)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(duì)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(jī)選擇2017年1月—2019年2月的治療錯(cuò)畸形伴牙周病的患者60例作為研究對(duì)象,探討牙周引導(dǎo)組織再生術(shù)用于錯(cuò)畸形伴牙周病治療的效果,現(xiàn)報(bào)道如下。
1? 資料與方法
1.1? 一般資料
隨機(jī)選擇該院治療錯(cuò)畸形伴牙周病的患者60例作為研究對(duì)象,隨機(jī)數(shù)字表分為對(duì)照組(n=30)和觀察組(n=30)。對(duì)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(wú)統(tǒng)計(jì)學(xué)意義(P>0.05),具有可比性。納入標(biāo)準(zhǔn):①符合錯(cuò)畸形伴牙周病患者的診斷標(biāo)準(zhǔn),均經(jīng)影像檢查進(jìn)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(jìn)行治療;③意識(shí)清楚,能與醫(yī)生進(jìn)行溝通、交流。④患者及其家屬愿意且積極配合醫(yī)護(hù)人員進(jìn)行治療。經(jīng)過(guò)倫理委員會(huì)批準(zhǔn)。排除標(biāo)準(zhǔn):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(rèn)知功能異常或伴有內(nèi)分泌疾病者;③近1個(gè)月居其他方法治療會(huì)對(duì)該研究產(chǎn)生不良影響或入院資料不全者。