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目的探讨牙周组织再生术-正畸联合治疗牙周炎患者的临床效果。方法选取需进行正畸治疗的牙周炎患者68例,随机分成联合组及对照组,每组34例。对照组给予牙周组织再生术治疗,联合组给予牙周组织再生术-正畸联合治疗。比较两组总体评分、具体评分及治疗效果。结果联合组总有效率为97.06%(33/34),对照组为82.35%(28/34),两组比较差异有统计学意义(χ~2=6.43,P<0.05)。联合组牙龈健康状况、口腔清洁、美观及整体满意评分高于对照组(P<0.05)。治疗后1、3个月,两组各项评分指标优于治疗前,且联合组菌斑指数、牙周探诊深度、龈沟出血指数、牙龈指数改善情况优于对照组(P<0.05)。结论牙周组织再生术-正畸联合治疗患者牙周炎临床效果良好,可解决咬合创伤,改善牙周健康状态,提高牙齿美观度。
Objective To investigate the clinical effect of periodontal tissue regeneration and orthodontic treatment of patients with periodontitis. Methods Sixty-eight patients with periodontitis requiring orthodontic treatment were randomly divided into combined group and control group with 34 cases in each group. The control group was treated with periodontal tissue regeneration, and the combined group was given periodontal tissue regeneration - orthodontic treatment. The two groups were compared on the overall score, the specific score and treatment effect. Results The total effective rate was 97.06% (33/34) in the combined group and 82.35% (28/34) in the control group. The difference between the two groups was statistically significant (χ ~ 2 = 6.43, P <0.05). The scores of gingival health, oral hygiene, aesthetics and overall satisfaction in the joint group were higher than those in the control group (P <0.05). At 1 and 3 months after treatment, the scores of two groups were better than those before treatment, and the improvement of plaque index, periodontal exploration depth, sulcus bleeding index and gingival index in the combined group was better than that in the control group (P <0.05) . Conclusion Periodontal tissue regeneration - orthodontic treatment of patients with periodontitis clinical effect is good, can solve the occlusal trauma, improve periodontal health status, improve tooth aesthetics.