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目的观察牙周基础治疗在青春期牙龈炎伴错颌畸形治疗中的疗效。方法将103例青春期牙龈炎伴错颌畸形患者随机分成单纯正畸治疗的对照组和采用牙周基础治疗加正畸治疗的治疗组,在治疗前及治疗后6个月分别观察比较牙龈指数(GI)、菌斑指数(PLI)、龈沟出血指数(SBI)、牙周袋情况及牙槽骨吸收。结果两组治疗后GI、PLI及SBI评分均较治疗前变化明显,差异有统计学意义(P<0.05);治疗组与对照组治疗后GI、PLI及SBI评分比较,差异有统计学意义(P<0.05)。两组治疗后牙周袋及牙槽骨吸收数量均较治疗前有改善,差异有统计学意义(P<0.05);治疗后治疗组与对照组牙周袋情况比较,差异无统计学意义(P>0.05),牙槽骨吸收比较,差异有统计学意义(P<0.05)。结论正畸治疗前的牙周基础治疗可明显改善口腔卫生条件,并加强正畸治疗的临床疗效,对治疗青春期牙龈炎伴错颌畸形具有协同作用。
Objective To observe the effect of basic periodontal treatment on the treatment of adolescent gingivitis and malocclusion. Methods A total of 103 patients with adolescent gingivitis and malocclusion were randomly divided into two groups: control group with simple orthodontic treatment and treatment group with basic periodontal plus orthodontic treatment. The gingival index (P <0.05) was compared before and 6 months after treatment GI), plaque index (PLI), sulcus bleeding index (SBI), periodontal pocket and alveolar bone resorption. Results The GI, PLI and SBI scores of the two groups after treatment were significantly different from those before treatment (P <0.05). The GI, PLI and SBI scores of the two groups after treatment were significantly different P <0.05). The number of periodontal pockets and alveolar bone resorption in both groups after treatment was significantly improved compared with that before treatment (P <0.05). There was no significant difference in the periodontal pocket between the two groups after treatment P> 0.05), alveolar bone resorption, the difference was statistically significant (P <0.05). Conclusion The basic periodontal treatment before orthodontic treatment can significantly improve the oral hygiene conditions and enhance the clinical efficacy of orthodontic treatment. It has a synergistic effect on the treatment of adolescent gingivitis associated with malocclusion.