本文選題：中 + 重度牙周炎�。� 參考：《浙江大學(xué)》2014年碩士論文

【摘要】：引言：牙周炎是一種累及牙周支持組織的疾病,隨著牙槽骨進(jìn)行性吸收,常導(dǎo)致牙齒扭轉(zhuǎn)、傾斜、伸長(zhǎng)并繼發(fā)咬合創(chuàng)傷、錯(cuò)(?)畸形,最終導(dǎo)致牙齒松動(dòng)脫落。因此,牙周病是導(dǎo)致牙列缺損的重要原因之一。中、重度牙周炎嚴(yán)重影響患者的口腔功能及面部美觀,導(dǎo)致患者生活質(zhì)量下降,常對(duì)患者造成較重的心理壓力。因此,如何有效治療和保存牙周病患牙,對(duì)每位牙科醫(yī)生來(lái)說(shuō),都是挑戰(zhàn)。口腔正(?)能使牙齒在頜骨中三維移動(dòng),包括對(duì)牙周病患者扇形散開(kāi)、伸長(zhǎng)前牙的壓低、內(nèi)收等；牙齒移動(dòng)的同時(shí),牙槽骨、牙齦有相應(yīng)的改建再生。因此,正畸治療是保存牙周病患牙的有效手段。近年來(lái),牙周-正畸聯(lián)合治療的模式已成為牙周病綜合治療的措施之一 目的：本研究通過(guò)檢測(cè)經(jīng)牙周治療后的中、重度慢性牙周炎患者,正畸治療前后牙周檢查各項(xiàng)指數(shù)的變化,同時(shí)與牙周正常的正畸患者做2年的對(duì)比研究,探討中、重度慢性牙周炎患者正畸治療的特點(diǎn)、可行性和有效性,為正畸治療中、重度慢性牙周炎的預(yù)后及患牙的保存提供指導(dǎo)。 方法：本研究選取到浙江大學(xué)醫(yī)學(xué)院附屬第二醫(yī)院口腔正畸科就診的牙周病患者10例,其中男性1例,女性9例,平均年齡37.3±9.8周歲,稱(chēng)為牙周病伴錯(cuò)(?)畸形正畸治療組(實(shí)驗(yàn)組),所有患者正畸治療前已完成牙周基礎(chǔ)治療。另選牙周正常錯(cuò)(?)畸形患者10例,其中男性5例,女性5例,平均年齡23.4±3.0周歲,稱(chēng)為牙周正常錯(cuò)(?)畸形組(對(duì)照組)。兩組患者在正畸治療前后接受牙周檢查并拍攝全景片。牙周檢查包括檢測(cè)菌斑指數(shù)(plaque index, PLI),探診出血(bleeding on probing, BOP),出血指數(shù)(bleeding index, BI),牙齦外形指數(shù)(papilla presence index,PPI),牙周袋探診深度(probing depth, PD)和臨床附著喪失(clinical attachment loss,CAL)。全景片測(cè)量釉牙骨質(zhì)界到牙槽嵴頂?shù)木嚯x(AH)。 結(jié)果：①在牙周病進(jìn)入靜止期后繼續(xù)觀察發(fā)現(xiàn),實(shí)驗(yàn)組PLI、BI的變化均無(wú)顯著性差異(p0.5),PPI、PD、CAL和AH均顯著性減小(p0.5),但與對(duì)照組比較仍有顯著性差異(p0.5)；②對(duì)照組患者在正畸治療前后各項(xiàng)指數(shù)變化均沒(méi)有顯著性差異(p0.5)。③在正畸治療觀察期內(nèi),所有牙周病患者牙齒均沒(méi)有脫落缺失。 結(jié)論：正畸治療能恢復(fù)牙齦形態(tài)、重建覆(?)覆蓋關(guān)系,從而有效改善牙周病患者的前牙美觀；正畸治療有利于菌斑控制及牙槽骨改建,使牙周治療的療效得以長(zhǎng)期維護(hù)；中、重度慢性牙周炎患者在炎癥控制、病情穩(wěn)定后可以接受正畸治療,規(guī)范的正畸治療能有效的保存牙周病患牙。
[Abstract]:Introduction: periodontitis is a disease involving periodontal supporting tissue, which often causes tooth torsion, tilt, elongation and secondary occlusal trauma as alveolar bone resorbs. Deformity, eventually leading to tooth loosening and falling off. Therefore, periodontal disease is one of the important causes of dentition defect. Moderate and severe periodontitis seriously affects the oral function and facial beauty of the patients, leading to a decline in the quality of life of patients, often causing severe psychological pressure on patients. Therefore, how to effectively treat and preserve periodontal teeth is a challenge for every dentist. Oral cavity It can make the teeth move in the jaws, including the fan-shaped spread of periodontal disease patients, elongation of the anterior teeth, internal adduction, etc. At the same time of tooth movement, the alveolar bone and gingiva have corresponding remodeling and regeneration. Therefore, orthodontic treatment is an effective means to preserve periodontal disease teeth. In recent years, the combined periodontal and orthodontic treatment model has become one of the comprehensive treatment measures for periodontal diseases. Objective: to investigate the changes of periodontal indexes in patients with moderate and severe chronic periodontitis after periodontal treatment, and to investigate the changes of periodontal indexes before and after orthodontic treatment. The characteristics, feasibility and effectiveness of orthodontic treatment in patients with severe chronic periodontitis provide guidance for the prognosis of severe chronic periodontitis and the preservation of affected teeth. Methods: ten patients with periodontitis were selected from the Department of Orthodontics, second affiliated Hospital of Zhejiang University Medical College, including 1 male and 9 female, with an average age of 37.3 鹵9.8 years. Orthodontic treatment group (experimental group), all patients completed periodontal basic treatment before orthodontic treatment. Other normal periodontal malformation) There were 10 patients with malformation, including 5 males and 5 females, with an average age of 23.4 鹵3.0 years, which was called normal periodontal malformation. Deformity group (control group). The two groups received periodontal examination and panoramic film before and after orthodontic treatment. Periodontal examination included plaque index (pli), probing bleeding on probing, BOPN, bleeding index (BII), gingival shape index (PAPilla presence), periodontal pouch probing depth (PDD) and clinical attachment loss (CALL). The distance from the enamel cementum to the alveolar crest was measured by panoramic film. Results after the periodontal disease entered into a static period, There was no significant difference in the changes of PLII BI between the experimental group and the control group, but there was no significant difference between the two groups before and after orthodontic treatment, and there was no significant difference between the two groups before and after orthodontic treatment, p0.5.3 was not significantly different between the two groups before and after orthodontic treatment. During the observation period of teratological treatment, No tooth loss was found in all patients with periodontal disease. Conclusion: orthodontic treatment can restore gingival shape and reconstruct the overburden. The coverage relationship can effectively improve the aesthetic appearance of anterior teeth of patients with periodontal disease; orthodontic treatment is beneficial to plaque control and alveolar bone remodeling, so that the curative effect of periodontal treatment can be maintained for a long time; patients with moderate and severe chronic periodontitis are under the control of inflammation. Orthodontic treatment can be accepted after stable condition, standard orthodontic treatment can effectively preserve periodontal disease teeth.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R783.5

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本文編號(hào)：1952238