口腔正畸对牙周病致前牙移位患者前牙功能及血清炎症因子水平的影响

的:探讨口腔正畸对牙周病致前牙移位患者前牙功能及血清炎症因子水平的影响。方法:选取牙周病致前牙移位患者64例,经牙周基础治疗后进行口腔正畸。观察治疗6个月、12个月患者的临床疗效、牙周情况及牙齿松动度,进行牙齿功能评估,测定血清炎症因子。结果:64例患者,显效26例,有效33例,无效5例,治疗有效率为92.19%;治疗前、治疗6个月、治疗12个月,患者的牙周袋深度、前牙覆盖度、探诊出血率逐渐减小(P<0.05)。不同时间,患者的牙槽骨高度比较,差异无统计学意义(P>0.05);治疗6个月和12个月,患者的牙齿松动度均小于治疗前(P<0.05)。治疗前、治疗6个月、治疗12个月,患者牙齿的咀嚼功能、固定程度、美观程度及舒适程度评分逐渐增加(P<0.05);治疗6个月和12个月,患者的IL-6、IL-8、TNF-α水平均小于治疗前(P<0.05)。结论:牙周病致前牙移位采用口腔正畸效果良好。正畸后可降低机体炎症反应,改善患者牙周情况,减轻牙齿松动,提高咀嚼功能及美观程度。

Effects of Oral Orthodontics on Anterior Teeth Function and Serum Inflammatory Factors Levels in Patients with Anterior Teeth Displacement Caused by Periodontal Disease

Objective To explore the effects of oral orthodontics on anterior teeth function and serum inflammatory factors levels in patients with anterior teeth displacement caused by periodontal disease.Methods 64 patients with anterior teeth displacement caused by periodontal disease were selected,and they were given oral orthodontics after periodontal non-surgical treatment.The clinical efficacy,periodontal status and tooth mobility were observed at 6 months and 12 months of treatment,and the teeth function was evaluated,and serum inflammatory factors were determined.Results Among the 64 patients,there were 26 markedly effective cases,33 effective cases and 5 ineffective cases,and the effective rate of treatment was 92.19%.Before treatment,at 6 months of treatment and at 12 months of treatment,the probing depth,anterior teeth coverage and rate of bleeding on probing were gradually decreased (P<0.05).There was no significant difference in the alveolar bone height among patients at different times (P>0.05).At 6 months and 12 months of treatment,the tooth mobility was less than that before treatment (P<0.05).Before treatment,at 6 months of treatment and at 12 months of treatment,the scores of teeth chewing function,fixation degree,aesthetic measure and comfort degree were gradually increased (P<0.05).At 6 months and 12 months of treatment,the levels of IL-6,IL-8 and TNF-α were lower than those before treatment (P<0.05).Conclusion Oral orthodontics has good effects on anterior teeth displacement caused by periodontal disease.Orthodontics can reduce the body’s inflammatory response,improve the periodontal status,reduce tooth mobility,and promote chewing function and aesthetic measure.