牙周-正畸联合治疗成人牙周炎效果观察

目的：探讨牙周-正畸联合治疗成人牙周炎患者的方法及临床疗效。方法回顾性分析2008年3月～2010年4月我院经牙周-正畸联合治疗的37例成人牙周炎患者临床资料，并观察正畸治疗后23～48个月远期疗效。结果正畸治疗后37例患者咬合关系正常，前牙覆覆盖正常，牙齿排列整齐，邻接关系恢复，尖窝接触关系良好，牙齿松动明显好转，牙龈探诊未见出血，X线片检查显示牙槽骨吸收停止或有增生影像。随访23～48个月，37例患者基本做到半年复查一次，其中无复发29例（78.4%），轻度复发8例（21.6%），无明显复发者。结论牙周-正畸联合治疗牙周炎能有效控制炎症，消除咬合创伤，排齐牙列，利于牙周组织痊愈及患牙固定，恢复患牙咀嚼和美观功能，保持长期稳定的治疗效果。

Observation of the effect of periodontal-orthodontic treatment on the adult periodontitis

Objective To explore the methods and clinical effect of periodontal-orthodontic treatment on the patients with periodontitis. Methods A retrospective analysis was performed on the clinical data of 37 adult patients with periodontitis,who treated by periodontal-orthodontic treatment in our hospital from Match 2008 to April 2010 and observed their long-term follow-up result for 23 to 48 months after the treatment. Results the 37 patients＇occluding relation,overlap and overbite of anterior teeth was normal,their teeth arranged orderly, adjacency relation was recovered,canine fossa contact relationship was good and gomphiasis situation turned better obviously. Examined the gingivas of the patients found there was no bleeding,examined by X-ray found their alveolar resorption stopped,some of the patients showed the hyperplasia images. Followed-up visit for 23 to 48 months,the 37 patients reviewed once half a year basically,29 cases of them no relapse （78.4%）,8 cases of them relapse mildly （21.6%）,there was no patient relapse obviously. Conclusion periodontal-orthodontic treatment to treat the periodontitis can control the inflammation effectively, eliminate the occlusal traumatism,arrange the denture,benefit to periodontium recovery and offending teeth immobilization,recover the chew and aesthetic function of the offending teeth,and maintain their secular stability and therapeutic effect.