伴口呼吸及错牙合畸形慢性牙周炎牙周序列治疗观察

目的:探讨前牙区牙龈增生伴张口呼吸、错牙合畸形的慢性牙周炎患者接受牙周序列治疗的临床疗效。方法:选择2007年9月~2008年9月在大连市口腔医院牙周黏膜科就诊的前牙区牙龈增生伴张口呼吸、错牙合畸形的慢性牙周炎患者10例,进行牙周序列治疗(基础治疗、牙周手术治疗、正畸治疗和牙周支持治疗),历时5年以上。在治疗前、正畸治疗后1~3年采用Florida探针检查记录前牙区探诊深度(PD)、附着丧失(CAL)、牙齿松动度(TM)、探诊出血(BOP)等临床指标,并进行统计分析。在治疗前和正畸治疗后1～3年拍摄曲面断层片。结果:正畸治疗后1～3年前牙区PD、CAL均较治疗前有明显降低,BOP阳性位点较治疗前明显减少,差异均有统计学意义(P<0.01);TM较治疗前无明显变化,差异无统计学意义。治疗后3年较治疗后1年和2年,PD、CAL下降,BOP阳性位点减少,但差异均无统计学意义。结论:前牙区牙龈增生伴张口呼吸、错牙合畸形的慢性牙周炎患者进行历时5年以上牙周序列治疗,临床疗效良好且稳定

Effects of Sequential Periodontal Treatment on Patients of Chronic Periodontitis with Mouth Breathing and Malocclusion Deformity.

Objective: To study the clinical effect of sequential periodontal treatment on chronic periodontitis patients with mouth breathing and malocclusion deformity in anterior tooth region. Methods: Ten chronic periodontitis patients with mouth breathing and malocclusion deformity in anterior tooth region were selected in the Department of Periodontology and Oral Mucosa, Stomatological Hospital of Dalian from September 2007 to September 2008.These patients received sequential periodontal treatment for more than 5 years, including periodontal initial therapy, periodontal surgical therapy, orthodontic treatment, and periodontal supportive therapy. Clinical parameters of probing depth (PD), clinical attachment level (CAL), tooth mobility (TM) and bleeding on probing (BOP) were recorded by Florida electronic probe in anterior tooth region at baseline and 1-3 years after orthodontic treatment, and then analysis was carried out.Panoramic tomogram intraoral radiography was detected at baseline and 1-3 years after orthodontic treatment. Results: PD and CAL were decreased 1-3 years after orthodontic treatment, the positive sites of BOP were reduced, and the statistical differences were detected (P<0.01). TM was improved, however, not significant. Conclusion: For chronic periodontitis patients with mouth breathing and malocclusion deformity in anterior tooth region, the more than 5 years clinical treatment of sequential periodontal is effective and stable.