摘要
目的:探讨老年牙周病患者前牙移位正畸治疗的临床疗效。方法:选取接受正畸治疗的老年患者22例,先对其制定治疗计划,进行牙周基础治疗,保持牙周健康状况良好,半年后,对其进行正畸治疗,疗程平均12个月左右。正畸前后拍摄头颅侧位片,记录正畸前后牙周的各项指标,比较正畸前后的变化。1年后复诊,对治疗效果及生活质量进行评价。结果:正畸治疗结束1年后,失访1例,成功患者7例(31.82%),好转患者11例(50%),失败患者3例(13.64%)。总有效率为81.82%。治疗后患者的各方面生活质量,与治疗前相比,有了显著提高。在牙周方面,正畸前后的探诊深度和附着丧失无明显差异,牙齿松动度和龈沟出血指数较正畸前改善,差异有统计学意义。正畸之后,患者的U1-SN、U1-NA、U1-AP均减小,差异有统计学意义。结论:牙周治疗联合正畸治疗对于矫正老年牙周炎患者的前牙移位是一个理想的治疗手段,具有较好的临床治疗效果,不但能够改善外观和咬合功能,对于牙周炎的控制还有积极作用,值得推广。
Objective： To discuss the effect of orthodontic treatment in elderly patients with periodontal disease. Methods：22 elderly patients started orthodontic treatment 6 months after non-surgical periodontal therapy. The mean orthodontic treatment duration was 12 months. Lateral cephalometric radiographs were taken, and the periodontal parameters were recorded and compared before and after the orthodontic treatment. The treatment effect, the quality of living, and the periodontal index were evaluated. X-ray analysis was performed. Results： The clinical examination results showed that the successful rate was 31.82%, the improvement rate was 50%, and the failure rate was 13.64%. The total effectiveness rate was 81.82%. The quality of living after treatment was obviously higher than that before treatment. There were no significant differences in probing depth and attachment loss, while significant differences were found in tooth mobility, sulcus bleeding index, U1-SN、U1-NA、U1-AP before and after the orthodontic treatment. Conclusion：Orthodontic treatment,which can not only improve lateral profile and dental occlusion,but also be helpful to the periodontal maintenance, is a useful means for elderly patients with periodontal disease.
出处
《中华老年口腔医学杂志》
2015年第4期205-208,共4页
Chinese Journal of Geriatric Dentistry
关键词
老年
牙周炎
正畸
elderly patients
periodontal disease
Othodontics
