牙周组织再生术联合正畸治疗牙周炎的临床效果分析[摘要]目的评价牙周组织再生术联合正畸治疗牙周炎的临床效果。方法选取2012年6月~2013年7月在本院口腔科存在不同程度咬合创伤要求进行正畸治疗的牙周炎患者23例（29颗患牙），对所有患者进行牙周组织再生术联合正畸治疗，对两种方式治疗前后的牙周袋探诊深度（PPD）和临床附着丧失（CAL）情况分别进行记录。结果所有患者再生性手术和正畸治疗的平均疗程为（27.3±1.7）个月，再生性手术治疗后患牙角形骨吸收侧的CAL、PPD分别为（3.41±1.43）、（2.84±0.87）mm，均较治疗前明显减少，垂直缺损侧的CAL和PPD分别为（3.79±1.60）、（3.12±1.11）mm，均较治疗前明显减少，差异均有统计学意义（P<0.05）；正畸治疗后患牙缺损侧和垂直骨缺损侧的CAL均较治疗前减少，差异均有统计学意义（P<0.05），患牙骨缺损侧和垂直骨缺损侧的PPD与治疗前差异无统计学意义（P>0.05）。结论牙周组织再生术联合正畸对牙周炎患者的治疗行之有效，有助于改善牙周健康状况，解决咬合创伤，有助于提高患者的牙齿功能和美观，值得临床推广应用。[关键词]牙周炎；牙周组织；再生术；正畸治疗；效果[]R781.4+2[文献标识码]A[]1674-4721（2014）06（c）-0026-03ClinicaleffectanalysisofperiodontaltissueregenerationoperationcombinedwithorthodonticstreatingperiodontitisYANGYongLIEr-hongHOULi-pingDepartmentofStomatology,CentralHospitalofCoalChemicalindustry激aoCoalofHenanProvince,激aozuo454000,China[Abstract]ObjectiveToevaluatetheclinicaleffectofperiodontaltissueregenerationoperationcombinedwithorthodonticstreatingperiodontitis.Methods23patientswithperiodontitis(29illtooth)existingdifferentlevelsofocclusaltraumarequiringorthodontictreatinginourhospitalfromJune2012toJuly2013wereselected,allpatientsweregivenperiodontaltissueregenerationoperationandorthodontictreatment,periodonticalpocketdepth(PPD)andclinicalattachmentloss(CAL)beforeandaftertreatmentoftwokindsoftreatmentmethodswererecorded.ResultsThemeandurationoftreatmentofwas(27.3±1.7)monthsforpatientstreatedwithperiodontaltissueregenerationoperationandorthodontictreatment.Afterregenerationoperation,CAL,PPDoftroubletoothangleboneabsorptionside[(3.41±1.43),(2.84±0.87)mmrespectively]weresignificantlyreducedcomparedwithbeforetreatment,CAL,PPDofverticaldefectside[(3.79±1.60),(3.12±1.11)mmrespectively]weresignificantlyreducedcomparedwithbeforetreatmentandtherewasastatisticaldifference(P<0.05);afterorthodontictreatment,CALofaffectedteethdefectsideandverticalbonedefectsideweresignificantlyreducedcomparedwithbeforetreatment,andtherewasastatisticaldifference(P<0.05),therewasnostatisticaldifferenceofCALforaffectedteethdefectsideandverticalbonedefectsidecomparedwithbeforetreatment(P>0.05).ConclusionTheclinicaleffectofperiodontaltissueregenerationoperationcombinedorthodontictreatmenttreatingperiodontitisiseffective,andithelpstoimprovetheperiodontalhealth,solvetheocclusaltrauma,atthesametime,helpstoimprovethepatients′teethfunctionalityandaesthetics.Itisworthyofclinicalpromotionandapplication.[Keywords]Periodontitis;Periodontaltissueregenerationoperation;Orthodontictreatment;Effect牙周炎是口腔科常见疾病。有研究认为[1-2]，对牙周炎患者进行正畸治疗时，在控制好炎症的情况下，对牙齿进行移动是安全的，而牙周组织在愈合时包括再生和修复，临床上通常采取再生性手术使牙周组织再生，而不是简单进行修复，主要有引导性组织再生术和植骨术，或者联合两种方法[3]，由于牙周炎患者牙齿存在错畸形或病理性移位，会存在创伤，则直接影响再生性手术的治疗效果[4]，因此，本研究探讨牙周组织再生术联合正畸治疗牙周炎的临床效果，为牙周炎患者正畸治疗...