摘要
目的研究正畸对萎缩性牙周炎的临床效果以及对SF-36评分的影响。方法本文选取我院2016年2月至2017年2月收治的90例萎缩性牙周炎患者,按照完全随机法分成正畸治疗组和常规治疗组各45例。常规治疗组患者使用盐酸米诺环素软膏进行治疗,正畸治疗组患者使用盐酸米诺环素软膏联合正畸治疗。对两组患者治疗前后牙龈出血指数(bleeding index,BI)、探诊深度(Probing depth,PD)、菌斑指数(plaque index,PLI)、牙龈指数(gingival index,GI)、牙松动度(tooth mobility,TM)、SF-36评分进行评分并进行组间比较;对两组患者治疗前后炎症因子白细胞介素6(interleukin-6,IL-6)、C反应蛋白(C-reactionprotein,CRP)进行检测并组间比较;统计治疗有效率及并发症发生情况。结果治疗后正畸治疗组BI、PD、PLI评分低于常规治疗组(P<0.05)。治疗后正畸治疗组GI、TM评分低于常规治疗组(P<0.05)。治疗后正畸治疗组患者炎症因子IL-6、CRP水平低于常规治疗组(P<0.05)。治疗后正畸治疗组SF-36评分总体健康高于常规治疗组(P<0.05)。治疗后正畸治疗组并发症发生率低于常规治疗组(P<0.05)。治疗后正畸治疗组总有效率高于常规治疗组(P<0.05)。结论正畸治疗萎缩性牙周炎临床效果显著,能改善患者牙周相关指标,提高患者SF-36评分,促进患者恢复。
Objective To study the clinical effect of orthodontics on atrophic periodontitis and its influence on SF-36 score. Methods Ninety patients with atrophic periodontitis who admitted to our hospital from February2016 to February 2017 were randomly divided into orthodontic treatment group and conventional treatment group with45 cases in each group. Patients in the conventional treatment group were treated with minocycline hydrochloride ointment,while patients in the orthodontic treatment group were treated with minocycline hydrochloride ointment combined with orthodontic treatment. Gingival hemorrhage index(BI),probing depth(PD),plaque index(PLI),gingival index(GI),tooth mobility(TM),SF-36 scores before and after treatment were scored and compared between the two groups. Inflammatory factors such as interleukin-6(IL-6),C-reactive protein(C-reac)before and after treatment were compared between the two groups. CRP was detected and compared between groups,and the effective rate of treatment and complications were counted. Results After treatment,the scores of BI,PD and PLI in the orthodontic treatment group were lower than those in the conventional treatment group(P < 0.05). The scores of GI and TM in the orthodontic treatment group were lower than those in the conventional treatment group(P < 0.05). After treatment,the levels of IL-6 and CRP in the orthodontic treatment group were lower than those in the conventional treatment group(P < 0.05). After treatment,the SF-36 score of the orthodontic treatment group was higher than that of the conventional treatment group(P < 0.05). After treatment,the incidence of complications in the orthodontic treatment group was lower than that in the conventional treatment group(P < 0.05). After treatment,the total effective rate of orthodontic treatment group was higher than that of conventional treatment group(P < 0.05). Conclusion Orthodontic treatment of atrophic periodontitis has a significant clinical effect. It can improve the periodontal related indicators,and improve the SF-36 score and promote the recovery of patients.
作者
张健
肖丹娜
王欣欣
孙兰英
张娜
高辉
ZHANG Jian;XIAO Danna;WANG Xinxin;SUN Lanying;ZHANG Na;GAO Hui(Graduate School of Tianjin Medical University,Tianjin 300070,China)
出处
《实用医学杂志》
CAS
北大核心
2019年第24期3832-3836,共5页
The Journal of Practical Medicine
基金
院长助研基金重点项目(编号：2018-01)
关键词
牙周炎
盐酸米诺环素软膏
正畸治疗
SF-36评分
periodontitis
minocycline hydrochloride ointment
orthodontic treatment
SF-36 score
