微型种植体支抗在慢性牙周炎口腔正畸中的应用(1)
[摘要]目的：探讨微型种植体支抗在慢性牙周炎患者口腔正畸中的临床效果。方法：选取2014年1月-2016年5月笔者科室收治的慢性牙周炎口腔正畸患者138例，随机分为对照组和观察组。对照组：69例，采用口外弓加强支抗法治疗；观察组：69例，采用微型种植体支抗治疗。治疗后测量两组上中切牙凸距差、上中切牙倾角差、磨牙位移指标，比较临床疗效。结果：观察组上中切牙唇向位移高于对照组(P<0.05)，磨牙位移小于对照组(P<0.05)；不良反应发生率低于对照组(P<0.05)，差异均具有统计学意义。结论：微型种植体支抗用于治疗慢性牙周炎正畸患者效果较好，创伤小且稳定性较高，值得临床推广应用。
[关键词]微型种植体；慢性牙周炎；口腔正畸；临床效果；不良反应
[中图分类号]R783.5 [文献标志码]A [文章编号]1008-6455(2018)05-0101-02
Clinical Application of Mini Implant Anchorage in Periodontal Orthodontics
, http://www.100md.com
ZHA Jian-xin1， LI Chang-qing2
(1.Department of Stomatology；2.Department of Orthodontia， Union Hospital of Tangshan， Tangshan 063004，Hebei，China)
Abstract： Objective To investigate the clinical effect of mini-implant anchorage on oral orthodontics in patients with periodontitis. Methods A total of 138 patients with orthodontic treatment of periodontitis treated in department from January 2014 to December 2016 were selected and divided into control group (n = 69) and observation group (n = 69) according to different treatment methods. The control group was treated by external iliac arch and the supportive method was used. The observation group was treated with mini-implant support. The distance between the upper and middle incisors， the incisive incisors and the molars displacement were measured in the two groups. The clinical curative effect was compared between the two groups . Results The maxillary and mandibular incisors of the observation group were higher than those of the control group (P<0.05)， the molar displacement of the observation group was smaller than that of the control group (P<0.05). Adverse reactions of the observation group and the control group The rate was lower than that of the control group (P<0.05)， and the difference was statistically significant. Conclusion Micro-implants in the treatment of periodontitis patients with good effect， small trauma and high stability， it is worth promoting the application.
, 百拇医药
Key words： micro implants； periodontitis； orthodontics； clinical effects； adverse reactions
正畸治療是指对牙齿畸形、错位牙齿的一种矫正治疗方式，临床上主要是采用矫正装置对牙齿和面部的骨骼肌肉进行调节[1]，达到神经和骨骼肌肉之间的协调一致性，最终使得牙齿得以矫正[2]。微型种植体是一种暂时性的支抗装置，而且不需要跟牙齿进行骨性结合，主要靠植入到牙龈中的种植体带来的自身稳定性，相对于其他正畸装置来说具有小巧、方便、美观的优点[3-5]。但种植体具有一定的禁忌证，对于未被控制的慢性牙周炎不建议使用微型种植体，对已经被控制的慢性牙周炎的治疗效果尚未有统一性研究报道[6]，因此，本文主要研究微型种植体用于并发慢性牙周炎患者的正畸效果，现报道如下。
1 资料和方法
1.1 一般资料：选取2014年1月-2016年5月笔者科室收治的慢性牙周炎口腔正畸治疗患者138例，随机分为对照组和观察组，每组各69例。纳入标准：①被确诊为上牙弓前突患者；②均采用口腔正畸的方式进行治疗；③患有已被控制的慢性牙周炎患者。牙周治疗方法：牙周基础治疗(洁治，PD≥4刮治+根面平整，口腔卫生指导)3个月后，病情稳定，PD≤5mm，菌斑百分率<20%。正畸过程中，每月复查1次牙周，预防炎症的发生。排除标准：①合并严重心、肝、肾功能异常及伴有明显精神异常者；②合并口腔卫生不佳或伴有牙龈炎者；③合并慢性牙周炎未控制的患者和患有牙龈疾病者。所纳入患者均对本研究知情，并自愿参与。本研究符合笔者医院伦理委员会的要求，并经过伦理委员会的审批通过。, 百拇医药(查建鑫 李长青)
[关键词]微型种植体；慢性牙周炎；口腔正畸；临床效果；不良反应
[中图分类号]R783.5 [文献标志码]A [文章编号]1008-6455(2018)05-0101-02
Clinical Application of Mini Implant Anchorage in Periodontal Orthodontics
, http://www.100md.com
ZHA Jian-xin1， LI Chang-qing2
(1.Department of Stomatology；2.Department of Orthodontia， Union Hospital of Tangshan， Tangshan 063004，Hebei，China)
Abstract： Objective To investigate the clinical effect of mini-implant anchorage on oral orthodontics in patients with periodontitis. Methods A total of 138 patients with orthodontic treatment of periodontitis treated in department from January 2014 to December 2016 were selected and divided into control group (n = 69) and observation group (n = 69) according to different treatment methods. The control group was treated by external iliac arch and the supportive method was used. The observation group was treated with mini-implant support. The distance between the upper and middle incisors， the incisive incisors and the molars displacement were measured in the two groups. The clinical curative effect was compared between the two groups . Results The maxillary and mandibular incisors of the observation group were higher than those of the control group (P<0.05)， the molar displacement of the observation group was smaller than that of the control group (P<0.05). Adverse reactions of the observation group and the control group The rate was lower than that of the control group (P<0.05)， and the difference was statistically significant. Conclusion Micro-implants in the treatment of periodontitis patients with good effect， small trauma and high stability， it is worth promoting the application.
, 百拇医药
Key words： micro implants； periodontitis； orthodontics； clinical effects； adverse reactions
正畸治療是指对牙齿畸形、错位牙齿的一种矫正治疗方式，临床上主要是采用矫正装置对牙齿和面部的骨骼肌肉进行调节[1]，达到神经和骨骼肌肉之间的协调一致性，最终使得牙齿得以矫正[2]。微型种植体是一种暂时性的支抗装置，而且不需要跟牙齿进行骨性结合，主要靠植入到牙龈中的种植体带来的自身稳定性，相对于其他正畸装置来说具有小巧、方便、美观的优点[3-5]。但种植体具有一定的禁忌证，对于未被控制的慢性牙周炎不建议使用微型种植体，对已经被控制的慢性牙周炎的治疗效果尚未有统一性研究报道[6]，因此，本文主要研究微型种植体用于并发慢性牙周炎患者的正畸效果，现报道如下。
1 资料和方法
1.1 一般资料：选取2014年1月-2016年5月笔者科室收治的慢性牙周炎口腔正畸治疗患者138例，随机分为对照组和观察组，每组各69例。纳入标准：①被确诊为上牙弓前突患者；②均采用口腔正畸的方式进行治疗；③患有已被控制的慢性牙周炎患者。牙周治疗方法：牙周基础治疗(洁治，PD≥4刮治+根面平整，口腔卫生指导)3个月后，病情稳定，PD≤5mm，菌斑百分率<20%。正畸过程中，每月复查1次牙周，预防炎症的发生。排除标准：①合并严重心、肝、肾功能异常及伴有明显精神异常者；②合并口腔卫生不佳或伴有牙龈炎者；③合并慢性牙周炎未控制的患者和患有牙龈疾病者。所纳入患者均对本研究知情，并自愿参与。本研究符合笔者医院伦理委员会的要求，并经过伦理委员会的审批通过。, 百拇医药(查建鑫 李长青)
参见：首页 > 医疗版 > 疾病专题 > 口腔科 > 牙周病 > 牙周炎