口腔正畸治疗对牙周病致前牙移位患者牙齿功能及外观改善情况的影响
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宁夏银川市金凤区健君口腔诊所

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Exploration of the impact of orthodontic treatment on tooth function and aesthetics in cases of anterior tooth displacement caused by periodontal disease
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    摘要:

    目的 研究牙周病致前牙移位实施口腔正畸治疗对牙齿功能及美观性的应用效果。方法 将2022年3月至2025年3月到我院治疗的108例牙周病致前牙移位患者分为两组。观察组54例,对照组54例。对照组采取常规治疗,观察组则采用口腔正畸治疗。治疗后,比较两组患者的牙周各项指标(牙周袋深度、前牙覆盖度、牙槽骨高度、探诊出血率)、功能改善/美观评分(咀嚼、吞咽、口语表达、牙齿排列整齐)、生活质量评分(社会功能、生理功能、物质功能、心理功能)、血清细胞因子水平(TNF-α、IL-2、IL-6)、不良反应发生情况(口臭、牙周脓肿、疼痛、牙齿松动)。结果 治疗后,观察组的牙周各项指标均优于对照组,功能改善/美观评分以及生活质量评分均高于对照组,血清细胞因子水平均稳定于对照组,不良反应发生情况少于对照组,数据差异具有统计学意义(P<0.05)。结论 对牙周病致前牙移位患者使用口腔正畸治疗,能有效改善患者的牙齿功能,促进患者的牙齿美观,降低不良反应情况的发生。

    Abstract:

    Objective: To investigate the application effect of orthodontic treatment on tooth function and aesthetics in patients with anterior tooth displacement caused by periodontal disease. Methods: 108 patients with anterior tooth displacement caused by periodontal disease who received treatment at our hospital from March 2022 to March 2025 were divided into two groups. There were 54 cases in an observation group and 54 cases in a control group. The control group received conventional treatment, and the observation group received orthodontic treatment. After treatment, the periodontal indicators (periodontal pocket depth, anterior tooth coverage, alveolar bone height, probing bleeding rate), functional improvement/aesthetic score (chewing, swallowing, oral expression, teeth alignment), quality of life score (social function, physiological function, material function, psychological function), serum cytokine levels (TNF - α, IL-2, IL-6), and incidence of adverse reactions (bad breath, periodontal abscess, pain, tooth loosening) were compared between the two groups of patients. After treatment, the periodontal indicators of the observation group were better than those of the control group, and the functional improvement/aesthetic score and quality of life score were higher than those of the control group. The serum cytokine levels were stable in the control group, and the incidence of adverse reactions was less than the control group. The data difference was statistically significant (P<0.05). Conclusion: Orthodontic treatment for patients with anterior tooth displacement caused by periodontal disease can effectively improve their dental function, promote their dental aesthetics, and reduce the occurrence of adverse reactions.

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  • 收稿日期:2025-03-28
  • 最后修改日期:2025-05-12
  • 录用日期:2025-05-14
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