正畸-牙周联合治疗对替牙期儿童错位伴继发性咬合创伤牙齿牙周组织的疗效

Abstract
Figure/Table
References (26)
Related Citation (10)

Download: PDF (757 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To evaluate the effect of periodontal-orthodontic treatment on the local periodontal tissue of children with malposed teeth and secondary occlusal trauma in mixed dentition period. Methods From January 2016 to January 2018, 50 children in mixed dentition period were selected from Department of Stomatology, Xuzhou Central Hospital. They were divided into two groups according to the malposed teeth whether or not with secondary occlusal trauma, children in the study group with malposed teeth and secondary occlusal trauma (n = 25), children in the control group with malposed teeth without secondary occlusal trauma (n = 25). The periodontal status of all children were evaluated at the first visit before orthodontic-periodontal treatment. Probing pocket depth (PPD), gingival index (GI), bleeding index (BI) and plaque index (PI) of the two groups were compared before and after orthodontic-periodontal treatment. Results The average periodontal index PD, GI, BI and PI of malposed teeth with secondary occlusal trauman in the study group before treatment were higher than those in the control group, the differences were statistically significant (P ＜ 0.05). After treatment, the local periodontal status of malposed teeth in the two groups was significantly improved compared with that before treatment, the differences were statistically significant (P ＜ 0.05). But there was no significant difference in PPD, GI, BI and PI between two groups after treatment (P ＞ 0.05). Conclusion Early intervention should be given to the mixed dentition children with malposed teeth and a secondary occlusal trauma. A combined orthodontic-periodontal therapy can not only eliminate occlusal trauma and align teeth, but also help to reconstruct and repair periodontal tissue.

Key words： Orthodontic-periodontal treatment Mixed dentition Malposed teeth Secondary occlusal trauma Periodontitis

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZHANG Jing LI Chenchen CHEN Bin QIAO Fen MENG Jian

Cite this article:

ZHANG Jing LI Chenchen CHEN Bin QIAO Fen MENG Jian. Effect of orthodontic-periodontal combination therapy on periodontal tissue of children with dislocation of teeth and secondary occlusal trauma[J]. 中国医药导报, 2020, 17(36): 27-30.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I36/27

[1] Bernhardt O，Krey KF，Daboul A，et al. New Insights in the Link Between Malocclusion and Periodontal Disease [J]. J Clin Periodontol，2019，46（2）：144-159.
[2] Passanezi E，Sant’Ana ACP. Role of occlusion in periodontal disease [J]. Periodontol 2000，2019，79（1）：129-150.
[3] Zhou X，Zhang Y，Wang Y，et al. Prevalence of Malocclusion in 3-to 5-year-old children in Shanghai，China [J]. Int J Environ Res Public Health，2017，14（3）：328.
[4] Baiju RMP，Peter E，Nayar BR，et al. Prevalence and predictors of early periodontal disease among adolescents [J]. J Indian Soc Periodontol，2019，23（4）：356-361.
[5] Thierens LAM，Van de Velde T，De Pauw GAM. Orthodontic Management of a Migrated Maxillary Central Incisor With a Secondary Occlusal Trauma [J]. Clin Adv Periodontics，2020，10（1）：23-29.
[6] Poiate IA，de Vasconcellos AB，de Santana RB，et al. Three-dimensional stress distribution in the human periodontal ligament in masticatory，parafunctional，and trauma loads：finite element analysis [J]. J Periodontol，2009，80（11）：1859-1867.
[7] Nakatsu S，Yoshinaga Y，Kuramoto A，et al. Occlusal trauma accelerates attachment loss at the onset of experimental periodontitis in rats [J]. J Periodontal Res，2014，49（3）：314-322.
[8] Zhou SY，Mahmood H，Cao CF，et al. Teeth under High Occlusal Force may Reflect Occlusal Trauma-associated Periodontal Conditions in Subjects with Untreated Chronic Periodontitis [J]. Chin J Dent Res，2017，20（1）：19-26.
[9] Meynardi F，Lauritano D，Pasqualini ME，et al. The importance of occlusal trauma in the primary etiology of periodontal disease [J]. J Biol Regul Homeost Agents，2018， 32（2 Suppl. 1）：27-34.
[10] 刘洪臣，赵彦平，李世东.咬合创伤性牙髓炎临床分析[J].口腔颌面修复学杂志，2000，1（1）：40-42.
[11] Stein C，Santos NML，Hilgert JB，et al. Effectiveness of oral health education on oral hygiene and dental caries in schoolchildren：Systematic review and meta-analysis [J]. Community Dent Oral Epidemiol，2018，46（1）：30-37.
[12] Pawlaczyk-Kamieńska T，Torlińska-Walkowiak N，Borysewicz-Lewicka M. The Relationship Between Oral Hygiene Level and Gingivitis in Children [J]. Adv Clin Exp Med，2018，27（10）：1397-1401.
[13] Bashirian S，Seyedzadeh-Sabounchi S，Shirahmadi S，et al. Socio-demographic determinants as predictors of oral hygiene status and gingivitis in scho-olchildren aged 7-12 years old：A cross-sectional study [J]. PLoS One，2018，13（12）：e0208886.
[14] 罗宁，闫福华，李厚轩.牙周治疗中的咬合分析[J].中国实用口腔科杂志，2018，11（7）：397-402.
[15] Pan W，Yang L，Li J，et al. Traumatic occlusion aggravates bone loss during periodontitis and activates Hippo-YAP pathway [J]. J Clin Periodontol，2019，46（4）：438-447.
[16] Jingyuan Fan，Caton JG. Occlusal trauma and excessive occlusal forces：Narrative review，case definitions，and diagnostic considerations [J]. J Periodontol，2018，45：S199-S206.
[17] Reinhardt RA，Killeen AC. Do Mobility and Occlusal Trauma Impact Periodontal Longevity? [J] Dent Clin North Am，2015，59（4）：873-883.
[18] 王鹏程，唐航瑞，许杰，等.牙周基础治疗对慢性牙周炎伴继发性咬合创伤患牙临床及咬合影响的随机对照研究[J].中华口腔医学杂志，2013，48（5）：266-271.
[19] 李闻博，张琼，吕志军.牙周联合正畸治疗侵袭性牙周炎患者的疗效及对牙周临床指数和牙周功能的影响[J].临床和实验医学杂志，2019，18（10）：1113-1116.
[20] 曾志梅，刘翔，刘克华.水激光在牙周病伴发糖尿病患者种植手术中的应用[J].中国现代医生，2018，56（29）：64-66.
[21] Campi?觡o JI，Ríos CC，Rodriguez-Medina C，et al. Association between traumatic occlusal forces and periodontitis：A systematic review [J]. J Int Acad Periodontol，2019，21（4）：148-158.
[22] 林传艳.牙周基础治疗对重度侵袭性牙周炎患者血清及龈沟液中TNF-α，IL-4水平的影响[J].当代医学，2018， 24（20）：105-107.
[23] Kim YI，Kim MJ，Choi JI，et al. A multidisciplinary approach for the management of pathologic tooth migration in a patient with moderately advanced periodontal disease [J]. Int J Periodontics Restorative Dent，2012，32（2）：225-230.
[24] Xie Y，Zhao Q，Tan Z，et al. Orthodontic treatment in a periodontal patient with pathologic migration of anterior teeth [J]. Am J Orthod Dentofacial Orthop，2014，145（5）：685-693.
[25] Nakamura Y，Gomi K，Oikawa T，et al. Reconstruction of a collapsed dental arch in a patient with severe periodontitis [J]. Am J Orthod Dentofacial Orthop，2013，143（5）：704-712.
[26] Ishihara Y，Tomikawa K，Deguchi T，et al. Interdisciplinary orthodontic treatment for a patient with generalized aggressive periodontitis：assessment of IgG antibodies to identify type of periodontitis and correct timing of treatment [J]. Am J Orthod Dentofacial Orthop，2015，147（6）：766-780.