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目的:观察慢性牙周炎伴咬合紊乱的多学科治疗效果。方法:选取10例依从性好的慢性牙周炎伴咬合紊乱病例,采用牙周基础治疗与正畸、修复多学科联合治疗,观察1～7年,所有病例均拍摄口内像及X线牙片,分别于基线、牙周基础治疗后3个月、牙周系统治疗后1年分别记录探诊出血(BOP)、探诊深度(PD)及松动度(TM)。结果:牙周基础治疗后3个月BOP、PD较基线时有统计学差异(P<0.05),TM无明显差异(P>0.05)。基础治疗后3个月BOP、PD、TM与系统治疗后1年相比较无统计学差异(P>0.05)。结论:慢性牙周炎伴咬合紊乱病例多学科治疗有利于牙周炎的控制及疗效的维持,但患者的依从性及适应症的选择尤为重要。
Objective: To observe the multidisciplinary treatment effect of chronic periodontitis with occlusion disorder. Methods: Ten cases of chronic periodontitis accompanied with occlusion disorders were selected. Periodontal basic therapy and orthodontics were used to repair multidisciplinary joint therapy. All cases were followed up for 1 to 7 years. (BOP), probing depth (PD) and loosening degree (TM) were recorded respectively at baseline, 3 months after basic periodontal treatment and 1 year after periodontal system treatment. Results: There was significant difference of BOP and PD between baseline and 3 months after treatment (P <0.05). There was no significant difference between TM and TM (P> 0.05). There was no significant difference in BOP, PD, TM at one month after basic treatment compared with one year after treatment (P> 0.05). Conclusion: Multidisciplinary treatment of patients with chronic periodontitis accompanied by occlusion disorders is good for the control of periodontitis and the maintenance of therapeutic efficacy. However, the patients’ compliance and the choice of indications are particularly important.