Clinical evaluation of periodontal-orthodontic treatment in patients with aggressive periodontitis and malocclusion
10.3969/j.issn.1671-167X.2017.01.010
- VernacularTitle:伴错(牙合)畸形的侵袭性牙周炎患者牙周-正畸联合治疗的临床评价
- Author:
Xiao SHEN
;
Jie SHI
;
Li XU
;
Jian JIAO
;
Ruifang LU
;
Huanxin MENG
- Keywords:
Aggressive periodontitis;
Orthodontics,corrective;
Alveolar bone lose;
Root resorption
- From:
Journal of Peking University(Health Sciences)
2017;49(1):60-66
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect and safety of periodontal-orthodontic treatment in patients with aggressive periodontitis (AgP) and malocclusion.Methods:A retrospective analysis was conducted in 25 AgP patients,who had received periodontal-orthodontic treatment in Peking University School and Hospital of Stomatology.Clinical indexes,including probing depth (PD),bleeding index (BI) and percentage of sites with bleeding on probing (BOP%) were evaluated at three time points:Baseline (T0);active periodontal treatment finished and before orthodontic treatment (T1);and after orthodontic treatment (T2).Also changes of ratio of the residual alveolar bone height (RBH) and the occurrence of root resorption were evaluated by periapical radiographs.Results:(1) Compared with T0,all the clinical parameters including PD,BI,BOP% and percentage of sites with PD > 3 mm were significantly improved (P <0.001).(2) Significant difference was observed in the average RBH between T0 (68.37% ± 15.60% and T2 (70.27% ± 14.23%).RBH in upper incisors [(58.79% ± 16.71% at T0,65.54% (55.74%,78.13%) at T2],upper canines [77.62% (66.06%,87.17%) at T0,79.57% (69.75%,86.52%) at T2] and upper molars [74.30% (61.69%,84.45%) at T0,76.76% (68.12%,85.09%) at T2] showed significant increase (P < 0.05).(3) After orthodontic treatment,varying degrees of root resorption occurred in (23.94% ± 13.45%) of teeth per capita,among which the lower and upper incisors showed the highest incidence (68.48% and 65.31% in homogeneous teeth,respectively).Conclusion:After active periodontal treatment,orthodontic treatment in AgP patients had not aggravated inflammation and alveolar bone resorption;root resorption occurred in two-thirds of incisors approximately.