Evaluation of the effect of orthodontic combined periodontal basic treatment for malocclusion with chronic periodontitis
Objective To observe the effect of orthodontic combined periodontal basic treatment for malocclusion with chronic periodontitis.Methods 80 patients with malocclusion and chronic periodontitis were divided into a control group and an observation group according to different treatment plans,with 40 cases in each group.The control group received basic periodontal treatment,and the observation group received orthodontic treatment on the basis of the control group.The periodontal indexes,periodontal tissue inflammatory factors,X-ray detection indexes,masticatory function and oral health impact before and after treatment were compared between the two groups.Results After treatment,the plaque index of the observation group was(1.28±0.16),the periodontal probing depth was(3.07±0.15)mm,the adhesion level was(3.01±0.18)mm,and the gingival bleeding index was(1.37±0.32),which were lower than(1.47±0.19),(3.42±0.29)mm,(3.46±0.26)mm,and(1.69±0.35)in the control group(P<0.05).After treatment,the observation group had tumor necrosis factor-α of(0.83±0.07)ng/ml,interleukin-6 of(2.95±0.33)ng/ml and interleukin-10 of(9.10±0.77)pg/ml,which were lower than(1.05±0.20)ng/ml,(3.52±0.38)ng/ml and(9.89±1.58)pg/ml in the control group(P<0.05).After treatment,the observation group had SNB of(71.57±6.71)°,SNA of(74.37±9.90)°,ANB of(3.27±0.30)° and L1-MP of(6.59±0.53)°,which were lower than(75.36±7.56),(79.21±10.08),(4.01±0.71)and(7.71±0.65)°in the control group;U1-L1 was(115.31±15.12)° in the observation group,which was higher than(106.50±13.12)° in the control group(P<0.05).After treatment,the scores of consciousness,head and trunk control,respiration,lip closure,soft palate movement,laryngeal function,pharyngeal reflex and spontaneous cough in the observation group were higher than those in the control group(P<0.05).After treatment,the score of physical and mental impairment in the observation group was(6.93±1.51)points,the score of oral pain and discomfort was(7.16±2.78)points,the score of social ability limitation was(6.65±2.20)points and the score of physical function limitation was(7.05±2.01)points,which were lower than(12.77±3.08),(15.85±2.91),(13.12±2.79)and(16.51±2.57)points in the control group(P<0.05).Conclusion Orthodontic combined with basic periodontal treatment can improve periodontal indexes and masticatory function of patients with malocclusion and chronic periodontitis,and has good short-term curative effect.
OrthodonticBasic periodontal treatmentMalocclusionChronic periodontitisPeriodontal indexMasticatory function
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