正畸治疗对不同牙周生物型牙槽骨密度变化的临床价值

李艳; 胡江天; 彭松娟; 郑宇祥

正畸治疗对不同牙周生物型牙槽骨密度变化的临床价值

1. 云南省第一人民医院口腔医学中心
2. 昆明医科大学附属口腔医院正畸科

基金项目:

基金：国家自然科学基金资助项目 (801160137); 云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2014FB069); 昆明医科大学创新团队基金资助项目 (CXTD201607);

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出版历程
- 收稿日期: 2017-05-19

The Maxillary Alveolar Bone Density Changes around Teeth during Orthodontic Treatment in Patients with Different Periodontal Biotype

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摘要

摘要: 目的应用CBCT检测不同牙周生物型牙周健康及慢性牙周病正畸患者整平排齐阶段上颌前牙牙槽骨密度变化.方法随机抽取20例成年女性患者, 按不同牙周状况、牙周生物型, 牙移动方向进行分组, 锥形束CT测量正畸治疗前后上颌前牙牙槽骨密度变化.结果治疗前后, 无论牙周状况健康与否骨密度均降低 (P<0.05) ;牙周病组唇向移动在根中腭侧、根尖唇侧骨密度降低比率薄龈型大于厚龈型 (P<0.05) ;薄龈型唇向移动牙周病组在根颈、中部唇侧及根尖部腭侧牙槽骨密度降低比率大于牙周健康组 (P<0.05) ;腭向移动牙周病组在根颈部唇、腭侧降低比率大于牙周健康组 (P<0.05) ;厚龈型唇向移动牙周病组在根颈部唇侧、根中、尖部腭侧牙槽骨密度降低比率大于牙周健康组 (P<0.05) ;腭向移动牙周病组在根中部唇侧降低比率大于牙周健康组 (P<0.05) .结论正畸治疗可导致牙槽骨密度降低, 不同牙周生物型牙槽骨密度降低程度存在差异, 在正畸治疗中应予以重视.
- 牙周生物型 /
- 正畸牙周联合治疗 /
- 牙槽骨密度 /
- 锥形束CT
Abstract: Objective To observe the maxillary alveolar bone density changes in patients with mild-to-moderate chronic periodontal disease and different periodontal biotypes at alignment and leveling arch stage.Methods 20 cases of adult female patients were selected randomly and were divided into group in accordance to the periodontal status, periodontal biotypes and different teeth movement.The maxillary alveolar bone density was measured by Cone beam CT (CBCT) .Results After treatment, bone mineral density in different periodontal status was decreased (P<0.05) ;reduce periodontal disease to the labial movement in the root apical, labial palatal bone density ratio was greater than the thickness of thin type gingival type (P<0.05) ;lower lip to mobile thin gingival periodontal disease group in the root of neck the middle and apical labial and palatal alveolar bone density was greater than the ratio of periodontal health group (P<0.05) ;mobile palatal periodontal disease group in the root of neck lip, palate side reduction ratio is greater than the periodontal health group (P<0.05) ;lower lip thickness of gingival and periodontal disease to the mobile group in the labial and root neck in the root, the tip of thepalatal bone density was greater than the ratio of periodontal health group (P<0.05) ; mobile palatal periodontal disease group in the root decreased rate was larger than the labial periodontal health group (P <0.05) .Conclusions The alveolar bone density may be greatly changed in the periodontal disease group after the leveling and aligning of orthodontic treatment.At the beginning of the orthodontic treatment, we should pay more attention on the periodontal biotype to avoid maxillary alveolar bone absorbing.
- Periodontal biotype /
- Orthodontic-periodontal treatment /
- Bone density /
- CBCT

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参考文献(20)

[1]孟焕新.牙周病学[M].北京:人民卫生出版社, 2008:168-180.[1]孟焕新.牙周病学[M].北京:人民卫生出版社, 2008:168-180.
[2]	[2]HAN J Y.A comparative study of combined periodontal and orthodontic treatment with fixed appliances and clear aligners in patients with periodontitis[J].J Periodontal Implant Sci, 2015, 45 (6) :193-204.[2]HAN J Y.A comparative study of combined periodontal and orthodontic treatment with fixed appliances and clear aligners in patients with periodontitis[J].J Periodontal Implant Sci, 2015, 45 (6) :193-204.
[3]丁寅.牙周病的正畸治疗 (一) [J].实用口腔医学杂志, 2005, 21 (5) :709-711.[3]丁寅.牙周病的正畸治疗 (一) [J].实用口腔医学杂志, 2005, 21 (5) :709-711.
[4]沈潇, 施捷, 徐莉, 等.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[J].北京大学学报 (医学版) , 2017, 49 (1) :60-66.[4]沈潇, 施捷, 徐莉, 等.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[J].北京大学学报 (医学版) , 2017, 49 (1) :60-66.
[5]	[5]GARAT J A, GORDILLO M E, UBIOS A M.Bone response to different strength orthodontic forces in animals with periodontitis[J].Periodontal Res, 2005, 40 (6) :441-445.[5]GARAT J A, GORDILLO M E, UBIOS A M.Bone response to different strength orthodontic forces in animals with periodontitis[J].Periodontal Res, 2005, 40 (6) :441-445.
[6]	[6]JAHANBIN A, ABTAHI M, NAMDAR P, et al.Evaluation of the effects of subgingival injection of Simvastatin on space re-opening afterorthodontic space closure in adults[J].J Dent Res Dent Clin Dent Prospects, 2016, 10 (1) :3-7.[6]JAHANBIN A, ABTAHI M, NAMDAR P, et al.Evaluation of the effects of subgingival injection of Simvastatin on space re-opening afterorthodontic space closure in adults[J].J Dent Res Dent Clin Dent Prospects, 2016, 10 (1) :3-7.
[7]	[7]JIANG H Y, HENG L H, CHIEN F L, et al.Does orthodontic treatment affect the alveolar bone density[J].Medicine, 2016, 95 (10) :1-10.[7]JIANG H Y, HENG L H, CHIEN F L, et al.Does orthodontic treatment affect the alveolar bone density[J].Medicine, 2016, 95 (10) :1-10.
[8]	[8]TOMS S R, EBERHARDT A W.A nonlinear finite element analysis of the periodontal ligament under orthodontic tooth loading[J].Am J Orthod Dentofacial Orthop, 2003, 123 (6) :657-665.[8]TOMS S R, EBERHARDT A W.A nonlinear finite element analysis of the periodontal ligament under orthodontic tooth loading[J].Am J Orthod Dentofacial Orthop, 2003, 123 (6) :657-665.
[9]段培佳, 黄元瑾, 陈雨雪, 陈扬熙.大鼠正畸牙移动对炎性牙周组织改建的实验研究[J].广东牙病防治, 2005, 13 (3) :180-182.[9]段培佳, 黄元瑾, 陈雨雪, 陈扬熙.大鼠正畸牙移动对炎性牙周组织改建的实验研究[J].广东牙病防治, 2005, 13 (3) :180-182.
[10]	[10]WENNSTROM J L, LINDSKOG-STOKLAND B, NYMAN S, et al.Periodontal tissue response to orthodontic movement of teeth with infrabony pockets[J].Am J Orthod Dentofacial Orthop, 1993, 103 (4) :313-319.[10]WENNSTROM J L, LINDSKOG-STOKLAND B, NYMAN S, et al.Periodontal tissue response to orthodontic movement of teeth with infrabony pockets[J].Am J Orthod Dentofacial Orthop, 1993, 103 (4) :313-319.
[11]	[11]ONG M M, WANG H L.Periodontic and orthodontic treatment in adults[J].Am J Orthod Dentofacial Orthop, 2002, 122 (4) :420-428.[11]ONG M M, WANG H L.Periodontic and orthodontic treatment in adults[J].Am J Orthod Dentofacial Orthop, 2002, 122 (4) :420-428.
[12]	[12]SANDERS N L.Evidence-based care in orthodontics and periodontics:a review of the literature[J].J Am Dent Assoc, 1999, 130 (4) :521-527.[12]SANDERS N L.Evidence-based care in orthodontics and periodontics:a review of the literature[J].J Am Dent Assoc, 1999, 130 (4) :521-527.
[13]	[13]RUSSELL J E, GRAZMAN B, SIMMONS D J.Mineralization in rat metaphyseal bone exhibits a circadian stage dependency[J].Proc Soc Exp Biol Med, 1984, 176 (4) :342-345.[13]RUSSELL J E, GRAZMAN B, SIMMONS D J.Mineralization in rat metaphyseal bone exhibits a circadian stage dependency[J].Proc Soc Exp Biol Med, 1984, 176 (4) :342-345.
[14]	[14]JUI T H, HSIN W C, HENG L H, et al.Bone density changes around teeth during orthodontic treatment[J].Clin Oral Invest, 2011, 15 (4) :511-519.[14]JUI T H, HSIN W C, HENG L H, et al.Bone density changes around teeth during orthodontic treatment[J].Clin Oral Invest, 2011, 15 (4) :511-519.
[15]	[15]MORTAZAVI H, BAHARVAND M.Review of common conditions associated with periodontal ligament widening[J].Imaging Sci Dent, 2016, 46 (4) :229-237.[15]MORTAZAVI H, BAHARVAND M.Review of common conditions associated with periodontal ligament widening[J].Imaging Sci Dent, 2016, 46 (4) :229-237.
[16]陈莉, 李小彤, 范晓川, Wei XQ, 王红梅.不同牙周状态正畸力诱导破骨细胞分化因子RANK在牙周组织的表达[J].北京口腔医学, 2015, 23 (2) :61-64.[16]陈莉, 李小彤, 范晓川, Wei XQ, 王红梅.不同牙周状态正畸力诱导破骨细胞分化因子RANK在牙周组织的表达[J].北京口腔医学, 2015, 23 (2) :61-64.
[17]	[17]ARTUN G, KROGSTAD R, RE S.Orthodontic movement into infrabony defects in patients with advanced periodontal disease:a clinic and radiological Study[J].J Periodontol, 1987, 74 (8) :1104-1109.[17]ARTUN G, KROGSTAD R, RE S.Orthodontic movement into infrabony defects in patients with advanced periodontal disease:a clinic and radiological Study[J].J Periodontol, 1987, 74 (8) :1104-1109.
[18]	[18]DORFMAN H.Mucogingival changes resulting from mandibular insicor tooth movement[J].Am J Orthod, 1978, 74 (3) :286-297.[18]DORFMAN H.Mucogingival changes resulting from mandibular insicor tooth movement[J].Am J Orthod, 1978, 74 (3) :286-297.
[19]	[19]ARI DA, ILHAN I.Effects of relapse forces on periodontal status of mandibular incisors following orthodontics surgery[J].J Periodontol, 2008, 79 (11) :2069-2077.[19]ARI DA, ILHAN I.Effects of relapse forces on periodontal status of mandibular incisors following orthodontics surgery[J].J Periodontol, 2008, 79 (11) :2069-2077.
[20]	[20]YARED K F, ZENOBIO E G, PACHECO W.Periodontal status of mandibular central incisors after orthodontic proclination in adults[J].Am J Orthod Dentofacial Orthop, 2006, 130 (1) :1-8.[20]YARED K F, ZENOBIO E G, PACHECO W.Periodontal status of mandibular central incisors after orthodontic proclination in adults[J].Am J Orthod Dentofacial Orthop, 2006, 130 (1) :1-8.

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