纤维树脂夹板对牙周炎前牙松动的临床疗效OA
The clinical efficacy of fiber-resin splints in treating loose anterior teeth caused by periodontitis
目的:探讨纤维树脂夹板用于牙周炎前牙松动固定修复的疗效.方法:选取 2021 年 1 月~2023 年 12月本院收治的牙周炎前牙松动固定修复患者98 例(98 颗患牙),结合随机数表法分成纤维树脂夹板组与结扎丝牙周夹板组各 49 例,比较两组临床疗效、牙齿松动度及牙周指标[龈沟出血指数(sulcus bleeding index,SBI)、菌斑指数(plaque index,PLI)、牙周探诊深度(probing depth,PD)及临床附着丧失(clinical attachment loss,CAL)],分析牙齿松动度与牙周指标的关联,并统计远期牙齿松动率.结果:纤维树脂夹板组总有效率高于结扎丝牙周夹板组(P<0.05).治疗后,纤维树脂夹板组I、II度松动牙齿数、总牙齿松动度、SBI、PLI、PD及CAL低于结扎丝牙周夹板组(P<0.05).牙齿松动度与SBI、PLI、PD及CAL呈正相关(均P<0.05).纤维树脂夹板组治疗 12 个月、18 个月牙齿松动率低于结扎丝牙周夹板组(P<0.05).结论:纤维树脂夹板用于牙周炎前牙松动固定修复疗效更佳,能通过改善牙周状态,降低远期牙齿松动风险.
Objective:To explore the therapeutic effect of fiber-resin splints in the fixation and restoration of loose anterior teeth due to periodontitis.Methods:A total of 98 patients(98 affected teeth)with periodontitis and loose anterior teeth for fixation and restoration admitted to our hospital from January 2021 to December 2023 were selected and divided into the fiber resin splint group and the ligated wire periodontal splint group,with 49 cases in each group,combined with the ran-dom number table method.The clinical efficacy,tooth mobility and periodontal indicators[sulcus bleeding index(SBI),plaque index(PLI),periodontal probing depth(PD)and clinical attachment loss(CAL)]of the two groups were compared.The association between tooth mobility and periodontal indicators was analyzed,and the long-term tooth mobility rate was sta-tistically calculated.Results:The total effective rate of the fiber-resin splint group was higher than that of the ligation wire periodontal splint group(P<0.05).After treatment,teeth with Grade I/II mobility,total tooth mobility,SBI,PLI,PD and CAL in the fiber resin splint group were lower than those in the ligation wire periodontal splint group(P<0.05).Tooth mobility was positively correlated with SBI,PLI,PD and CAL(all P<0.05).The rate of tooth loosening in the fiber resin splint group after 12 months and 18 months of treatment was lower than that in the ligated wire periodontal splint group(P<0.05).Con-clusion:Fiber-resin splints have a better therapeutic effect on the fixation and restoration of loose anterior teeth due to peri-odontitis.They can reduce the risk of long-term tooth loosening by improving the periodontal condition.
周莉;刘明海
荆门市人民医院牙周科 湖北 荆门 448000荆门市人民医院牙周科 湖北 荆门 448000
医药卫生
纤维树脂夹板牙周炎前牙松动牙周指标远期预后
Fiber resin splintsPeriodontitisAnterior teeth mobilityPeriodontal indicatorsLong-term prognosis
《临床口腔医学杂志》 2026 (2)
90-94,5
荆门市科学技术研究与开发计划项目(编号:2023YFYB034)
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