J Clin Periodontol:牙周炎和非牙周炎患者正畸治疗的效果

2022-07-24 MedSci原创 MedSci原创

IV期牙周炎的特点是牙周附着丧失、牙周袋形成、骨缺损和可能的病理性牙齿移位。由于咀嚼功能障碍、继发性咬合创伤、咬合丧失和剩余牙齿的移位以及牙齿脱落的风险,需要复杂的多学科系统治疗。

IV期牙周炎的特点是牙周附着丧失、牙周袋形成、骨缺损和可能的病理性牙齿移位。由于咀嚼功能障碍、继发性咬合创伤、咬合丧失和剩余牙齿的移位以及牙齿脱落的风险,需要复杂的多学科系统治疗。近日,发表于 J Clin Periodontol的一项系统回顾和荟萃分析旨在回答以下问题:#1:在患有错颌畸形的成年患者中,与非牙周炎患者相比,正畸牙齿移动(OTM)对健康但牙周减少的牙周炎患者的临床附着水平(CAL)变化有什么影响?#2:在治疗过的牙周炎和错颌畸形的成年患者中,与传统系统相比,骨骼固定装置在正畸治疗效果方面的效果如何?

研究人员检索了2020年6月前七个数据库收录的随机、非随机试验和病例系列的相关研究,计算了平均效果(ME)和95%置信区间(CI)。

结果,研究人员共纳入了26项具有高偏倚风险的研究。PICO#1:在26名无牙周炎的患者和69名接受治疗的牙周炎患者中,报告了正畸治疗后牙周结果的最小变化(P>0.05)。在牙周和正畸联合治疗前检索牙周结果时,在214名患者中观察到显著的CAL增益(mm)(ME=3.523;95%CI[2.353;4.693];p<0.001)。PICO#2:正畸变量的报告很少,而且缺少对正畸治疗结果的客观评估。

综上所述,基于少量低质量的研究,该研究结果表明,在非牙周炎和经过稳定治疗的牙周炎患者中,OTM对牙周结局没有明显影响。

原始出处:

Conchita Martin, et al., Effect of orthodontic therapy in periodontitis and non-periodontitis patients: a systematic review with meta-analysis. J Clin Periodontol. 2022 Jun;49 Suppl 24:72-101. doi: 10.1111/jcpe.13487. 

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    2023-05-30 feather89
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    2022-07-22 grace5700
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