Clinical study of orthodontic treatment for displacement of anterior tooth caused by periodontal disease

Abstract

Objective To observe the clinical efficacy of orthodontic treatment for displacement of anterior tooth caused by periodontal disease. Methods Forty-seven patients with displacement of anterior tooth caused by periodontal disease were divided into study group (26 cases) and control group (21 cases)according to the therapy method, the study group received periodontal basic treatment combined with orthodontic treatment, while the control group only received periodontal basic treatment, the changes of periodontal pocket depth, bleeding index, anterior coverage, overbite, alveolar bone height in two groups before and after treatment were observed and compared. Results The periodontal pocket depth, bleeding index, anterior coverage and overbite of study group after treatment were (3.12±0.53) mm, (27.30±4.25)%, (2.53 ± 0.76) mm and (2.18 ± 0.53 ) mm respectively and which were significantly lower than those before treatment [(5.35 ± 0.68 ) mm, (97.60±7.53 )%, (6.22±1.43 ) mm, (4.53±2.25)mm], the difference was statistically significant (P＜ 0.05 ), and the decrease extent was more obvious than the control group, the difference between two groups was statistically significant(P＜0.05); the above indicators in control group after treatment also dropped, but compared with those before treatment there was no significant difference (P ＞0.05); the alveolar bone height in both groups had no obvious change before and after treatment.Conclusion Periodontal basic treatment combined with orthodontic treatment can correct the malposed anterior teeth, improve the periodontal conditions, it has good application prospects. Key words: Orthodontic extrusion; Periodontics; Tooth migration