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论文摘要

牙周内窥镜辅助龈下刮治对残留牙周袋疗效的随机对照临床研究

Clinical effects of scaling and root planing with an adjunctive periodontal endoscope for residual pockets: a randomized controlled clinical study

作者:张杨珩, 李厚轩, 闫福华, 谭葆春

Author:Zhang Yangheng, Li Houxuan, Yan Fuhua, Tan Baochun

收稿日期:2019-12-28          年卷(期)页码:2020,38(5):532-532-536

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:牙周内窥镜,残留牙周袋,龈下刮治和根面平整,慢性牙周炎,

Key words:periodontal endoscope,residual pockets,scaling and root planing,chronic periodontitis,

基金项目:南京市医学科技发展项目(YKK17139);江苏省自然科学基金项目(BK20190133);江苏省医学创新团队(CXTDB2017-014)

中文摘要

目的 比较牙周内窥镜辅助龈下刮治和根面平整(SRP)与传统SRP对慢性牙周炎患者基础治疗后残留牙周袋的临床疗效。方法 将牙周基础治疗后口内每个区至少有1个位点探诊深度(PD)≥5 mm的患者纳入研究,随机分为内窥镜组和SRP组,分别对残留牙周袋位点进行内窥镜辅助SRP治疗和传统SRP治疗。在治疗前(基线)、治疗后3、6个月检查PD、探诊出血(BOP)和附着丧失(AL),采用SPSS 20.0统计学软件对数据进行统计分析。结果 与基线相比,治疗后3、6个月内窥镜组及SRP组PD≥5 mm位点百分比、PD、AL、BOP阳性位点百分比均降低(P<0.05)。治疗后6个月与3个月相比,内窥镜组PD≥5 mm位点百分比、PD、AL、BOP阳性位点百分比均降低(P<0.05),而SRP组差异无统计学意义(P>0.05)。与SRP组相比,内窥镜组治疗后3及6个月PD≥5 mm位点百分比、PD均降低,治疗后6个月AL、BOP阳性位点百分比降低(P<0.05)。结论 牙周内窥镜辅助SRP对于基础治疗后的残留牙周袋(PD≥5 mm)的临床疗效优于传统SRP,尤其具有更好的远期预后。

英文摘要

ObjectiveTo evaluate the efficacy of scaling and root planing (SRP) with a periodontal endoscope in the treatment of residual pockets in patients with periodontitis after initial periodontal therapy.MethodsPatients with residual pockets [probing depth (PD)≥5 mm] were included and randomly assigned to the endoscope group (SRP with a periodontal endoscope) or SRP group (SRP alone). The PD, attachment loss (AL), and bleeding on probing (BOP) of residual pockets were recorded before treatment and at 3 and 6 months after treatment. Data were analyzed with SPSS 20.0 software.ResultsCompared with the baseline values, the percentage of PD≥5 mm sites, PD, AL, and BOP (+)% in the endoscope group and SRP group at 3 and 6 months after treatment decreased (P<0 .05). compared with the values at 3 months after treatment, the percentage of pd≥5 mm sites, pd, al, and bop (+)% at 3 and 6 months after treatment decreased in the endoscope group (p<0.05), whereas no statistical difference in these values was observed in the srp group (p>0.05). Compared with those in the SRP group, the percentage of PD≥5 mm sites and PD at 3 and 6 months after treatment and AL and BOP (+)% at 6 months after treatment in the endos?cope group decreased (P<0 .05).ConclusionSRP with a periodontal endoscope shows a better effect in improving the PD, AL, and BOP of residual pockets (PD≥5 mm) in patients with periodontitis after initial periodontal therapy and has advan?tages in improving the long-term curative effect of this therapy.

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