摘要
目的 探讨二次龈下刮治术与牙周翻瓣术治疗慢性牙周炎患者的临床效果。方法 选取2018年2月至2020年2月福建医科大学附属漳州市医院收治的72例慢性牙周炎患者为研究对象,采用随机分组法将患者分为试验组与对照组,每组36例。对照组实施牙周翻瓣术治疗,试验组实施二次龈下刮治术治疗,比较两组治疗前后牙周相关指标[包括牙周袋深度(PD)、附着丧失(AL)、龈沟出血指数(SBI)及菌斑指数(PLI)]及龈沟液中炎症指标[包括白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)]变化情况,同时比较两组治疗后牙槽骨吸收率与牙龈退缩率。结果 治疗后30、90 d,两组PD、AL、SBI、PLI均低于治疗前,差异有统计学意义(P<0.05);两组PD、AL、SBI、PLI比较,差异无统计学意义(P>0.05)。治疗后3 d,两组IL-6、TNF-α及hs-CRP水平均低于治疗前,且试验组IL-6、TNF-α水平均低于对照组,差异有统计学意义(P<0.05);两组hs-CRP水平比较,差异无统计学意义(P>0.05)。治疗6个月后,两组牙槽骨吸收率比较,差异无统计学意义(P>0.05);试验组牙龈退缩率低于对照组,差异有统计学意义(P<0.05)。结论 采用二次龈下刮治术与牙周翻瓣术治疗慢性牙周炎患者均可改善患者的牙周相关指标,减少牙槽骨吸收;但二次龈下刮治术可更为有效地减少慢性牙周炎患者的牙龈退缩,减轻炎症反应。
Objective To investigate the clinical effect of secondary subgingival scaling and periodontal flap in the treatment of chronic periodontitis.Methods From February 2018 to February 2020,72 patients with chronic periodontitis who were admitted to Zhangzhou Hospital affiliated to Fujian Medical University were selected as the research objects.The patients were randomly divided into test group and control group,with 36 patients in each group.The control group was treated with periodontal flap operation,and the test group was treated with secondary subgingival curettage.The relevant periodontal indicators(including periodontal pocket depth(PD),attachment loss(AL),sulcus bleeding index(SBI)and plaque index(PLI))and inflammation indicators in gingival crevicular fluid(including interleukin-6(IL-6)and tumor necrosis factor)before and after treatment were compared between the two groups-α(TNF-α)、At the same time,the alveolar bone resorption rate and gingival recession rate were compared between the two groups after treatment.Results At 30 and 90 days after treatment,PD,AL,SBI and PLI in the two groups were significantly lower than those before treatment(P<0.05);There was no significant difference in PD, AL, SBI and PLI between the two groups (P > 0.05).Three days after treatment, IL-6 and TNF in both groups - α And hs CRP levels were lower thanthose before treatment, and IL-6, TNF - α The levels were lower than those of the control group(P;There was no significant difference in hs CRP level between the two groups (P> 0.05). There wasno significant difference in alveolar bone resorption rate between the two groups 6 months aftertreatment (P> 0.05);The gingival recession rate in the test group was lower than that in the controlgroup, with a statistically significant difference (P< 0.05). Conclusion The secondary subgingivalcurettage and periodontal flap can improve the periodontal parameters of patients with chronicperiodontitis and reduce alveolar bone resorption;However, secondary subgingival scaling can moreeffectively reduce gingival recession and inflammation in patients with chronic periodontitis.
作者
王兴文
Wang Xingwen(Zhangzhou Affiliated Hospital of Fujian Medical University,Zhangzhou Fujian 363000,China)
出处
《医疗装备》
2023年第6期10-13,共4页
Medical Equipment
关键词
二次龈下刮治术
牙周翻瓣术
慢性牙周炎
牙周指标
牙槽骨吸收
Secondary subgingival curettage
Periodontal flap
Chronic periodontitis
Periodontal index
Alveolar bone resorption
