显微镜辅助下牙周翻瓣术疗效评价

Evaluation of the Effect of Microscopical Periodontal Flap

目的:探讨显微镜辅助下牙周翻瓣术的疗效。方法:选择2016年1月-2019年1月笔者医院接诊的102例重度牙周炎患者,通过随机数表法分为观察组52例和对照组50例。对照组在普通视野和常规手术器械下实施牙周翻瓣术;观察组在对照组基础上,于显微镜辅助下实施牙周翻瓣术。比较两组不同时间点疼痛视觉模拟评分(VAS)、菌斑指数(PLI)、探诊深度(PD)、临床附着丧失(CAL)及龈沟出血指数(SBI)。结果:观察组术后1d、3d、7d VAS评分均明显低于对照组,术后1个月、3个月PLI、PD、CAL、SBI均明显低于对照组,差异均有统计学意义(P<0.05);时间因素对两组VAS评分、PLI、PD、CAL、SBI的影响均有统计学意义(P<0.05);两组术后7d VAS评分均明显低于术后1d、3d,而术后3d明显低于术后1d,两组术后3个月PLI、PD、CAL、SBI均明显低于术前及术后1个月,而术后1个月明显低于术前,差异均有统计学意义(P<0.05)。结论:显微镜下行牙周翻瓣术可有效提高牙周炎患者的疗效,术后疼痛感较轻,临床应用价值高。

Objective To study the effect of microscopical periodontal flap.Methods 102 patients with severe periodontitis from January 2016 to January 2019 were selected,according to the random number table method,they were divided into 52 cases in observation group and 50 cases in control group,the control group underwent periodontal valvuloplasty under normal visual field and conventional surgical instruments,on the basis of the control group,the observation group underwent periodontal flap surgery assisted by a microscope.The pain visual analogue scale (VAS),plaque index (PLI),depth of exploration (PD),clinical attachment loss (CAL) and gingival sulcus bleeding index (SBI) were compared between the two groups at different time points.Results VAS scores of the observation group were significantly lower than the control group at 1d,3d and 7d after surgery.PLI,PD,CAL and SBI of the observation group were significantly lower than the control group at 1 and 3 months after surgery.And the differences had statistical significance(P<0.05).The effects of time on VAS score,PLI,PD,CAL and SBI in the two groups had statistical significance (P<0.05).VAS scores at 7d after surgery were significantly lower in both groups than 1d and 3D after surgery,while 3d after surgery was significantly lower than 1d after surgery.PLI,PD,CAL and SBI at 3 months after surgery were significantly lower in both groups than before surgery and 1 month after surgery,and the differences had statistical significance (P<0.05).Conclusion Microscopicperiodontal flap surgery can effectively improve the therapeutic effect on patients with periodontitis,postoperative pain are mild.It has high clinical value.