慢性牙周炎患者牙周系统治疗的临床研究

Clinical study on periodontal systematic therapy for chronic periodontitis

目的评价牙周系统治疗慢性牙周炎患者的临床疗效。方法选择2017年1-12月在陆军军医大学第二附属医院口腔科诊治的慢性牙周炎患者100例,在牙周系统治疗(牙周基础治疗、牙周手术治疗和牙周支持治疗)前,牙周系统治疗后1、3、6个月采用Florida探针检查并记录出血指数(bleeding on probing,BOP)、附着丧失(clinical attachment level,CAL)、探诊深度(probing depth,PD)、牙齿松动度(tooth mobility,TM)等临床指标,并进行统计分析。结果牙周系统治疗6个月后,BOP、CAL、PD较治疗前有明显降低,TM较治疗前有明显改善,差异均有统计学意义(P<0.05)。治疗后1、3个月与6个月对比,各项指标差异均无统计学意义。结论慢性牙周炎患者经牙周系统治疗后临床疗效良好且稳定。

Objective To explore the effect of the periodontal systematic therapy on chronic periodontitis. Methods One hundred patients with chronic periodontitis admitted in our department from January to December 2017 were recruited in this study. All the patients accepted periodontal systematic therapy, including periodontal initial therapy, periodontal surgical therapy, and periodontal supportive therapy. Clinical parameters, such as probing depth(PD), clinical attachment level(CAL), tooth mobility(TM) and bleeding on probing(BOP) were recorded by Florida electronic probe before and at 1 to 6 months after therapy. Statistical analysis was carried out. Results At 6 months after treatment, BOP, CAL and PD were significantly decreased, the positive sites of BOP were obviously reduced, and TM was greatly improved(P<0.05). There were no statistical differences in the above indicators at 1, 3 and 6 months after therapy. Conclusion Periodontal systematic therapy is effective and stable for chronic periodontitis.