龈下刮治一次法与四分法治疗慢性牙周炎的疗效观察

Clinical Evaluation of One-stage Full-mouth and Conventional Sub-gingival Scaling Treatment for Chronic Periodontitis

目的:比较龈下刮治一次法与四分法治疗慢性牙周炎的疗效。方法:选取23例中度慢性牙周炎患者,随机分为一次法组和四分法组,采集治疗前龈沟液并记录相关的临床指标,龈上洁治后,分别采用一次法和四分法完成龈下刮治。刮治完成后4周、8周,再次采集龈沟液并记录相关临床指标。采用放射免疫方法对患者龈沟液中IL-6水平进行检测,并结合临床指标比较两种方法对慢性牙周炎的疗效。结果:龈下刮治一次法和四分法短期内相比较,在改善临床症状和龈沟液中IL-6的水平方面,没有显著差异。结论:一次性龈下刮治是一种短时、安全、高效和经济的治疗牙周炎的方法,适合在临床推广。

Objective： To test if the one-stage full-mouth sub-gingival scaling（FM-SRP） is better than the quadrant sub-gingival scaling（Q-SRR）. Methods： 23 patients with moderate chronic periodontal disease were recruited into this study and were randomized into two groups. The gingival crevieular fluid and the data of clinical index were recorded at baseline. After the supra-gingival scaling, two group received full-mouth and quadrant subgingival scaling. The volumn of gingival crevicular fluid and the data of clinical index were recorded at 4 weeks and 8 week after the therapy. The radioim- munoassay kit was used to detect IL-6. Results： There was no statistical significant differences on the clinical index and the level of IL-6 between two groups in short time. Conclusion： One -stage subgingival scaling is a safe, efficiency and economic method and is suitable for clinical application.