牙周牙髓联合治疗在重度牙周炎病例中的应用及效果评价

The Application and Evaluation about Periodontic-endodontic Treatment in Cases of Severe Periodontitis

目的:探讨重度牙周炎患者牙周牙髓联合治疗法的治疗效果,旨在探讨牙髓状态对牙周治疗效果的影响。方法:将重度牙周炎患者44例,患牙52颗,随机分为试验组(牙周牙髓联合治疗组)和对照组(单纯牙周治疗组),分别记录比较治疗前、治疗后的第4周、第7周、第12周患者的PPD(牙周袋探诊深度)、PLI(菌斑指数)、SBI(龈沟出血指数)值。结果:所有患者均完成治疗疗程,未见明显不良反应发生。两组患者经治疗后临床各项指标与治疗前比较差异有统计学意义(P<0.05),试验组改善更为明显,两组间比较差异有显著性统计学意义(P<0.01),在对照组,经治疗后第4周、第7周、第12周各项指标比较差异无统计学意义(P>0.05)。结论:重度牙周炎患者选择牙周牙髓联合治疗法较单纯牙周治疗法疗效更加明显,更有利于牙周骨组织的再生。

Objective Study in patients with severe periodontitis endodontic treatment of periodontal treatment effects,to investigate the state of the pulp effect of periodontal treatment.Methods Will be admitted to our department 44 cases of patients with severe periodontitis,52 teeth were randomly divided into experimental groups（periodontal endodontic treatment group）and control group（simple periodontal treatment group）were recorded before treatment,treatmentAfter the first 4 weeks,7 weeks,the first 12 weeks in patients with PPD,PLI,SBI value.Results All patients completed the treatment course of treatment,no significant adverse events.Two groups of clinical indicators after treatment compared with before treatment were statistically significant （P 〈0.05）,Experimental group improved more significantly,and the difference between the two groups was significant statistical significance （P 〈0.01）,in the control group,after treatment.After the first 4 weeks,7 weeks,the first 12 weeks of the indicators are relatively no significant difference （P〉0.05）.Conclusion In patients with severe periodontitis periodontal endodontic treatment options than a simple effect of periodontal treatment is more obvious,more conducive to periodontal bone regeneration.