胶原膜引导组织再生与植骨术在牙周病治疗中的联合应用

Collagen membrane guided tissue regeneration and planting bone surgery in the combined application of the periodontal therapy

目的:探讨胶原膜引导组织再生与植骨术在牙周病治疗中的作用。方法:选取112例牙周病患者为研究对象,随机平均分成2组,对照组单纯采用胶原膜引导组织再生治疗,治疗组在对照组的基础上加用植骨术治疗,比较两组临床效果。结果:在膜暴露上,第1周和第2周比较两组间无明显差异(P>0.05),第4周则有明显差异(P<0.05);两组术前和术后PD、AL、GR以及在术后第6个月、12个月时比较有明显差异(P<0.05),术后第3个月两组间比较无明显差异(P>0.05),两组病例在新生骨量、垂直向骨高度平均增加等影像学检查上也有明显差异(P<0.05)。结论:胶原膜引导组织再生与植骨术联合应用治疗牙周病临床效果显著。

Objective： to study the collagen membrane guided tissue regeneration and planting bone surgery in the role of periodontal disease. Method： To gather 112 cases of patients with periodontal disease were divided radomly into two groups,the control group only with collagen membrane guided tissue regeneration treatments, the observation group in the control group plus the basis of surgical treatment of grafts are compared between the two groups in postoperative situation. Results： in membrane exposure, 1 week and 2 weeks is no significant difference （P 〉0.05）, and in 4 weeks have obvious difference （P 〈0.05） ; Two groups of preoperative and postoperative PD, AL, GR and in postoperative 6 months, and 12 months have some obvious difference （P 〈0.05）, but the two groups in postoperative 3 months is no significant difference （P 〉0.05）, two groups in new bone mass, the vertical bone height average increase on the imaging examination also have obvious difference （P 〈0.05）. Conclusion： collagen membrane guided tissue regeneration for bone graft and surgical treatment of periodontal disease clinical effect is remarkable.