摘要
目的:观察超强玻璃纤维夹板在牙周再生性手术中应用的临床效果。方法:选择基础治疗后牙周袋深度≥5 mm伴垂直型骨吸收的前牙慢性牙周炎患者27例,随机分为A组(13例)和B组(14例)。A组直接行植骨术+引导组织再生术,B组在超强玻璃纤维夹板固定后行植骨术+引导组织再生术。记录术前和术后6、12个月所有患牙的临床附着丧失(clinical attachment loss,CAL)和X线片情况。结果:2组术后6、12个月患牙CAL均较术前显著降低(P<0.01),且12个月时,B组患牙CAL明显低于A组(P<0.01)。2组患牙术后6个月和12个月X线片结果差异均无统计学意义(P>0.05)。结论:牙周再生性手术前应用超强玻璃纤维夹板固定术,可促进牙周组织再生,巩固牙周病的治疗效果。
Objective: To investigate the clinical application effects of the super glass-fiber splint in periodontal regeneration surgery.Methods: Twenty-seven patients with chronic periodontitis of anterior teeth,the periodontal pocket depth of which was more than or equal to 5 mm complicated with vertical bone resorption after basic treatment,were randomly divided into group A( 13 cases) and group B( 14 cases). The group A were treated with bone graft combined with guided tissue regeneration( GTR),the group B were treated with bone graft combined with GTR after super glass-fiber splint fixation. The clinical attachment loss( CAL) and result of X-ray in all disease teeth were recorded before operation and after 6 and 12 months of operation. Results: Compared with that in two groups before operation,the CAL of the disease teeth decreased significantly after 6 and 12 months of operation( P〈0. 01),the CAL of the disease teeth decreased significantly after 6 and 12 months of operation( P〈0. 01),the CAL of the disease teeth in group B was significantly higher than that in A group( P〈0. 01). The differences of the results of X-ray between two groups were not statistically significant after6 and 12 months of operation( P〉0. 05). Conclusions: The super glass-fiber splint fixation before periodontal regeneration surgery can effectively promote the regeneration of periodontal tissue and consolidate the treatment effect of periodontal disease.
出处
《蚌埠医学院学报》
CAS
2016年第7期920-922,共3页
Journal of Bengbu Medical College
关键词
牙周炎
慢性
玻璃纤维夹板
引导组织再生术
垂直型骨吸收
paradentitis
chronicity
glass-fiber splint
guided tissue regeneration
vertical bone resorption