侵袭性牙周炎患者牙周基础治疗的疗效研究

Curative effect of periodontal basic treatment in patients with aggressive periodontitis

目的探讨侵袭性牙周炎患者行牙周基础治疗的临床效果。方法选择62例侵袭性牙周炎患者作为本次研究对象,其中32例广泛型侵袭性牙周炎,30例局限型侵袭性牙周炎。所有患者均行牙周基础治疗,治疗前与治疗后1、3、6个月的牙探诊深度进行探讨,对比分析全口牙的出血指数、牙齿松动度以及临床附着丧失。结果局限型患者在治疗后1、3、6个月的全口牙出血指数、临床附着丧失、探诊深度与明显低于广泛型(t分别=4.57、5.12、4.23、7.89、6.54、6.09、5.43、4.98、6.13,P均<0.05);局限型患者的探诊深度与临床附着丧失在治疗后的3个月明显低于治疗1个月(t分别=4.67、5.46,P均<0.05),广泛型患者的探诊深度与临床附着丧失在治疗后的6个月明显低于治疗后的3个月(t分别=4.53、6.32,P均<0.05)。广泛型与局限型患者治疗后1个月、3个月、6个月牙齿松动度相比治疗前均有明显改善(χ~2分别=13.34、15.21、16.13、21.34、16.54、17.13,P均<0.05),两组患者治疗后3个月与治疗后1个月比较,松动度均明显减轻(χ~2分别=14.56、13.87,P均<0.05)。结论牙周基础治疗侵袭性牙周炎患者的临床疗效明显,能够有效控制炎症。

Objective To explore the curative effect of periodontal basic treatment in patients with aggressive periodontitis. Methods Totally 62 patients with aggressive periodontitis including 32 cases of extensive aggressive periodontitis and 30 cases of limited type were selected. All patients were given periodontal basic treatment. Before treatment and 1st,3rd,6th months after treatment,the dental clinical depths were detected. And full teeth bleeding index,the degree of loose teeth,and CAL were compared. Results The full teeth bleeding index,CAL,and the dental clinical depths in Limited type patients at 1st,3rd,6th months after treatment were significantly lower than extensive type patients（t=4.57,5.12,4.23,7.89,6.54,6.09,5.43,4.98,5.43,P〈0.05）. The dental clinical depths and CAL of the limited type patients at 3rd month after treatment were significantly lower than those at 1st month after treatment（t=4.67,5.46,P〈0.05）. The dental clinical depths and CAL of the extensive type patients at 6th month after treatment were significantly lower than those at 3rd month after treatment（t=4.53,6.32,P〈0.05）. Compared to before treatment,the degrees of loose teeth of two groups at 1st,3rd,6th months after treatment were all obviously improved（χ^2=13.34,15.21,13.34,15.21,16.54,17.13,P〈0.05）. And the degrees of loose teeth of two groups were all obviously improved when compared 3th month and 1st month after treatment（χ^2=14.56,13.87,P〈0.05）. Conclusion The periodontal basic treatment has obviously effect on aggressive periodontitis,which can effectively control inflammation.