牙周基础治疗及维护治疗对老年人慢性牙周炎的疗效

Observation on the curative effect of periodontal initial therapy and maintenance phase treatment for the elderly patients with chronic periodontits

目的探讨牙周基础治疗及维护治疗对老年人慢性牙周炎的临床治疗效果。方法选择老年牙周炎患者42例,行牙周基础治疗(超声龈上洁治、龈下刮治术、根面平整术、口腔卫生宣教)和维护治疗(评估包括菌斑量、探诊深度、探针出血点、附着水平、牙龈退缩程度、炎症程度、根分叉病变、牙松动度、咬合创伤等指标,给予相应的治疗,维护牙周组织的健康)。在治疗前和治疗后0、3、6个月时记录患者菌斑指数(PLI)、牙龈沟出血指数(SBI)、牙周袋探诊深度(PD)。结果各项指标(PLI、SBI、PD)持续改善(P <0. 01),牙龈炎症减轻。同时,3个月和6个月维护期复诊时,与基础治疗后比较,PLI、PD、SBI差异有统计学意义(P <0. 01)。结论老年慢性牙周炎患者,在接受牙周基础治疗后定期进行维护治疗,能够有效改善牙周环境。

Objective To evaluate the curative effect of periodontal initial therapy and maintenance phase treatment on elderly chronic periodontits. Methods A total of 42 elderly patients with periodontits was selected, and given periodontal initial therapy （ultrasonic supragingival scaling and ultrasonic subgingival scaling, root planning, oral health education） and maintenance phase treatment. The records of plaque index（ PLI）, sulcus bleeding index（SBI） and periodontal probing depth （PD） before and after the therapy were taken clown in the treatment of 3rd month and 6th month respectively. Results The gingival indexes were continually improved （ P 〈 0.01 ） with the gingival inflammation mitigating. Also, PLI, PD, and SBI were statistically significant compared with that after basic treatment during the main- tenance period of 3 months and 6 months （P 〈 0.01 ）. Conclusion Periodontal initial therapy and maintenance phase treatment can successfully improve the periodontal environment of elderly patients with chronic periodontitis.