牙周牙髓联合治疗对重度牙周炎的手术效果及预后评价

Surgical effect and prognosis evaluation of combined periodonto-endodontic therapy in severe periodontitis

目的研究牙周牙髓联合治疗对重度牙周炎的手术效果,以及手术预后评价。方法研究对象选取我院2016年12月—2018年3月间收治的重度牙周炎患者60例(患齿共60颗),将其随机分为观察组(30例)和对照组(30例),分别接受牙周牙髓联合治疗和单纯牙周治疗。比较两组患者的治疗总有效率以及复发率和患者的美观满意度,同时比较治疗前后的各项临床指标水平。结果观察组患者的治疗总有效率(93.33%)以及复发率(3.33%)均与对照组[(80.00%)、(10.00%)]无差异[(P=0.13,χ~2=2.31)、(P=0.30,χ~2=1.07)],美观满意度(96.67%)高于对照组(73.33%)(P=0.01,χ~2=6.41);治疗一个月后,观察组患者的PD、AL、松动度水平与对照组无差异(P>0.05),龈沟出血指数(SBI)低于对照组(P<0.05);治疗三个月后,观察组的AL、SBI、松动度均低于对照组(P<0.05),PD水平与对照组无差异(P>0.05)。结论牙周牙髓联合治疗可有效治疗重度牙周炎患者,改善患者临床症状,提高患者美观满意度,值得临床借鉴。

Objective To study the surgical effect of periodontal pulp combined therapy on severe periodontitis and the prognosis of surgery. Methods The study subjects selected 60 patients with severe periodontitis admitted to our hospital from December 2016 to March 2018 (60 teeth), and were randomly divided into observation group (30 cases) and control group (30 cases). The observation group received periodontal treatment with periodontal pulp and the control group received periodontal treatment alone. The total effective rate of treatment and the recurrence rate and the aesthetic satisfaction of the patients were compared between the two groups, and the clinical indicators before and after treatment were compared. Results The total effective rate (93.33%) and recurrence rate (3.33%) of the observation group were not different from the control group [(80.00%),(10.00%)][( P =0.13,χ^2=2.31),( P =0.30,χ^2=1.07)], aesthetic satisfaction (96.67%) was higher than the control group (73.33)( P =0.01,χ^2 =6.41);after one month of treatment, in the PD, AL, looseness of the observation group, there was no difference between the level and the control group ( P >0.05), and the sulcus bleeding index (SBI) was lower than that of the control group ( P <0.05). After three months of treatment, the AL, SBI and looseness of the observation group were lower than those of the control group ( P <0.05). P <0.05), the PD level was not different from the control groups ( P >0.05). Conclusion The combined of periodontal and endodontic treatment may be effective to patients with severe periodontitis, improve the clinical symptoms of patients, and increase the aesthetic satisfaction of patients, which is worthy of clinical promotion.