可摘式钛合金牙周夹板修复治疗牙周病的临床效果分析

Clinical effect analysis of removable titanium alloy periodontal splint in the treatment of periodontal disease

目的 分析可摘式钛合金牙周夹板在牙周病修复治疗中的临床效果。方法 回顾性选取2016年8月至2019年3月淮安市第一人民医院收治的100例牙周病患者,依据治疗方法分为研究组和对照组,每组各50例。研究组患者给予可摘式钛合金牙周夹板修复治疗,对照组患者给予可摘式局部义齿修复治疗。统计分析两组患者的牙周袋探诊深度、龈沟出血指数、菌斑指数、咀嚼功能、临床疗效以及术后并发症发生情况。结果 在牙周袋探诊深度、龈沟出血指数、菌斑指数和咀嚼功能评分方面,研究组患者治疗前分别为(3. 66±0. 15) mm、(4. 30±0. 10)分、(1. 68±0. 24)分、(4. 50±1. 57)分,治疗后分别为(3. 66±0. 16) mm、(4. 31±0. 20)分、(1. 70±0. 24)分、(4. 52±1. 48)分;对照组患者治疗前分别为(2. 53±0. 47) mm、(1. 51±0. 02)分、(0. 54±0. 11)分、(8. 63±1. 32)分,治疗后分别为(3. 53±0. 22) mm、(2. 00±0. 01)分、(1. 11±0. 33)分、(6. 81±1. 40)分。研究组患者治疗后较治疗前的牙周袋探诊深度降低幅度、龈沟出血指数评分降低幅度、菌斑指数评分降低幅度、咀嚼功能评分升高幅度均显著高于对照组,差异具有统计学意义(P <0. 05)。在治疗的总有效率方面,研究组为94. 0%(47/45),对照组为82. 0%(41/45),前者显著高于后者,差异具有统计学意义(P <0. 05)。在术后并发症发生率方面,研究组为8. 0%(4/45),对照组为32. 0%(16/45),前者显著低于后者,差异具有统计学意义(P <0. 05)。结论 牙周病修复治疗中可摘式钛合金牙周夹板的临床效果较可摘式局部义齿修复治疗好,值得推广应用。

Objective To analyze the clinical effect of removable titanium alloy periodontal splint in the treatment of periodontal disease.Methods A total of 100 patients with periodontal disease from August 2016 to March 2019 were retrospectly selected and divided into two groups,including removable titanium alloy periodontal splint repair group(study group,n=50)and removable partial denture repair group(control group,n=50)according to the random table method.The depths of periodontal pocket detection,gingival sulcus bleeding indexes,plaque indexes,masticatory functions and clinical efficacy,postoperative complications of the two groups were statistically analyzed.Results In terms of periodontal pocket depth,sulcus bleeding index,plaque index and masticatory function score,the patients in the study group were(3.66±0.15)mm,(4.30±0.10),(1.68±0.24),(4.50±1.57)before treatment,and(3.66±0.16)mm,(4.31±0.20),(1.70±0.24)and(4.52±1.48)before treatment in the control group,respectively(2.53±0.47)mm,(1.51±0.02),(0.54±0.11)and(8.63±1.32)after treatment,respectively,(3.53±0.22)mm,(2.00±0.01),(1.11±0.33)and(6.81±1.40).The reduction of depth of periodontal bag exploration,sulcus bleeding index score,plaque index score,increase of masticatory function score after treatment than before treatment of the study group were significantly higher than the control group(P<0.05).The total treatment effective rate was 94.0%(47/45)in the study group and 82.0%(41/45)in the control group.The former was significantly higher than the latter(P<0.05).The incidence of postoperative complications was 8.0%(4/45)in the study group and 32.0%(16/45)in the control group,the former was significantly lower than the latter(P<0.05).Conclusion The clinical effect of removable titanium alloy periodontal splint is better than removable partial denture,so it is worthy of promotion.