基础治疗联合牙周维护应用于慢性牙周炎治疗中的作用

The role of basic therapy combined with periodontal maintenance in the treatment of chronic periodontitis

目的 在慢性牙周炎治疗中应用基础治疗联合牙周维护,分析其治疗价值。方法 102例慢性牙周炎患者,按照随机数字表法将其分为观察组和对照组,每组51例。对照组应用基础治疗,观察组在对照组的治疗基础上应用牙周维护治疗。比较两组患者临床疗效、牙周指标[菌斑指数(PLI)、龈沟出血指数(SBI)、临床附着丧失(CAL)、牙周探诊深度(PD)]、治疗满意度、复发率。结果 观察组的总有效率为96.08%,明显高于对照组的82.35%,差异有统计学意义(P<0.05)。治疗后,观察组患者的PLI(0.83±0.21)、SBI(1.32±0.27)、CAL(3.46±0.62)mm、PD(2.92±0.63)mm均明显低于对照组的(1.72±0.34)、(2.44±0.40)、(4.54±0.57)mm、(4.98±0.67)mm,差异有统计学意义(P<0.05)。观察组治疗总满意率为98.04%,明显高于对照组的86.27%,差异有统计学意义(P<0.05)。随访期间,观察组牙周炎复发率为0,低于对照组的7.84%(4/51),差异有统计学意义(χ^(2)=4.163,P<0.05)。结论 在慢性牙周炎治疗中联合应用基础治疗与牙周维护可提高临床疗效,改善牙周健康状况,降低复发率,患者对治疗的满意度更高,值得推广。

Objective To analyze the value of basic therapy combined with periodontal maintenance in the treatment of chronic periodontitis.Methods 102 patients with chronic periodontitis were divided into an observation group and a control group according to random numerical table,with 51 cases in each group.The control group was treated with basic periodontal therapy,on the basis of which,the observation group was treated with periodontal maintenance therapy.The clinical efficacy,periodontal index[plaque index(PLI),gingival sulcus bleeding index(SBI),clinical attachment loss(CAL),probing depth(PD)],treatment satisfaction and recurrence rate were compared between the two groups.Results The total effective rate of 96.08%in the observation group was significantly higher than 82.35%in the control group,and the difference was statistically significant(P<0.05).After treatment,the observation group had PLI of(0.83±0.21),SBI of(1.32±0.27),CAL of(3.46±0.62)mm and PD of(2.92±0.63)mm,which were significantly lower than(1.72±0.34),(2.44±0.40),(4.54±0.57)mm and(4.98±0.67)mm in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of treatment in the observation group was 98.04%,which was significantly higher than 86.27%in the control group,and the difference was statistically significant(P<0.05).During the follow-up period,the recurrence rate of periodontitis in the observation group was 0,which was lower than 7.84%(4/51)in the control group,and the difference was statistically significant(χ^(2)=4.163,P<0.05).Conclusion The combined application of basic therapy and periodontal maintenance in the treatment of chronic periodontitis can improve the clinical efficacy,improve the periodontal health and reduce the recurrence rate.The patients are more satisfied with the treatment,so it is worth popularizing.