冠桥固定松动牙对重症牙周炎及口腔健康相关生活质量的影响

›› 2015, Vol. 35 ›› Issue (11): 928-932.

冠桥固定松动牙对重症牙周炎及口腔健康相关生活质量的影响

路惠捷¹,陈铁楼²,张新海³,刘进⁴,赵海军²,吴织芬⁵

1. 第四军医大学航空航天医学院心理教研室
2. 上海解放军411医院全军口腔疾病诊治中心牙周科
3. 解放军411医院全军口腔疾病诊治中心牙周科
4. 上海解放军411医院口腔牙周科
5. 第四军医大学口腔医学院牙周科

收稿日期:2015-06-03 修回日期:2015-07-20 出版日期:2015-11-28 发布日期:2015-11-28
通讯作者: 陈铁楼 E-mail:xbctl@sh163.net
基金资助:
上海市卫计委项目;总后面上项目

Impacts of ceramic restoration splinting on severe periodontitis and oral healthrelated quality of life

Received:2015-06-03 Revised:2015-07-20 Online:2015-11-28 Published:2015-11-28
Contact: Tie-Lou CHEN E-mail:xbctl@sh163.net

摘要/Abstract

摘要： ［摘要］目的探讨冠桥固定松动牙对重症牙周炎和口腔健康相关生活质量的影响。方法选重症慢性牙周炎患者104例，初诊（T0）时测定牙龈指数（GI）、菌斑指数（PLI），行口腔健康影响程度量表（OHIP-14）和牙周健康自我评价表调查，对患者行牙周洁治和刮治，对松动牙行根管治疗后烤瓷冠桥固定，在固定后1个月（T1）、6个月（T2）及12个月（T3）再次测定GI、PLI及调查OHIP-14和口腔健康自我评价表。结果患者在 T1 时OHIP-14平均得分（ 15.6±3.0），与T0时（33.7±3.1）有非常显著性差异（P<0.01），T2 时OHIP-14得分（10.3±2.8），与T1时得分有显著性差异（P<0.05），T3时得分（7.9±2.5）与T2无显著性差异（P>0.05）。治疗后各时间点OHIP-14各条目分值及阳性反应患者比率与治疗前比明显降低，牙周健康有关症状所占比率显著降低。治疗后各观测点的GI和PLI与T0比有显著性差异（P<0.01）。结论冠桥固定对重症牙周炎有显著疗效，可明显改善牙周健康有关症状和口腔健康影响程度，提高口腔健康相关生活质量。

关键词: 冠桥固定, 重症牙周炎, 口腔健康生活质量, 口腔健康影响程度, 患者评估

Abstract: Abstract: Objective To investigate the impacts of ceramic restoration splinting on severe periodontitis and oral healthrelated quality of life in Chinese patients.Methods 104 Chinese patients with severe chronic periodontitis were selected to complete a questionnaire of 14item Oral Health Impact Profile （OHIP14,Chinese version）and an inventory on self evaluation of periodontal health at the following four time points:pretherapy （T0）,1 month （T1）6 months （T2）,and 12 months （T3）after the placement of the ceramic restoration splinting.The patients gingival index （GI）and plaque index （PLI）were also measured during the four time points.Results Significant differences of average OHIP14 scores were found between T1 （15.63.0）and T0 （33.73.1）（P 0.01）,T2 （10.32.8）and T1 （P<0.01）,but not between T3 （7.92.5）and T2 （P>0.05）.Compared to T0,the score of each item and the percentage of positive response of the patients in OHIP14,and the ratio of oral healthrelated symptoms significantly decreased after therapy （T1,T2,T3）.Meanwhile,there were significant differences in GI and PLI between posttherapy （T1,T2,T3）and T0 （P<0.01）.Conclusions Ceramic restoration splinting has significant therapeutic effects on severe periodontitis and can reduce periodontal healthrelated symptoms and the degree of their impacts on oral health,thus improving oral health related quality of life.

Key words: Ceramic restoration, Severe periodontitis, Oral Health-Related Quality of Life, Oral Health Impact Profile, Patient assessment

中图分类号:

R781.4+2

路惠捷陈铁楼张新海刘进赵海军吴织芬. 冠桥固定松动牙对重症牙周炎及口腔健康相关生活质量的影响[J]. , 2015, 35(11): 928-932.

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