牙周基础治疗联合牙周维护治疗重度慢性牙周炎 松动前牙的临床研究

›› 2020, Vol. 40 ›› Issue (2): 125-130.

牙周基础治疗联合牙周维护治疗重度慢性牙周炎松动前牙的临床研究

周永敏¹,丁红忠²,王小平¹,李淑华¹

1. 安徽医科大学附属巢湖医院
2. 安徽医科大学附属巢湖医院口腔科

收稿日期:2018-11-01 修回日期:2018-12-30 出版日期:2020-02-28 发布日期:2020-02-20
通讯作者: 周永敏 E-mail:971962926@qq.com

Periodontal initial therapy combined with supportive periodontal therapy (SPT) for maintaining mobile teeth in severe periodontitis patients

Received:2018-11-01 Revised:2018-12-30 Online:2020-02-28 Published:2020-02-20

摘要/Abstract

摘要： 摘要：目的：观察重度慢性牙周炎患者Ⅱ度及以上松动牙齿经过临床牙周基础治疗及牙周维护治疗后临床转归情况。方法：纳入57位重度慢性牙周炎患者，Ⅱ度松动牙118颗，Ⅲ度松动牙23颗。对于患者进行牙周基础治疗及牙周维护治疗，分别对于患者初诊时（T0）、基础治疗一个月（T1）、基础治疗后2年（T2）不同时间点松动牙齿的探诊深度（probing depth ，PD）探诊出血（Bleeding of probe, BOP）牙龈出血指数（Sulcus bleeding index ，SBI）,牙齿松动度（Tooth Mobility，TM）等临床指标进行记录统计。结果：经过牙周基础治疗及牙周维护治疗，所有松动牙齿的临床指标：PD,BOP,SBI,TM，均有明显改善（P<0.05）；在两年的观察期内，Ⅱ度松动牙的留存率为95.7%，Ⅲ度松动牙的留存率为39.1%。结论：重度慢性牙周炎的重度松动患牙经过系统性牙周治疗后，其相关检查指标均出现改善，95%以上的Ⅱ度松动牙可以得到保留；即使是Ⅲ度松动牙也值得尝试。

关键词: 牙周炎, 牙松动, 牙周治疗

Abstract: Abstract Aim: To evaluate the outcome of mobile teeth which are greater than Ⅱ degrees with advanced periodontitis after periodontal basic treatment plus supportive periodontal therapy (SPT). Methods: 381mobile teeth including 118 TM2 and 23 TM3 were selected from 57 adult patients. Each tooth received periodontal basic treatment and supportive periodontal therapy (SPT). BOP (the percentage of positive sites), Sulcus bleeding index (SBI), Tooth Mobility(TM) had been recorded at the initial periodontal visit (T0), one month after basic periodontal therapy (T1) and 24 month after basic periodontal therapy (T2) after probing depth (PD) assessment. Results:(i)Clinical parameters including TM,PD,BOP,SBI at all levels of tooth mobility improved significantly after therapies (P<0.05). (ii)The percentage of teeth in TM2 group retained was 95.7% and 39.1% of the teeth in TM3 group can also be kept in function. Conclusions: Clinical parameters of mobile teeth can be improved after periodontal basic treatment plus supportive periodontal therapy (SPT). Most TM2 teeth can be retained. Although Teeth of originally tooth mobility “3”have high missing rate (over 50%), it is worth trying to retain.

Key words: periodontitis, mobility, periodontal therapy

中图分类号:

R781.4

周永敏丁红忠王小平李淑华. 牙周基础治疗联合牙周维护治疗重度慢性牙周炎松动前牙的临床研究[J]. 口腔医学, 2020, 40(2): 125-130.

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