上海口腔医学

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (4): 457-459.

• 临床研究 • 上一篇    下一篇

牙周-牙髓联合治疗重度牙周炎的疗效分析

桂湧, 冯琛琛   

  1. 无锡口腔医院 牙周病科,江苏 无锡 214000
  • 收稿日期:2013-10-23 出版日期:2014-08-20 发布日期:2014-10-20
  • 通讯作者: 桂湧,E-mail: wuxiguiyong@126.com
  • 作者简介:桂湧(1968-), 男, 江苏人, 本科, 副主任医师
  • 基金资助:
    江苏省临床医学科技专项基金(BL2013002)

Effects of periodontal-pulp combined therapy on severe periodontitis

GUI Yong, FENG Chen-chen   

  1. Department of Periodontology, Wuxi Stomatology Hospital. Wuxi 214000, Jiangsu Province, China
  • Received:2013-10-23 Online:2014-08-20 Published:2014-10-20
  • Supported by:
    Supported by Special Project for Clinical Medicine from Jiangsu Province (BL2013002).

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摘要： 目的:探索牙周-牙髓联合治疗对重度牙周炎患者的必要性。方法:收集2009年5月—2011年9月就诊于我院的重度牙周炎患者52例,随机分为A组和B组。A组患者给予牙周-牙髓联合治疗,B组患者给予单纯牙周治疗,分别记录2组患者在治疗前基线检查时、治疗后3个月、6个月、1 a、2 a的龈沟出血指数、探诊深度、附着水平,使用SPSS13.0软件包,采用t检验进行疗效分析。结果:治疗前基线检查时,A组与B组各观察指标的组间比较P>0.05,差异无显著性。治疗后3个月,A组与B组各观察指标的组间比较无显著差异(P>0.05)。治疗后6个月,A组与B组SBI有显著差异(P<0.05);PD、AL比较无显著差异(P>0.05)。治疗后1 a,A组与B组各观察指标的比较均有显著差异(P<0.05)。治疗后2 a,A组与B组SBI比较无显著差异(P>0.05);PD、AL比较有显著差异(P<0.05)。结论:针对重度牙周炎患者进行牙周-牙髓联合治疗,远期疗效良好。

关键词: 重度牙周炎, 根管治疗, 龈沟出血指数, 探诊深度, 附着水平

Abstract: PURPOSE: To explore the necessity of periodontal-pulp combined therapy for severe periodontitis. METHODS: From May 2009 to September 2011, 52 patients who were diagnosed of severe periodontitis were involved in this study. They were randomly divided into 2 groups. Patients in group A were given periodontal-pulp combined therapy, while patients in group B were given periodontal therapy. SBI, PD, AL were recorded in baseline, 3 months, 6 months, 1 year and 2 years after treatment. Statistical analysis was performed with SPSS13.0 software package. RESULTS: All the indexes were different between 2 groups in baseline. Three months after treatment, all the indexes were not significantly different between two groups. Six months after treatment, SBI was significantly different between 2 groups, but PD and AL were not significantly different between 2 groups. One year after treatment, all the indexes were significantly different between 2 groups. Two years after treatment, SBI was not significantly different between 2 groups, but PD and AL were significantly different between two groups. The results of periodontal-pulp combined therapy were better than periodontal therapy. CONCLUSIONS: Periodontal-pulp combined therapy is necessary for patients with severe periodontitis.

Key words: Severe periodontitis, Root canal therapy, Sulcus bleeding index, Probe depth, Attachment level

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