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基础治疗联合牙周维护治疗慢性牙周炎的临床效果(1)
http://www.100md.com 2020年4月15日 《中国当代医药》 202011
     [摘要]目的 探讨基础治疗联合牙周维护治疗慢性牙周炎的临床效果。方法 选取2012年9月~2018年11月我院收治的360例慢性牙周炎患者作为研究对象,按照随机数字表法将患者分为对照组和观察组,每组各180例。对照组患者给予常规基础治疗,观察组患者在对照组的基础上联合牙周维护,观察并比较两组患者的治疗效果、治疗前后的牙周指数、年均缺牙数量及牙周炎的复发率。结果 观察组患者的治疗总有效率(96.11%)高于对照组(81.67%),差异有统计学意义(P<0.05);治疗前,两组患者的牙周袋探诊深度(PD)、牙龈出血指数(BI)、菌斑指数(PLT)、附着丧失(CAL)比较,差异无统计学意义(P>0.05);治疗后,两组患者的PD、BI、PLT、CAL均低于治疗前,差异有统计学意义(P<0.05);观察组患者治療后的PD、BI、PLT、CAL均低于对照组,差异有统计学意义(P<0.05);观察组患者的年均缺牙数少于对照组,牙周炎复发率低于对照组,差异有统计学意义(P<0.05)。结论 临床上治疗慢性牙周炎患者时,给予患者基础治疗的同时,联合牙周维护,能够有效改善患者的牙周状况,有利于治疗效果的保持,可以降低复发率,效果显著,有较高的推广价值。

    [关键词]基础治疗;牙周维护;慢性牙周炎;超声波洁牙;阿莫西林;维生素C;复方硼砂含漱液;治疗效果

    [Abstract] Objective To explore the clinical effect of basic treatment combined with periodontal maintenance in treatment of chronic periodontitis. Methods A total of 360 patients with chronic periodontitis who were treated in our hospital from September 2012 to November 2018 were selected as the subjects. According to the random number table method, the patients were divided into control group and observation group, with 180 cases in each group. The control group were given conventional basic treatment, while the observation group were given basic treatment combined with periodontal maintenance. The treatment effect, periodontal index, number of missing teeth per year, and recurrence rate of periodontitis before and after treatment were observed and compared. Results The total effective rate of the observation group (96.11%) was higher than that of the control group (81.67%), with statistical difference (P<0.05). There were no significant differences in periodontal pocket probing depth (PD), bleeding index (BI), plaque index (PLI), and clinical attachment loss (CAL) between the two groups before treatment (P>0.05). After treatment, the PD, BI, PLI and CAL of the two groups were lower than those before treatment, the differences were statistically significant (P<0.05). After treatment, the PD, BI, PLI and CAL of the observation group were lower than those of the control group, the differences were statistically significant (P<0.05). The average number of missing teeth per year in the observation group was fewer than that in the control group, and the recurrence rate of periodontitis was lower than that in the control group, with statistical differences (P<0.05). Conclusion In clinical treatment of patients with chronic periodontitis, basic treatment combined with periodontal maintenance can effectively improve the periodontal condition of patients, help to maintain the treatment effect, and reduce the recurrence rate. The effect is significant and worthy to be popularized in the clinical practice., http://www.100md.com(麦宗达)
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