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牙周翻瓣术前非手术治疗对重度牙周炎疗效的影响

Effect of Non Surgical Treatment before Periodontal Flap Surgery on the Severe Periodontitis
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摘要 目的:探讨牙周翻瓣术前非手术治疗对重度牙周炎疗效的影响。方法:选取2022年1月至2022年12月中山市中医院收治的48例重度牙周炎患者,随机分为观察组和对照组,各24例。所有患者在术前均接受了全面的口腔检查和临床评估,包括牙周检查、牙周袋深度、牙周附着丧失、牙周X线检查与牙龈出血指数。对照组患者直接进行改良的牙周翻瓣术,观察组患者在牙周非手术治疗后进行改良的牙周翻瓣术。比较两组患者治疗效果与牙周指标。结果:观察组患者治疗有效率高于对照组,差异具有统计学意义(P<0.05)。术后3个月,观察组患者牙龈出血指数、牙周袋深度、牙周附着丧失均低于对照组,差异具有统计学意义(P<0.05)。结论:牙周翻瓣术前非手术治疗能够显著提升重度牙周炎患者的疗效,对于改善牙龈出血指数、牙周袋深度和牙周附着丧失等牙周指标具有积极作用。 Objective To explore the effect of non surgical treatment before periodontal flap surgery on the efficacy of severe periodontitis.Methods 48 patients with severe periodontitis admitted to Zhongshan Traditional Chinese Medicine Hospital from January 2022 to December 2022 were randomly divided into an observation group and a control group,with 24 patients in each group.All patients underwent comprehensive oral examination and clinical evaluation before surgery,including periodontal examination,periodontal pocket depth,loss of periodontal attachment,periodontal X-ray examination,and gingival bleeding index.The control group patients underwent modified periodontal flap surgery directly,while the observation group patients underwent modified periodontal flap surgery after nonsurgical periodontal treatment.Compare the treatment effectiveness and periodontal indicators between two groups of patients.Results The effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Three months after operation,gingival bleeding index,periodontal pocket depth and periodontal attachment loss in the observation group were lower than those in the control group,with statistical significance(P<0.05).Conclusion Non surgical treatment before periodontal flap surgery can significantly improve the efficacy of patients with severe periodontitis,and has a positive effect on improving periodontal indicators such as gingival bleeding index,periodontal pocket depth,and periodontal attachment loss.
作者 欧阳瑾 李洁婷 周虹宇 OUYANG Jin;LI Jieting;ZHOU Hongyu(Zhongshan Traditional Chinese Medicine Hospital,Guangdong Zhongshan 528400)
机构地区 中山市中医院
出处 《深圳中西医结合杂志》 2023年第17期122-124,共3页 Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词 重度牙周炎 牙周翻瓣术 术前非手术治疗 Severe periodontitis Periodontal flap surgery Non surgical treatment before surgery
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