摘要
目的:探讨一次性全口龈下刮治和根面平整术(full-mouth scaling and root planning,FM-SRP)治疗慢性牙周炎的效果,并与常规的分象限刮治(quad rantscaling and root planning,Q-SRP)效果进行比较。方法:将60例慢性牙周炎患者随机分为2组:FM-SRP组在1天内完成全口所有象限的刮治和根面平整,而Q-SRP组每周进行1个象限的刮治,连续4周完成全口治疗。分别在基线、3个月和6个月时,检测菌斑指数(plaqueindex,PI)、牙龈指数(gingivalindex,GI)、探诊出血(bleedingonprobing,BOP)、探诊深度(probingdepth,PD)及附着丧失(attachmentloss,AL)的变化及患者的术后反应。所得结果分别进行秩和检验(PI、GI)、t检验(PD、AL)和χ2检验(BOP)。结果:与基线时相比,2种治疗方式在3个月和6个月时的所有临床牙周指数均有显著改善(P<0.01),但2组之间无显著性差异(P>0.05)。在首次治疗24h,FM-SRP组的术后反应发生率显著高于Q-SRP组(P<0.05),但患者能够耐受。结论:FM-SRP和Q-SRP两种方法均可达到相同的临床效果,临床医生可根据实际需要,选择合适的治疗方式。
PURPOSE： To explore the clinical effect of full-mouth scaling and root planning （FM-SRP） on chronic periodontitis with the comparison of quadrant scaling and root planning （Q-SRP）. METHODS： 60 patients with chronic periodontitis were randomly divided into 2 groups. The FM-SRP group received full-mouth scaling and root planning completed within the same day, while the Q-SRP group received quadrant scaling and root planning once a week for 4 weeks. Clinical parameters of plaque index （PI）, gingival index （GI）, bleeding on probing （BOP）, probing depth （PD） and attachment loss （AL） were collected at baseline, 3 and 6 months after treatment, as well as the postoperative reaction. The data were analyzed by rank sum test（PI,GI）, t test（PD,AL） and Chi square test（BOP）, respectively. RESULTS： When compared with the baseline, both therapies resulted in significant improvements in all clinical parameters at the end of 3 and 6 months（P〈0.01 ）. However, there were no significant difference between the two groups at any time point（P〉0.05）. 24 hours after the first treatment, the percentage of patients with postoperative reactions were significantly higher in FM- SRP group than that in Q-SRP group （P〈0.05 ）, but the patients could tolerate these reactions. CONCLUSION： Both FM-SRP and Q-SRP are efficacious in treating chronic periodontitis, and the clinician can select the proper treatment modality according to the demand of clinical practice.
出处
《上海口腔医学》
CAS
CSCD
2005年第4期341-344,共4页
Shanghai Journal of Stomatology
关键词
慢性牙周炎
一次性全口龈下刮治和根面平整术
分象限刮治
Chronic periodontitis
Full-mouth scaling and root planning
Quadrant scaling and root planning
