牙周-牙髓联合治疗重度牙周炎的疗效分析

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。

Effects of periodontal-pulp combined therapy on severe periodontitis

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.