牙周牙髓联合治疗120例重度牙周炎的临床分析

目的探讨根管治疗结合局部缓释抗菌治疗重度牙周炎的疗效。方法选取2008年8月~2011年6月我院门诊重度牙周炎患者60例,患牙共84颗,随机分为三组：根管治疗＋派丽奥-布洛芬缓释凝胶治疗组、根管治疗＋碘甘油组及碘甘油组,每组各28颗牙。分别记录比较治疗前、治疗后的第4周、第7周、第12周患者的牙龈指数（GI）、菌斑指数（PLI）、探针深度（PD）、龈沟出血指数（SBI）值。结果①根管治疗＋派丽奥-布洛芬缓释凝胶治疗组与根管治疗＋碘甘油组的PLI、SBI、GI、PD指标均优于碘甘油（P〈0.05）;根管治疗＋派丽奥-布洛芬缓释凝胶治疗组优于根管治疗＋碘甘油组（P〈0.05）。②根管治疗＋派丽奥-布洛芬缓释凝胶治疗组与根管治疗＋碘甘油组总有效率高于碘甘油（P〈0.01）;根管治疗＋派丽奥-布洛芬缓释凝胶治疗组总有效率高于根管治疗＋碘甘油组（P〈0.05）。结论根管治疗结合派丽奥-布洛芬缓释凝胶治疗重度牙周炎疗效显著,值得临床推广应用。

Application and evaluation about periodontic-endodontic treatment in cases of severe periodontitis

Objective To explore the effects of periodontal-endodontic plus periocline-ibuprofen compound treatment in patients with severe periodontitis.Methods 60 cases of patients with severe periodontitis would be admitted to our department,84 teeth were randomly divided into experimental groups(periodontal-endodontic treatment plus Periocline-ibuprofen compound group and periodontal-endodontic treatment plus iodine glycerin group) and control group(simple iodine glycerin treatment group);the PPD,PLI,SBI value of cases were recorded before treatment,treatment after 4 weeks,7 weeks,12 weeks.Results The treatment course of all patients were finished completely.Compared with before treatment,the change of clinical indicators of after treatment in three groups were no statistically significant(P > 0.05),and the clinical indicators of experimental group were improved more significantly,and the difference between the two experimental groups was significant statistical significance(P < 0.01,P < 0.05),compared with the control group,the total effective power of two experimental groups were statistically significant,and between the two experimental groups were also statistically significant.Conclusion Periodontal-endodontic plus Periocline-ibuprofen compound treatment in patients with severe periodontitis has a more obvious effect than others.