牙周牙髓联合治疗在重度牙周炎病例中的疗效 |
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引用本文: | 王兴文,陈永辉. 牙周牙髓联合治疗在重度牙周炎病例中的疗效[J]. 齐齐哈尔医学院学报, 2014, 35(19): 2872-2873 |
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作者姓名: | 王兴文 陈永辉 |
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作者单位: | 363000,福建医科大学附属漳州市医院口腔科 |
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摘 要: | 目的探讨牙周牙髓联合治疗对重度牙周炎的临床疗效。方法将80例重度牙周炎患者随机分为两组(各40例)对照组和观察组,对照组采用单纯牙周治疗措施,观察组采用牙周牙髓联合治疗措施,观察两组患者治疗前、治疗第4周、治疗第8周牙周袋探诊深度(PD)、菌斑指数(PLI)、龈沟出血指数(SBI)、松动度(MD)的水平变化情况。结果 (1)两组治疗后PD、PLI、SBI、MD均较治疗前改善,与对照组比较,观察组改善的程度较为明显(P〈0.05);(2)随着治疗时间的延长,观察组的PD、PLI、SBI、MD指数逐渐改善,第8周疗效优于第4周(P〈0.05);对照组第8周疗效与第4周比较无统计学差异(P〉0.05)。结论牙周牙髓联合治疗对重度牙周炎有理想临床疗效,通过促进牙周组织的再生达到治疗目的,临床建议推广运用。
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关 键 词: | 重度牙周炎 牙周牙髓联合治疗 疗效观察 |
The efficacy of periodontic-endodonic treatment in treating severe periodontitis |
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Affiliation: | WANG Xing - wen.( Department of stomatology, Zhangzhou Hospital Affiliated to Fujian Medical University, Zhangzhou, Fujian, 363000, China.) |
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Abstract: | Objective To investigate the efficacy of periodontic - endodonic treatment in treating severe periodontitis. Methods 80 patients with severe periodontitis were randomly divided into 2 groups ( control group and observation group, 40 cases in each group), patients in control group adopted simple periodontal treatment, an patients in observation group received periodontic - endodonie treatment, we observed the periodontal pocket probing depth (PD), plaque index (PLI), gingival sulcus bleeding index (SBI), loose degree (MD) level changes in two groups after 4 and 8 weeks treatment. Results The PD, PLI, SBI and MD indexes of the two groups were improved after treatment. Compared with the control group, the observation group improve obviously (P 〈 0. 05 ) ; AS the extension of treatment, the PD, PLI, SBI and MD index of observation group gradually improve, curative effect at the time point 8 weeks was better than 4 weeks ( P 〈 0. 05). Curative effects of control group at 8 weeks and 4 weeks were no statistical difference ( P 〉 0. 05 ). Conclusions Periodontic - endodonic treatment has ideal efficacy for severe Deriodontitis. and worth of clinical application. |
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Keywords: | Severe periodontitis Periodontic - endodonic treatment Curative effect Observation |
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