超声龈下刮治同步药物冲洗方式对牙周炎治疗效果分析

目的探讨超声龈下刮治同步药物冲洗方式对牙周炎的临床疗效,并为临床开展科学、有效的治疗措施提供借鉴。方法选取本院2012年3～9月收治的24例（48颗）慢性牙周炎患者,利用随机数字表法分为为研究组和对照组,每组12例（24颗）。其中研究组采用超声龈下刮治同步3%过氧化氢进行冲洗治疗,而对照组采用超声龈下刮治后再采用传统冲洗器进行3%过氧化氢冲洗。在治疗前及治疗后第14天,记录两组患者菌斑指数、牙龈出血指数、探诊深度、附着丧失,并进行组间对比。结果两组患者在治疗前的牙周各指数差异无统计学意义（P〉0.05）。治疗后第14天,研究组的菌斑指数、牙龈出血指数、探诊深度及附着丧失分别为（0.93±0.28）度、（1.18±0.37）度、（3.98±1.10）mm、（2.75±0.88）mm,对照组分别为（1.64±0.51）度、（2.16±0.69）度、（5.51±0.92）mm、（3.13±0.73）mm,两组之间差异有统计学意义（P〈0.05）。结论对于慢性牙周炎患者采取超声龈下刮治同步药物冲洗较传统药物冲洗治疗更能够改善预后,改善牙周炎症情况,临床效果满意,值得进一步推广。

Analysis of therapeutic effect of ultrasonic subgingival scaling synchronized with drug washing in treatment of periodontitis

Objective To investigate the clinical efficacy of ultrasonic subgingival scaling synchronized with drug washing in the treatment of periodontitis and to provide refer~nce for the clinical implementation of scientific and ef- fective treatment measures. Methods Twenty-four patients （48 teeth） with chronic periodontitis admitted to our hospi- tal from March to September 2012 were assigned to the study group and the control group using the random number table method, with 12 patients （24 teeth） in each group. The study group received ultrasonic subgingival sealing syn- chronized with 3% hydrogen peroxide washing treatment and the control group received ultrasonic subgingival scaling first, followed by 3% hydrogen peroxide washing with traditional washing device. Before and 14th day after treatment, the plaque indices, gingival bleeding indices, probing depth and attachment loss of the two groups were recorded and compared. Results The two groups had no statistically significant differences in all the pre-treatment periodontal in- dices （P〉0.05） and they were comparable. At the end of the 14th day after treatment, the plaque index, gingival bleed- ing index, probing depth and attachment loss of the study group were （0.93±0.28） degree, （1.18±0.37） degree, （3.98±1.10） mm and （2.75±0.88） mm respectively and those of the control group were （1.64±0.51） degree, （2.16±0.69） degree （5.51±0.92） mm and （3.13±.73） mm respectively, with significant differences between the two groups （P〈0.05）. Con- clusion For patients with chronic periodontitis, ultrasonic subgingival scaling synchronized with drug washing is better than traditional drug washing treatment in promoting prognosis, improving periodontal inflammation and achieving sat- isfactory clinical efficacy, thereby worth further promotion.