超声龈下刮治同步药物冲洗对牙周炎的治疗作用 |
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引用本文: | 杜娟,李淑娟,武明轩,马哲,杨冬茹. 超声龈下刮治同步药物冲洗对牙周炎的治疗作用[J]. 现代口腔医学杂志, 2010, 24(4): 250-252 |
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作者姓名: | 杜娟 李淑娟 武明轩 马哲 杨冬茹 |
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作者单位: | 1. 河北省优抚医院口腔科 2. 河北医科大学附属口腔医院,石家庄,050017 |
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基金项目: | 河北省科学技术研究与发展计划项目 |
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摘 要: | 目的探讨超声龈下刮治同步药物冲洗对牙周炎的治疗效果。方法选取中、重度慢性牙周炎患牙34颗,随机分为三组:A组(蒸馏水组)超声龈下刮治同步无菌蒸馏水冲洗(11颗牙);B组(消炎痛组)超声龈下刮治同步0.1%消炎痛药物冲洗(13颗牙);C组(甲硝唑组)超声龈下刮治同步0.2%甲硝唑药物冲洗(10颗牙)。比较龈上洁治、龈下刮治前后28日临床检查指标,及治疗后7、28日龈沟液的量和龈沟液中IL-6的水平变化。结果三组治疗后菌斑指数(PLI)、探诊深度(PD)、龈沟出血指数(SB I)、龈沟液的量及龈沟液中IL-6水平明显降低,有显著性差异;附着丧失(AL)降低不明显;消炎痛组和甲硝唑组治疗后龈沟液中IL-6水平降低程度大于蒸馏水组,有显著性差异。结论超声龈下刮治同步药物冲洗能够明显提高牙周炎的治疗效果。
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关 键 词: | 超声龈下刮治 消炎痛 甲硝唑 龈沟液 白细胞介素-6 |
Effect of ultrasonic scaling combining with simultaneous agents irrigation in treatment of periodontitis |
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Affiliation: | DU Juan,LI Shujuan,WU mingxuan,et al.School of Stomatology,Hebei Medical University,Shijiazhuang 050017 |
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Abstract: | Objective To investigate the clinical effect of periodontal desease by ultrasonic scaling combining with simultaneous agents irrigation.Methods Thirty-four teeth with moderate or advanced chronic periodontal disease were divided into three groups at random,A) Control group:ultrasonic scaling combining with distilled water(11 teeth);B) group indomethacin(IND): ultrasonic scaling combining with 0.1% of indomethacin(13 teeth);C) group metronidazole(MTZ): ultrasonic scaling combining with 0.2% of metronidazole(10 teeth) irrigation.The data of clinical indexes were recorded before therapy and at the 28 th day after therapy.The volumn of gingival crevicular fluid(GCF) and the level of interleukin-6(IL-6) was detected before therapy and at the 7 th and 28 th day after therapy.Results A significant decrease was shown in plaque index,probing depth,sulcus bleeding index,the volumn of GCF and the level of IL-6 of the three groups compared with baseline(P0.05).Though there was some decrease at attachment level,there was no statistically significant difference.The decrease of the level of IL-6 of group IND and group MTZ was significantly higher than that of distilled water group(P0.01).Conclusion The method of ultrasonic scaling combing with 0.1% of indomethacin or 0.2% of metronidazole irrigation could improve the effects in the treatment of periodontal desease. |
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Keywords: | Ultrasonic scaling Indomethine Metronidazole Gingival crevicular fluid Interleukin-6 |
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