自我机械清除舌苔对舌苔源性口臭患者口臭程度的影响

发布时间：2018-04-18 16:13

本文选题：口臭 + 舌苔　；参考：《北京大学学报(医学版)》2017年02期

【摘要】：目的:初探自我机械清除舌苔对舌苔源性口臭的治疗效果。方法:选取舌苔源性口臭患者10名,随机分2组,试验组从基线始给予机械清除舌苔的指导,对照组不处理舌苔。在基线、1周、2周、4周、8周时进行口气检测,记录临床数据,比较试验组与对照组组内不同时间点临床指标的变化以及两组间的差异。结果:试验组舌苔面积和舌苔厚度有降低的趋势,但此变化差异无统计学意义(P0.05),试验组感官法口臭值明显降低(P0.001)。两组口腔内挥发性硫化物浓度均呈现先降低再升高的变化趋势,对照组变化幅度较小,且差异无统计学意义(P0.05)。观察2个月后,试验组与对照组平均探诊深度及出血指数均显著低于基线时(P0.05),但组间差异并无统计学意义(P0.05)。两组组内不同时间点菌斑指数均无显著变化,两组间差异也无统计学意义(P0.05)。结论:自我机械清除舌苔有降低舌苔面积和舌苔厚度的趋势,可以减轻口臭,但患者的自我清除有一定局限性。
[Abstract]:Objective: to explore the effect of self-mechanical removal of tongue coating on tongue-based halitosis.Methods: ten patients with tongue coating from halitosis were randomly divided into 2 groups. The experimental group was given the instruction of mechanical cleaning from baseline, while the control group did not deal with tongue coating.After 1 week, 2 weeks, 4 weeks and 8 weeks of baseline, the clinical data were recorded, and the changes of clinical indexes at different time points and the differences between the two groups were compared between the experimental group and the control group.Results: the area of tongue coating and the thickness of tongue coating in the test group were decreased, but the difference was not statistically significant (P 0.05). The halitosis value of sensory method in the test group was significantly lower than that in the control group (P 0.001).The concentration of volatile sulfides in the oral cavity of the two groups showed a tendency of decreasing first and then increasing, while the range of changes in the control group was small, and the difference was not statistically significant (P 0.05).After 2 months of observation, the mean probing depth and bleeding index of the test group and the control group were significantly lower than that of the baseline group (P 0.05), but there was no significant difference between the two groups.There was no significant change in plaque index at different time points in the two groups, and there was no significant difference between the two groups (P 0.05).Conclusion: the tendency of reducing the area and thickness of tongue coating can reduce the halitosis, but the self-cleaning has some limitations.
【作者单位】：北京大学口腔医学院·口腔医院牙周科口腔数字化医疗技术和材料国家工程实验室口腔数字医学北京市重点实验室;浙江杭州口腔医院牙周黏膜科;
【分类号】：R781.9

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