慢性牙周炎患者牙周维护期间依从性不同对临床疗效的影响分析

发布时间：2018-06-15 19:55

本文选题：慢性牙周炎 + 牙周维护　；参考：《口腔医学研究》2015年05期

【摘要】：目的:观察慢性牙周炎患者牙周维护期间依从性不同对临床疗效的影响。方法:临床纳入慢性牙周炎患者70例,根据患者依从性差异分为完全依从性组以及不完全依从性组,每组35例。所有患者均首先进行为期4周的基础治疗,对于无手术指征者给予牙周维护治疗,并进行定期复查。观察治疗前与治疗12个月后患者菌斑指数(Plaque index,PI)、牙龈指数(Gingival index,GI)以及牙周袋深度(Probing depth,PD)、探针出血(BOP)阳性率、临床附着水平(CAL)等指标。结果:治疗前,两组患者PI、GI、PD、BOP阳性率、CAL水平等差异无显著性;完全依从性组患者治疗6个月、12个月的PI、GI、PD评分、BOP阳性率、CAL水平均明显优于不完全依从性组(P0.05),具有统计差异。结论:依从性较好的慢性牙周炎患者在接受临床治疗后,疗效要明显优于依从性较差的患者。因此,临床医师需要对慢性牙周炎患者进行定期随访,以提高患者的依从性。
[Abstract]:Objective: to observe the effect of different compliance during periodontal maintenance in patients with chronic periodontitis. Methods: 70 patients with chronic periodontitis were divided into complete compliance group and incomplete compliance group. All patients were treated with basic therapy for 4 weeks, periodontal maintenance was given to those without surgical indications, and regular reexamination was performed. The plaque index and gingival index (Gingival index), the positive rate of probing propenthophane and the clinical adhesion level were observed before and 12 months after treatment. Results: before treatment, there was no significant difference in the positive rate and CAL level between the two groups, but the positive rate and the CAL level of the patients in the complete compliance group were significantly higher than those in the incomplete compliance group at 6 months and 12 months after treatment, and the CAL level was significantly higher than that in the incomplete compliance group. Conclusion: the curative effect of chronic periodontitis patients with good compliance is better than that of patients with poor compliance. Therefore, clinicians need to follow up patients with chronic periodontitis regularly to improve compliance.
【作者单位】：广东省深圳牙科医疗中心口腔内科;
【分类号】：R781.42

【参考文献】