引导骨再生术联合牙周固定术治疗慢性重度牙周炎

发布时间：2018-06-16 20:41

本文选题：引导骨再生术 + 牙周固定术　；参考：《南京医科大学学报(自然科学版)》2015年06期

【摘要】：目的 :观察联合应用引导骨再生术和牙周固定术治疗重度牙周炎的疗效。方法 :将48例重度牙周病患者随机分为实验组和对照组,各24例,实验组29个患牙行引导骨再生术和牙周固定术,对照组35个患牙行引导骨再生术。分别记录术前、术后3个月、术后6个月患牙牙周探诊深度(periodontal probing depth,PPD)、附着丧失(attachment loss,AL)、龈沟出血指数(sulcus bleeding index,SBI)、牙松动度(teeth mobility,TM)及牙槽骨高度(alveolar bone height,AH)。结果 :与术前相比,两组术后3个月PPD、AL、SBI、TM均明显减少,且有显著性差异;术后6个月,实验组疗效优于对照组。结论:牙周引导骨再生术联合应用牙周固定术治疗重度牙周病能明显改善临床指标,且疗效优于单独应用引导骨再生术。
[Abstract]:Objective: to observe the effect of combined guided bone regeneration and periodontal fixation in the treatment of severe periodontitis. Methods: 48 patients with severe periodontal disease were randomly divided into two groups: experimental group (n = 24) and control group (n = 24). 29 affected teeth in experimental group were treated with guided bone regeneration and periodontal fixation, while 35 patients in control group were treated with guided bone regeneration. Before operation, 3 months after operation, and 6 months after operation, the periodontal probing depth, attachment loss, gingival sulcus bleeding index, alveolar bone height and alveolar bone height were recorded. Results: compared with pre-operation, the TM of PPD-ALS SBIN in the two groups decreased significantly at 3 months after operation, and there was a significant difference between the two groups, and the curative effect of the experimental group was better than that of the control group at 6 months after operation. Conclusion: periodontal guided bone regeneration combined with periodontal fixation in the treatment of severe periodontal disease can significantly improve the clinical indicators, and the curative effect is better than that of guided bone regeneration alone.
【作者单位】：江苏省中医院口腔科;南京医科大学附属口腔医院特诊科;南京医科大学附属口腔医院牙体牙髓科;南京医科大学附属口腔医院牙周科;南京医科大学附属口腔医院口腔医学研究所;
【基金】：江苏高校优势学科建设工程项目
【分类号】：R781.4

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