利用Florida探针评价牙周炎非手术治疗的疗效  

Evaluation of Non-surgical Treatment Response on Periodontitis with Florida Probe

作　　者：赵溪达[1] 潘亚萍[1] 赵雪[1] 林莉[1] 

机构地区：[1]中国医科大学口腔医院牙周科,辽宁沈阳110002

出　　处：《华西口腔医学杂志》2007年第3期253-256,共4页West China Journal of Stomatology

基　　金：国家"十五"科技攻关资助项目(2004BA720A26)

摘　　要：目的利用Florida探针评价牙周炎的非手术治疗的疗效。方法选择100例牙周炎患者为研究对象,进行牙周非手术治疗,采用Florida探针检测患者在治疗前和治疗结束后1个月时的探诊深度(PD)和附着丧失(AL)。检测位点为患者所有天然牙的近中颊、颊正中、远中颊和舌正中4个位点。将全口牙分成前牙组、前磨牙组、后牙组和所有牙组4组,比较4组间、4个位点间以及PD<5mm和PD≥5mm的位点间治疗前后PD和AL的变化。结果前牙组、前磨牙组、后牙组和所有牙组治疗后PD和AL与治疗前相比均有明显改善(P<0.05),PD明显下降,且有牙周附着再获得;其中前牙的改善较磨牙和前磨牙更明显。PD<5mm和PD≥5mm的牙周位点间PD的恢复有统计学差异(P<0.05),治疗后明显好转;而AL在治疗前后无统计学差异(P>0.05)。4个位点间改善程度的比较无统计学差异(P>0.05)。结论Florida探针能够较准确、客观地评价牙周状况。牙周非手术治疗对牙周炎具有良好的治疗效果,前牙疗效更为明显,同一牙齿不同位点的疗效基本一致。Objective To evaluate the effect of non-surgical treatment with Florida probe. Methods 100 patients with periodontitis were chosen in the study, who accepted periodontal non-surgical treatment. Pocket depth （PD） and attachment loss （AL） of all patients were recorded with Florida probe before and at the first month after periodontal non-surgical treatment. The detecting sites were mesialbuccal, buccal, distalbuccal and lingual. All teeth were divided into four groups： Anterior teeth group, premolar group, molar group and all teeth group. The therapeutic efficacy of PD and AL of groups, sites and different pocket depths was compared. Results In all four groups, PD, AL before and after one month periodontal non-surgical treatment demonstrated significant differences （P〈0.05）. It was found that the short-term effect of periodontal non-surgical treatment resulted in significant resolution of gingival inflammation and pronounced reduction in pocket depth and gain of attachment loss in all patients. Anterior teeth hadbetter therapeutic efficacy than premolar and molar. The PD pronounced reduction and gained a significant difference between PD〈5 mm and PD≥5 mm（P〈0.05）, but not with AL（P〉0.05）. Sites had no significant difference（P〉0.05）. Conclusion Florida probe evaluates periodontal conditions accurately and objectively. Periodontal non-surgical treatment allowed for favourable treatment response on periodontitis, anterior teeth had a good therapeutic efficacy, different sites had the equal therapeutic efficacy.

关 键 词：Florida探针 牙周炎 牙周非手术治疗 

分 类 号：R781.42[医药卫生—口腔医学]