翻瓣术及其结合拜阿蒙人工骨植入治疗重度牙周病2年后的临床疗效  

Clinical study on treating serious periodontal disease by two sorts of therapy in two years

作　　者：桂和明 杜丽娟 王唯唯 雷公元 兰倩 黄洁英 

机构地区：[1]佛山市口腔医院口腔内科,广东佛山528000

出　　处：《国际口腔医学杂志》2009年第2期133-136,共4页International Journal of Stomatology

基　　金：广东省卫生厅医学科研基金资助项目(A2006666)

摘　　要：目的观察翻瓣术及其结合拜阿蒙(BAM)人工骨植入治疗重度牙周病2年后的临床疗效。方法将62例重度牙周病患者的89颗患牙分为A(67颗)、B(22颗)2组做基础治疗,A组经牙周翻瓣刮治后在骨缺损区植入BAM人工骨,B组仅做翻瓣刮治。比较术后2年两组患牙的临床疗效。结果A、B两组患牙术后6个月牙龈出血指数均明显改善,炎症消退。术后2年复查时,A、B两组分别拔除患牙7颗。2年后治疗牙的保存率,A组为78.43%,B组为35.00%。X线根尖片显示,A组骨缺损区有新骨形成,牙槽骨高度增加;B组未见新骨形成,牙周袋深度和牙槽骨高度无明显改善。结论牙周翻瓣术后植入BAM人工骨治疗重度牙周病疗效优于单纯翻瓣刮治术。Objective To observe clinical effects of treating severe periodontal disease by flap curettaging plus implanting biological artificial material （BAM） artificial bone and flap curettage in two years. Methods 89 teeth with severe periodontal disease from 62 patients were divided into two groups. Group A was treated with flap curettage plus implanting BAM artificial bone into periodontal bone defective area. Group B was treated by flap curettage only. Clinical effects of all teeth in two groups were observed through examining periodontal indexes and taking X-ray after treated for 1 and 2 years. Results Partial periodontal indexes of all treated teeth in two groups had been improved after treated in 6 months. Clinical effects of group A are better than group B after treated for 2 years. Conclusion Clinical effects of treating severe periodontal disease by flap curettage plus planting BAM artificial bone into periodontal bone detective areas are superior than periodontal flap curettage only according to our clinical study.

关 键 词：牙周病 植骨术 翻瓣刮治 人工骨 牙周指数 

分 类 号：R781.4[医药卫生—口腔医学]