非手术方法治疗侵袭性牙周炎临床疗效观察  

Clinical Observation of Non-surgical Periodontal Therapy on Patients with Generalized Aggressive Periodontitis

作　　者：徐琛蓉[1] 张雄[1] 江丽[1] 

机构地区：[1]广东省口腔医院.南方医科大学附属口腔医院牙周病科,广东广州510280

出　　处：《广东牙病防治》2010年第2期59-63,共5页Journal of Dental Prevention and Treatment

摘　　要：目的探讨非手术方法治疗侵袭性牙周炎的临床效果。方法选择广泛型侵袭性牙周炎患者15例,进行口腔卫生宣教、龈上洁治、龈下刮治和根面平整,并口服罗红霉素和甲硝唑1周。分别于治疗前和治疗后3、6、12、18个月检查及记录出血指数、探诊深度和附着水平,并进行分析比较。结果出血指数、探诊深度和附着水平在治疗前分别为3.37±0.56、(5.83±1.68)mm、(6.78±1.50)mm,治疗后18个月下降为(0.69±0.48)mm、(2.15±0.45)mm、(4.60±0.78)mm,差异均有统计学意义(P=0.000)。结论广泛型侵袭性牙周炎患者经过牙周非手术治疗后可以取得良好的治疗效果,并且疗效较为稳定。Objective To observe the clinical effect of non-surgical periodontal therapy on patients with generalized aggressive periodontitis. Methods A total of 15 subjects diagnosed with generalized aggressive periodontitis were selected. Non-surgical periodontal therapy, which consists of oral hygiene instructions, scaling and root planing （ SRP）, was performed on subjects with periodontitis. Roxithromycin combined with Metronidazole were prescribed during the treatment. The bleeding index （ BI）, probing depth （ PD ） and clinical attachment level （ CAL ） were recorded at baseline and 3, 6, 12, 18 months after the periodontal therapy. Results BI, PD and CAL values at baseline were 3.37 ±0. 56, （5.83±1.68） mm, （6. 78±1.50） mm. And BI, PD, CAL values at 18 months after therapy were （0. 69±0.48） mm, （ 2.15±0.45） ram, （4. 60± 0. 78） mm, which were significantly lower than those at baselin（ P = 0. 000. P 〈0.01 ）. ConclusiOn These results demonstrated that nonsurgieal periodontal therapy is an efficient treatment for generalized aggressive periodontitis.

关 键 词：侵袭性牙周炎 牙周非手术治疗 牙周指数 附着水平 

分 类 号：R781.42[医药卫生—口腔医学]