侵袭性牙周炎患者牙周基础治疗的疗效观察  

Evaluation of curative effect of initial therapy on the patients with aggressive periodontitis

作　　者：刘博[1] 赵溪达[1] 张建全[1] 赵雪[1] 潘亚萍[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》2010年第6期611-614,共4页West China Journal of Stomatology

摘　　要：目的评价侵袭性牙周炎牙周基础治疗的效果。方法选择2006年9月—2008年12月于中国医科大学口腔医院牙周科就诊的48例侵袭性牙周炎患者为研究对象,其中局限型侵袭性牙周炎(LAgP)20例,广泛型侵袭性牙周炎(GAgP)28例。所有患者均进行牙周基础治疗,分别在治疗前和治疗结束后1、3、6个月检测全口牙的探诊深度(PD)、临床附着丧失(CAL)、出血指数(BI)和牙齿松动度。结果 LAgP和GAgP患者在治疗后1、3、6个月的PD、CAL、BI和牙齿松动度较治疗前均有明显改善(P<0.05)。LAgP患者的PD、CAL在治疗后3个月与治疗后1个月比较,GAgP患者的PD、CAL在治疗后6个月与治疗后3个月比较,其差异均有统计学意义(P<0.05)。所有患者第一恒磨牙治疗后1、3、6个月的CAL较同期中切牙的改善情况更明显。结论牙周基础治疗对侵袭性牙周炎具有良好的治疗效果,GAgP和LAgP患者牙周基础治疗后的中期效果有差异。Objective To evaluate the clinical outcome of periodontal initial therapy on the patients with aggressive periodontitis.Methods A total of 48 patients with aggressive periodontitis,including 20 patients with localized aggressive periodontitis（LAgP） and 28 patients with generalized aggressive periodontitis（GAgP）,were chosen for the study from the patients referred to the Department of Periodontology of the School of Stomatology of China Medical University from September 2006 to December 2008.All subjects were performed periodontal initial therapy.Probing depth（PD）,clinical attachment loss（CAL）,bleeding index（BI） and tooth mobility were recorded at baseline and 1,3 and 6 months after initial treatment.Results At 1,3 and 6 months after periodontal initial therapy,there were significant improvements in PD,CAL,BI and tooth mobility of patients with LAgP and GAgP than those in the baseline（P0.05）.In patients with LAgP,statistical differences were detected in PD and CAL between 1 and 3 months after periodontal initial therapy（P0.05）.And in patients with GAgP,statistical differences were detected in PD and CAL between 3 and 6 months after therapy（P0.05）.At 1,3,and 6 months after therapy,first molars of all patients showed more significant therapeutic effects than central incisors（P0.05）.Conclusion Periodontal initial therapy showed effectiveness in treatment of aggressive periodontitis.In the mid-term,there were differences in therapeutic effect between patients with LAgP and GAgP.

关 键 词：侵袭性牙周炎 牙周基础治疗 疗效 

分 类 号：R781.4[医药卫生—口腔医学]