根分叉病变超声洁治与手术治疗的疗效分析  

Effects of ultrasonic scaling and flap surgery on the treatment of mandibular furcation

作　　者：陈力[1] 肖春华 宋红[3] 吕昕[3] 李锋[3] 

机构地区：[1]解放军第302医院门诊部口腔科,北京100039 [2]新疆奎屯中心兵站口腔科,新疆奎屯833200 [3]第四军医大学口腔医学院,陕西西安710032

出　　处：《牙体牙髓牙周病学杂志》2012年第7期404-406,共3页Chinese Journal of Conservative Dentistry

摘　　要：目的:对Ⅱ、Ⅲ度根分叉病变的下颌磨牙手术和非手术超声洁治后的疗效进行比较,探讨非手术方法对根分叉病变治疗的疗效。方法:选择Ⅱ度根分叉病变患牙31例,Ⅲ度根分叉病变患牙23例,分别进行超声洁治或翻瓣手术治疗,对比两者治疗前和治疗3个月后患牙探诊出血率(bleeding on probing,BOP),探诊深度(probing depth,PD),附着水平(attachment level,AL)的疗效。结果:Ⅱ度根分叉病变患牙经超声洁治后与单纯手术治疗结果无显著差异,Ⅲ度根分叉病变病人翻瓣手术疗效好于单纯超声洁治组(P<0.05)。结论:超声洁治治疗能较有效控制根分叉Ⅱ度病变。AIM： To evaluate the effects of ultrasonic scaling and flap surgery on the treatment of Class II and III mandibular molar furcation disease. METHODS ： Thirty - one mandibular molars with Class II and 23 mandib- ular molars with class III furcation diseases were treated with ultrasonic scaling or flap surgury. Bleeding on probing, probing depth and attachment level were assessed before and 3 months after the treatments. RESULTS ： There was no statistically significant difference between untrasonic scaling and flap surgery in the treatment of class II furcation dis- ease. However, in class III furcation disease, flap surgury showed statistically significant better effects as compared with ultrasonic scaling. CONCLUSION： Ultrasonic scaling treatment may serve as a nonsurgical periodontal therapy for Class II mandibular furcations disease.

关 键 词：根分叉病变 牙周翻瓣手术 超声洁治 

分 类 号：R781.4[医药卫生—口腔医学]