口腔显微镜在牙周基础治疗中应用的临床及疼痛度评价  

Clinical and Pain Evaluation of Initial Periodontal Therapy with the Use of Dental Microscope

作　　者：章立群[1] 孙辉[1] 谢安琪[1] 邓碧霞[1] 

机构地区：[1]广东医学院附属南山人民医院口腔科,广东深圳518052

出　　处：《口腔医学研究》2013年第4期353-355,共3页Journal of Oral Science Research

基　　金：深圳市南山区科技计划项目(编号:2010020)

摘　　要：目的:对口腔显微镜在牙周基础治疗中应用的临床效果及疼痛度进行评价。方法:30例慢性牙周炎患者随机分两组,实验组显微镜辅助下龈下刮治和根面平整;对照组普通视野下进行。统计学比较1,3,6个月时各项临床指标;并对1、3、7d疼痛度进行视觉模拟评分。结果:1、3个月时两组各项临床指标无显著差异;第6个月时实验组牙周袋深度,临床牙周附着丧失、龈沟出血指数、探诊出血阳性位点率均显著低于对照组(P<0.05);实验组第1、3天视觉模拟评分值明显低于对照组(P<0.05)。结论:显微辅助下牙周基础治疗较普通视野下治疗能取得更好的远期临床疗效和舒适度。Objective： To explore the effectiveness and pain value of initial periodontal therapy with aid of dental microscope.Methods： 30 patients with chronic periodontitis were randomly assigned to receive dental microscope-aided subgingival scaling and root planing（SRP,test group）or SRP alone（control group）.Clinical indicators and Visual analog scale（VAS） of two groups were assessed statistically at the first,third and sixth month and the first,third and seventh day separately.Results： The clinical index showed no statistical difference at first and third month,while the periodontal depth（PD）,clinical attachment loss（CAL）,sulcus bleeding index（SBI） and the rate of positive bleeding on probe（BOP） sites of test group were all lower than control group at the sixth month（P＆lt;0.05）.VAS of test group was lower than control group at the first and the third day（P＆lt;0.05）.Conclusion： SRP with aide of dental microscope can have longer clinical effectiveness and more comfort than SRP alone.

关 键 词：口腔显微镜 牙周基础治疗 龈下刮治 根面平整 疼痛评估 

分 类 号：R781.4[医药卫生—口腔医学]