基础牙周治疗配合口腔卫生指导改善青少年牙周炎的效果评价  

Effectiveness of initial periodontal therapy and oral hygiene instruction for teenagers periodontitis patients

作　　者：韩夏[1] 严洪海[1] 

机构地区：[1]浙江中医药大学附属第二医院口腔科,浙江杭州310005

出　　处：《中国医刊》2015年第9期62-64,共3页Chinese Journal of Medicine

摘　　要：目的探讨基础牙周治疗配合口腔卫生指导对儿童牙周炎的短、长期效果,为儿童口腔卫生促进提供依据。方法 2012~2013年因牙周炎初次入院就诊的12~18岁青少年,基础牙周治疗后按性别、年龄匹配分为对照组和研究组,研究组对患儿、家长和校医进行口腔卫生指导,观察两组的短、长期效果。结果基础牙周治疗1个月后,患儿牙周袋探测深度、出血指数、口臭度均显著下降（P〈0.05）,短期总有效率93.8%（45/48）,性别间无显著差异;6、12个月时研究组牙周袋探测深度、出血指数和口臭度指标低于对照组（P〈0.05）,对照组长期效果无显著改善,牙齿松动度各组、各时间点均无显著变化。结论基础牙周治疗能改善青少年牙周炎症状,口腔卫生指导能在中长期巩固对牙周炎的治疗效果。Objective To study short and long term effectiveness of initial periodontal therapy and oral hygiene instruction for teenagers periodontitis patients, and support promotion of teenagers’ oral health. Method Teenagers periodontitis patient aged 12-18 from 2012-2013 were divided into study group and control group which matched by age and sex. All participants were received initial periodontal therapy, and patients, patriarch and school doctors of study group received oral hygiene instruction. Short and long term effectiveness was observed. Result After initial periodontal therapy, probing depth（PD）, bleeding index （BI）, ozostomia dropped significantly（P〈0. 05）, and total effective rate was 93. 8%（45/48） without difference between genders. After 6 and 12 months, PD, BI and ozostomia was lower than control group（P〈0. 05）. PD, BI and ozostomia of control group was not improved after 6 and 12 months. Tooth mobility had no significant change at any time. Conclusion Initial periodontal therapy could improve children periodontitis. Oral hygiene instruction could consolidate long-term therapeutic effect.

关 键 词：青少年 牙周炎 基础牙周治疗 口腔卫生指导 

分 类 号：R788.3[医药卫生—口腔医学]