上皮下结缔组织治疗牙龈退缩的临床效果  

Clinical effect of subepithelial connective tissue in the treatment of gingival recession

作　　者：王斌[1] 王虎[2] 孔敏[1] WANG Bin;WANG Hu;KONG Min(Department of Stomatology,Chengdu First People's Hospital,Sichuan Province,Chengdu 610041,China;Department of Radiology,West China Hospital,Sichuan University,Sichuan Province,Chengdu 610041,China)

机构地区：[1]成都市第一人民医院口腔科,四川成都610041 [2]四川大学华西口腔医院放射科,四川成都610041

出　　处：《中国医药导报》2020年第3期106-109,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(10675087)

摘　　要：目的观察上皮下结缔组织治疗牙龈退缩的临床效果及牙周探诊深度(PD)、牙周附着丧失(AL)值、牙龈退缩高度、牙龈厚度的变化情况。方法采用前瞻性研究,选择2017年1月~2018年1月成都市第一人民医院收治的牙龈退缩患者39例(56颗患牙)为研究对象,所有患者均采用上皮下结缔组织瓣治疗,记录患者的临床疗效及治疗前、手术后6个月的PD、AL值、牙龈退缩高度、牙龈厚度数据并进行统计学软件处理。结果39例患者56颗患牙中,治疗总有效率为96.43%。手术后6个月患者的PD值、AL值均低于治疗前,牙龈退缩高度低于治疗前,牙龈厚度高于治疗前,差异有统计学意义(P<0.05)。结论上皮下结缔组织治疗牙龈退缩具有较好的临床效果,提高PD、AL值及牙龈退缩高度,增加牙龈厚度,值得推广应用。Objective To observe the clinical effect of subepithelial connective tissue on gingival recession and the changes of periodontal depth(PD),periodontal attachment loss(AL),gingival recession height and gingival thickness.Methods In this study,39 cases(56 teeth)of patients with gingival recession admitted to Chengdu First People's Hospital from January 2017 to January 2018 were used as prospective subjects.All patients were treated with subepithelial connective tissue flap.The clinical efficacy,PD,AL,gingival recession height and gingival thickness of the patients before and 6 months after surgery were recorded,and the data were processed by statistical software.Results Thirty-nine patients had 56 affected teeth,and the the total response rate was 96.43%,and the PD and AL values of the patients 6 months after surgery were lower than those before treatment,the gingival recession height was lower than that before treatment,and the gingival thickness was higher than that before treatment,showed statistically significant differences(P<0.05).Conclusion Subepithelial connective tissue has a good clinical effect in the treatment of gingival recession.It is worthy of promotion and application to improve PD,AL value,gingival recession height and gingival thickness.

关 键 词：上皮下结缔组织 牙龈退缩 PD值 AL值 牙龈退缩高度 牙龈厚度 

分 类 号：R781.4[医药卫生—口腔医学]