位点保存对牙周病患者牙周状况影响的临床研究  

Effect of Site Preservation on Periodontal Status of Periodontal Patients

作　　者：耿双双 王健 杨莉 冯欣欣 路立花 GENG Shuangshuang;WANG Jian;YANG Li;FENG Xinxin;LU Lihua(Department of Stomatology, Hebei Ophthalmic Hospital, Qingtai 054000, China.)

机构地区：[1]河北省眼科医院口腔科,河北邢台054000

出　　处：《口腔医学研究》2020年第11期1022-1026,共5页Journal of Oral Science Research

基　　金：邢台市科技支撑计划项目(编号:2019ZC174)。

摘　　要：目的:探讨位点保存对牙周病患者龈沟出血指数(Sulcus Bleeding Index,SBI)、探诊深度(Proing Depth,PD)、牙周附着丧失(Attachment Lossl,AL)及菌斑指数(Plaque Index,PLI)的影响。方法:选择2018年2月~2019年1月在我院接受治疗的牙周病患者94例进行研究。采用随机数字表法将患者分2组,各47例。对照组行常规拔牙后种植修复治疗,观察组行位点保存拔牙后种植修复治疗。比较两组患者种植成功率、修复效果、SBI、PD、AL、PLI、患者主观评价结果。结果:观察组种植成功率为100%(47/47),高于对照组的89.36%(42/47),差异有统计学意义(P<0.05)。观察组总优良率为95.75%,高于对照组的82.98%(P<0.05)。治疗前两组SBI、PD、AL及PLI差异均无统计学意义(P>0.05),治疗后两组SBI、PD、AL及PLI均明显下降(P<0.05),但治疗后SBI、PLI差异无统计学意义(P>0.05),观察组PD、AL显著低于对照组(P<0.05)。治疗后两组患者咀嚼功能、外形美观及整体满意度均明显提升,但观察组治疗后咀嚼功能、外形美观及整体满意度均显著高于对照组(P<0.05)。结论:位点保存拔牙后种植修复治疗较常规拔牙可明显提高牙周病患者种植成功率,提高修复优良率,降低PD及AL,并提高患者咀嚼功能、外形美观及整体满意度。Objective:To explore the effect of site preservation on sulcus bleeding index(SBI),probing depth(PD),attachment loss(AL),and plaque index(PLI)in patients with periodontal disease.Methods:A total of 94 patients with periodontal disease who were treated in our hospital from February 2018 to January 2019 were selected.The patients were randomly divided into 2 groups,with 47 cases each.The control group underwent conventional implantation and restoration after tooth extraction,and the observation group underwent site preservation after tooth extraction.The implantation success rate,repair effect,SBI,PD,AL,PLI,and subjective evaluation results were compared between two groups of patients.Results:The implantation success rate of observation group was 100%(47/47),which was higher than that of control group(89.36%,42/47,P<0.05).The total excellent and good rate in the observation group was 95.75%,which was higher than 82.98%in the control group(P<0.05).There was no significant difference in SBI,PD,AL,and PLI between two groups before treatment(P>0.05).After treatment,the SBI,PD,AL,and PLI in the two groups were significantly reduced(P<0.05),but the SBI and PLI were different after treatment.There was no statistical significance(P>0.05).PD and AL in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the masticatory function,appearance,and overall satisfaction of two groups were significantly improved,but the masticatory function,appearance,and overall satisfaction of the observation group were significantly higher than those of control group(P<0.05).Conclusion:Site preservation after extraction can significantly improve the success rate of implantation in patients with periodontal disease,improve the rate of excellent repair,reduce PD and AL,and improve patients'chewing function,appearance,and overall satisfaction.

关 键 词：位点保存 拔牙 种植牙 牙周病 

分 类 号：R78[医药卫生—口腔医学]