牙周维护治疗在保持牙周长期疗效中的价值  

The value of periodontal maintenance therapy in maintaining long-term periodontal efficacy

作　　者：陈蕊 CHEN Rui(Periodontal Department,Zaozhuang Stomatological Hospital,Zaozhuang 277000,China)

机构地区：[1]山东省枣庄市口腔医院牙周科,277000

出　　处：《中国实用医药》2023年第6期63-66,共4页China Practical Medicine

摘　　要：目的 探讨牙周长期疗效保持中牙周维护治疗的价值。方法 2000例牙周炎患者,依据是否施行牙周维护治疗分为施行组和未施行组,各1000例。比较两组患者初诊与复诊时的疼痛程度[视觉模拟评分法(VAS)评分],相关检查指标[缺失牙数、牙龈出血指数(BI)、牙周探诊深度(PD)、牙周附着水平、牙槽骨高度、骨根比],治疗效果,满意度。结果 两组患者复诊时的VAS评分、BI、PD小于初诊时,缺失牙数多于初诊时;且施行组复诊时的VAS评分(1.32±0.21)分、BI(1.61±0.82)、PD(1.97±0.82)mm小于未施行组的(3.02±1.01)分、(2.03±0.31)、(2.80±0.73)mm,缺失牙数(0.50±0.17)颗少于未施行组的(0.67±0.13)颗,差异具有统计学意义(P<0.05)。未施行组患者复诊时的牙槽骨高度低于初诊时,且施行组患者复诊时的牙槽骨高度(6.00±1.35)mm高于未施行组的(5.11±1.47)mm,差异具有统计学意义(P<0.05)。施行组患者复诊时的骨根比(61.75±9.45)%高于初诊时的(58.14±9.32)%及未施行组复诊时的(57.25±9.32)%,差异具有统计学意义(P<0.05);未施行组患者初诊与复诊时的骨根比比较,差异无统计学意义(P>0.05)。施行组患者的总有效率96.90%(969/1000)高于未施行组的81.70%(817/1000),差异具有统计学意义(P<0.05)。施行组患者的满意度95.50%(955/1000)高于未施行组的76.50%(765/1000),差异具有统计学意义(P<0.05)。结论 牙周长期疗效保持中牙周维护治疗的价值高。Objective To discuss the value of periodontal maintenance therapy in maintaining longterm periodontal efficacy.Methods A total of 2000 patients with periodontitis were divided into maintenance group and non-maintenance group according to whether periodontal maintenance treatment was performed or not,with 1000 patients in each group.Both groups were compared in terms of pain level[visual analogue scale(VAS)score],related examination indexes[number of missing teeth,bleeding index(BI),probing depth(PD),periodontal attachment level,alveolar bone height,bone to root ratio]at first and second visit,therapeutic effect and satisfaction.Results The VAS score,BI,and PD in both groups at second visit were less than those at first visit,and the number of missing teeth was more than that at first visit;the VAS score(1.32±0.21)points,BI(1.61±0.82)and PD(1.97±0.82)mm in the maintenance group at second visit were less than(3.02±1.01)points,(2.03±0.31)and(2.80±0.73)mm in the non-maintenance group;the number of missing teeth(0.50±0.17)teeth was less than(0.67±0.13)teeth in the non-maintenance group;the differences were statistically significant(P<0.05).The alveolar bone height at second visit in the non-maintained group was lower than that at first visit;the alveolar bone height at second visit(6.00±1.35)mm in the maintained group was higher than(5.11±1.47)mm in the non-maintained group;the differences were statistically significant(P<0.05).The bone to root ratio was(61.75±9.45)%in the maintenance group at second visit,which was higher than(58.14±9.32)%at initial visit and(57.25±9.32)%in the non-maintenance group at second visit,and the differences were statistically significant(P<0.05).There was no statistically significant difference in bone to root ratio between the first visit and the second visit in the non-maintenance group(P>0.05).The total effective rate in the maintenance group was 96.90%(969/1000),which was higher than 81.70%(817/1000)in the nonmaintenance group,and the difference was statistically significa

关 键 词：牙周长期疗效 牙周维护治疗 疼痛程度 满意度 

分 类 号：R781.42[医药卫生—口腔医学]