手工器械联合超声治疗仪龈下刮治术治疗慢性牙周炎的临床价值分析  

Analysis of clinical value of manual instruments combined with ultrasonic therapy instrument for subgingival curettage in the treatment of chronic periodontitis

作　　者：梁菁 LIANG Jing(Guangzhou Haizhu District Stomatological Hospital,Guangzhou 510220,China)

机构地区：[1]广州市海珠区口腔医院,510220

出　　处：《中国实用医药》2024年第10期70-73,共4页China Practical Medicine

摘　　要：目的 探析手工器械联合超声治疗仪龈下刮治术治疗慢性牙周炎的临床价值。方法 62例慢性牙周炎患者,以随机数字表法为依据分为对照组和观察组,每组31例。对照组患者给予传统超声治疗仪龈下刮治术,观察组患者给予手工器械联合超声治疗仪龈下刮治术治疗。比较两组治疗前后牙周指标[牙周附着丧失(AL)、牙龈出血指数(BI)、菌斑指数(PLI)、牙周袋深度(PD)]、症状积分,疼痛情况,疗效。结果 治疗后,观察组AL、BI、PLI、PD分别为(3.81±0.56)mm、(0.88±0.11)分、(1.38±0.21)分、(2.11±0.24)mm,低于对照组的(4.21±0.61)mm、(1.36±0.42)分、(1.92±0.22)分、(2.87±0.34)mm(P<0.05)。观察组总有效率93.5%高于对照组的74.2%(P<0.05)。观察组疼痛发生率19.4%低于对照组的45.2%(P<0.05)。治疗后,观察组牙龈出血、口臭、牙龈疼痛、牙龈红肿积分分别为(1.55±0.26)、(1.52±0.15)、(1.24±0.20)、(1.22±0.11)分,低于对照组的(2.22±0.25)、(2.06±0.23)、(2.15±0.36)、(2.32±0.23)分(P<0.05)。结论 采用手工器械联合超声治疗仪龈下刮治术治疗慢性牙周炎取得了显著疗效,具有较高的可行性。Objective To explore the clinical value of manual instruments combined with ultrasonic therapy instrument for subgingival curettage in the treatment of chronic periodontitis.Methods 62 patients with chronic periodontitis were divided into a control group and an observation group based on the digital random table method,with 31 cases in each group.The control group received traditional ultrasonic therapy instrument for subgingival curettage,and the observation group received manual instruments combined with ultrasonic therapy instrument for subgingival curettage.The periodontal index[attachment loss(AL),gingival bleeding index(BI),plaque index(PLI),periodontal probing depth(PD)]and symptom score before and after treatment,pain and curative effect were compared between the two groups.Results After treatment,AL,BI,PLI and PD in the observation group were(3.81±0.56)mm,(0.88±0.11)min,(1.38±0.21)min and(2.11±0.24)mm,which were lower than(4.21±0.61)mm,(1.36±0.42)min,(1.92±0.22)min and(2.87±0.34)mm in the control group(P<0.05).The total effective rate of the observation group was 93.5%,which was higher than 74.2%of the control group(P<0.05).The incidence of pain in the observation group was 19.4%,which was lower than 45.2%in the control group(P<0.05).After treatment,the scores of gingival bleeding,halitosis,gingival pain and gingival swelling in the observation group were(1.55±0.26),(1.52±0.15),(1.24±0.20)and(1.22±0.11)points,which were lower than(2.22±0.25),(2.06±0.23),(2.15±0.36)and(2.32±0.23)points in the control group(P<0.05).Conclusion The combination of ultrasound therapy instrument and manual instruments for subgingival curettage has achieved significant therapeutic effects in the treatment of chronic periodontitis and has high feasibility.

关 键 词：慢性牙周炎 手工器械 龈下刮治术 超声治疗仪 

分 类 号：R781.42[医药卫生—口腔医学]