牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎患者的影响  

The Impact of Combined Periodontal-Endodontic Treatment and Simple Periodontal Treatment on Patients with Severe Periodontitis

作　　者：孙银珑 李伟 赵敏 罗利利 SUN Yinlong;LI Wei;ZHAO Min;LUO Lili(Department of Stomatology,Xuchang Central Hospital,Xuchang Henan 461000,China)

机构地区：[1]许昌市中心医院口腔科,河南许昌461000

出　　处：《临床研究》2024年第9期48-51,共4页Clinical Research

摘　　要：目的探究牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎患者的影响。方法选取2021年3月至2023年6月期间许昌市中心医院收治的98例重度牙周炎患者,患牙共98颗,随机分为牙周牙髓联合治疗组(观察组)和单纯牙周治疗组(对照组),各49颗患牙。对比两组患者的牙周袋探诊深度(PD)、牙菌斑指数(PLI)、牙松动度(MD)、龈沟出血指数(SBI)、临床治疗有效率、疼痛评分、复发情况、牙髓炎发生率及治疗满意度。结果观察组治疗有效率高于对照组,差异具有统计学意义(P<0.05)。治疗后观察组PD、PLI、MD、SBI指标均低于对照组,差异均有统计学意义(P<0.05)。治疗后观察组疼痛评分均低于对照组,差异均有统计学意义(P<0.05)。观察组复发及牙髓炎发生率低于对照组,差异具有统计学意义(P<0.05)。观察组患者对治疗满意率高于对照组,差异具有统计学意义(P<0.05)。结论牙周牙髓联合治疗对重度牙周炎患者具有显著疗效,可降低复发及牙髓炎发生率,提高患者治疗满意度,值得临床应用。Objective To explore the impact of combined periodontal-endodontic treatment and simple periodontal treatment on patients with severe periodontitis.Methods From March 2021 to June 2023,98 patients with severe periodontitis,totaling 98 affected teeth,were selected from Xuchang Central Hospital.They were randomly divided into a combined periodontal-endodontic treatment group(observation group)and a simple periodontal treatment group(control group),with 49 affected teeth in each group.The periodontal probing depth(PD),plaque index(PLI),tooth mobility(MD),sulcus bleeding index(SBI),clinical treatment efficacy,pain scores,recurrence,incidence of pulpitis,and treatment satisfaction were compared between the two groups.Results The treatment efficacy in the observation group was higher than that in the control group,with statistically significant differences(P<0.05).After treatment,the PD,PLI,MD,and SBI indicators in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The pain scores in the observation group were lower than those in the control group after treatment,with statistically significant differences(P<0.05).The recurrence and incidence of pulpitis in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).The treatment satisfaction rate in the observation group was higher than that in the control group,with statistically significant differences(P<0.05).Conclusion Combined periodontal-endodontic treatment has a significant effect on patients with severe periodontitis,can reduce recurrence and the incidence of pulpitis,and improve patient treatment satisfaction,making it worthy of clinical application.

关 键 词：重度牙周炎 牙周牙髓联合治疗 单纯牙周治疗 疼痛评分 满意度 

分 类 号：R781.42[医药卫生—口腔医学]