循序渐进做好手工龈下刮治和根面平整术牙周病诊治基本功训练系列之二  

Correctly performing manual subgingival scaling and root planing exercises:partⅡof a series on basic training in periodontal diagnosis and treatment

作　　者：王翠[1] 闫天行 胡文杰[1] 释栋[1] 钟金晟[1] 康军[1] Wang Cui;Yan Tianxing;Hu Wenjie;Shi Dong;Zhong Jinsheng;Kang Jun(Department of Periodontology,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院牙周科,国家口腔医学中心,国家口腔疾病临床医学研究中心,口腔生物材料和数字诊疗装备国家工程研究中心,口腔数字医学北京市重点实验室,北京100081

出　　处：《中华口腔医学杂志》2025年第2期184-190,共7页Chinese Journal of Stomatology

基　　金：2024年度北京大学口腔医学院教育教学研究课题(2024-PT-03);2022年度北京大学医学部教育教学研究课题(2022ZD07)

摘　　要：我国牙周炎患病率高,是成年人牙齿丧失的主要原因,严重影响国人的口腔健康甚至全身健康。以龈下刮治和根面平整术(SRP)为核心内容的牙周基础治疗是控制牙周炎症简单、有效、经济的治疗方法,大多数牙周炎患者通过规范的牙周基础治疗、良好的菌斑控制以及长期维护治疗可以实现终生保留天然牙。然而,当前我国口腔全科医师牙周诊疗水平参差不齐、牙周专科医师匮乏、SRP的总体规范化程度不高,因此本文结合北京大学口腔医学院·口腔医院40余年的临床实践及国外既往文献研究,重点介绍SRP的规范操作步骤,旨在帮助口腔医师一步一步做好规范化SRP,以提升牙周治疗效果,促进牙周健康,改善患者的生活质量。Periodontitis constitutes the primary cause of tooth loss among adults in China.The disease is characterized by the high morbidity,which significantly impairs both oral and systemic health.As the key insights of initial periodontal therapy,subgingival scaling and root planing(SRP)have been considered as simple,effective,and cost-efficient treatment approaches for managing periodontal inflammation.Substantial published evidences indicated that the majority of patients diagnosed with periodontitis could achieve lifelong retention of their natural teeth through standardized initial periodontal therapy,rigorous plaque control,and long-term supportive periodontal treatment.However,the proficiency in periodontal diagnosis and treatment among general dental practitioners in China is heterogeneous,with a notable scarcity of periodontists and a suboptimal level of SRP standardization.Drawing upon over four decades of clinical expertise from Peking University School and Hospital of Stomatology as well as comprehensive literature reviews,this paper meticulously outlines the standardized procedures for SRP,aiming at guiding clinicians to perform standardized SRP step by step,and thereby enhancing clinical efficacy of periodontal treatment,promoting periodontal health,and ultimately improving patients′quality of life.

关 键 词：牙周病学 牙周炎 手工龈下刮治术 根面平整术 牙周基础治疗 牙周实习教学 

分 类 号：R781.4[医药卫生—口腔医学]