中国实用口腔科杂志

中国实用口腔科杂志

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前牙区重度牙周炎非手术治疗预后影响因素分析

刘培成，赵悦，陈晨，孙进杰，林莉，唐晓琳，李琛   

  1. 中国医科大学口腔医学院·附属口腔医院牙周病科，辽宁省口腔医学研究所牙周病学研究室，辽宁省口腔疾病转化医学研究中心，辽宁  沈阳  110002
  • 出版日期:2018-07-15 发布日期:2018-11-08
  • 基金资助:

    辽宁省卫计委省直医院临床诊疗能力建设项目（LNCCC-C08-2015）

  • Online:2018-07-15 Published:2018-11-08

摘要：

目的    探讨前牙区重度牙周炎非手术治疗预后的影响因素，为前牙区重度牙周炎预后判断提供依据。方法    选取2015年9月至2017年8月在中国医科大学附属口腔医院牙周病科门诊就诊的前牙区重度牙周炎患者67例（患牙290颗），初诊时前牙区牙周探诊深度（PD）≥ 6 mm的患牙。记录患者一般资料及其在牙周基础治疗前（基线）和治疗后3个月的PD、临床附着丧失（CAL）、龈沟出血指数（SBI）、菌斑指数（PLI）、松动度（TM）、牙髓状态、牙周骨缺损类型、牙周炎类型、咬合创伤、冠根比和冠修复情况。根据牙周基础治疗3个月后的PD将患牙分为两组，即PD < 5 mm组（204颗）和PD ≥ 5 mm组（86颗）。应用SPSS 20.0软件，对各指标进行单因素分析，对单因素分析有意义的指标进行Logistic回归分析。结果    单因素分析显示，性别、吸烟史以及基线时的患牙PD均数、PD最深值、SBI、PLI、牙周骨缺损类型、冠根比在PD < 5 mm组与PD ≥ 5 mm组之间差异有统计学意义（P < 0.05）。Logistic回归分析显示，两组的性别、基线时患牙PD均数、SBI、PLI及冠根比在两组间存在差异（P < 0.05）。结论    患者的性别、基线时患牙PD均数、SBI、PLI及冠根比为前牙区重度牙周炎牙周非手术治疗预后的独立影响因素。

关键词: 重度牙周炎, 前牙区, 影响因素, 牙周非手术治疗

Abstract:

Objective    To evaluate the prognosis of non-surgical treatment for severe periodontitis in anterior teeth，clarify the factors influencing the prognosis，and provide a reliable judgement for the prognosis of severe periodontitis in anterior teeth. Methods    A total of 290 teeth with probing depth（PD） ≥ 6 mm were included in this study. General information of the patients，their periodontal clinical indexes，dental pulp state，periodontal bone defect types，periodontitis types，occlusal trauma，crown-to-root ratio，and prosthetic restorations at baseline and 3 months after treatment were recorded. According to the PD 3 months after non-surgical treatment，anterior teeth were divided into two groups：PD < 5 mm group and PD ≥ 5 mm group. Univariate analyses were used to compare the data between the two groups and Logistic regression analysis was performed for binary analysis using SPSS20.0 software package. Results    The results of univariate analyses showed that there were statistically significant difference between the two groups in gender，smoking，mean PD，the deepest PD，SBI，PLI，periodontal bone defect types and crown-to-root ratio at baseline（P < 0.05）. Logistic regression analysis showed that the gender，mean PD，SBI，PLI and crown-to-root ratios at baseline were statistically different between the two groups（P < 0.05）. Conclusion    The patient's gender，the mean PD，SBI，PLI and crown-to-root ratios at baseline are independent influencing factors of periodontal non-surgical treatment for severe periodontitis in the anterior teeth.

Key words: severe periodontitis, anterior tooth area, influencing factors, periodontal non-surgical therapy