中国实用口腔科杂志

中国实用口腔科杂志 ›› 2011, Vol. 4 ›› Issue (2): 105-106.

• 论著 • 上一篇    下一篇

一次性全口与分区龈下刮治和根面平整治疗慢性牙周炎疗效比较

  

  1. 1.沈阳市口腔医院牙周黏膜科，沈阳  110002；2. 上海市闵行区中心医院口腔科，上海  201100
  • 收稿日期:2010-10-18 修回日期:2011-01-15 出版日期:2011-02-15 发布日期:2011-03-18

  • Received:2010-10-18 Revised:2011-01-15 Online:2011-02-15 Published:2011-03-18

摘要：

目的    评价一次性全口龈下刮治和根面平整（full-mouth scaling and root planning， FM-SRP）与传统的分区龈下刮治和根面平整（quadrant scaling and root planning，Q-SRP）相比较是否更有利于慢性牙周炎临床指数的改善。方法    将2008年9月至2009年6月沈阳市口腔医院牙周黏膜科收治的30例慢性牙周炎患者随机分为2组，每组15例。FM-SRP组在24 h内完成全口所有象限的刮治和根面平整，而Q-SRP组每周进行1个象限的刮治，连续4周完成全口治疗。分别在基线和3个月时，检测菌斑指数（ PLI）、龈沟出血指数（SBI）、探诊深度（ PD）及附着丧失（AL）的变化，比较两种治疗方法的临床疗效。结果    与基线时相比，两种治疗方式在3个月时的所有临床牙周指数均有显著改善（P < 0.01），但两组之间差异无统计学意义 （P > 0.05）。结论    FM-SRP和Q-SRP两种方法可达到相同的临床效果，临床医生可以根据实际情况灵活选择任何一种治疗方法。

关键词: 慢性牙周炎, 全口龈下刮治和根面平整术, 分区刮治

Abstract:

Objective    To observe the improvement of curative effect of full-mouth scaling and root planning（FM-SRP）on chronic periodontitis in comparison with quadrant scaling and root planning （Q-SRP）. Methods    Thirty patients with chronic periodontitis were randomly divided into 2 groups. The FM-SRP group received full-mouth scaling and root planning completed within the same day， while the Q-SRP group received quadrant scaling and root planning once a week for 4 weeks. Clinical parameters of PLI，SBI，PD and AL were collected at baseline and 3 months after treatment. Results    When compared with the baseline， both therapies resulted in significant improvements in all clinical parameters at the end of 3 months （P < 0.01）. However，there was no significant difference between the two groups at any time point （P > 0.05）. Conclusion    Both methods might have similar curative effect on chronic periodontitis. The dentist could select one according to different situation.

Key words: chronic periodontitis； FM-SRP； Q-SRP