牙周联合牙髓治疗重度牙周炎的效果

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摘要目的探讨牙周联合牙髓治疗重度牙周炎的效果。方法选取2017年10月～2018年6月辽宁省抚顺市中医院收治的112例重度牙周炎患者作为研究对象，按照随机数字表法分为实验组（58例）与对照组（54例）。实验组采用牙周联合牙髓治疗方法，对照组采用单纯牙周治疗方法。比较两组治疗总有效率，治疗前后的龈沟出血指数（SBI）、牙齿松动度（TM）、牙周探诊深度（PD）、菌斑指数（PLI）、附着丧失（CAL），并发症发生情况。结果实验组的治疗总有效率高于对照组，差异有统计学意义（P＜0.05）。治疗前，两组的SBI、TM、PD、PLI、CAL 比较，差异无统计学意义（P＞0.05）；治疗后6个月，两组的SBI、TM、PD、PLI 均低于治疗前，CAL 高于治疗前，实验组SBI、TM、PD、CAL 均低于对照组，差异有统计学意义（P＜0.05），两组PLI 比较，差异无统计学意义（P＞0.05）。实验组并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论牙周联合牙髓治疗重度牙周炎较传统方法临床疗效更佳，可从根本上改善患者的牙髓情况并且提升预后效果，尽早进行牙髓治疗能够明显改善治疗效果。

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	李坤

关键词 ：重度牙周炎, 牙周联合牙髓治疗, 单纯牙周治疗, 牙髓组织

Abstract：Objective To explore the effect of periodontal combined with pulp in the treatment of severe periodontitis.Methods A total of 112 patients with severe periodontitis admitted to Fushun Hospital of Chinese Medicine from October 2017 to June 2018 were selected as research objects.According to the random number table method,they were divided into the experimental group (58 cases) and the control group (54 cases).The experimental group was treated with periodontal combined with pulp,while the control group was treated with periodontal alone.The total effective rate,gingival creval bleeding index (SBI),degree of tooth loosening (TM),periodontal probing depth (PD),plaque index(PLI),loss of attachment (CAL) before and after treatment,and the incidence of complications were compared between the two groups.Results The total effective rate of treatment in the experimental group was higher than that in the control group,and the difference was statistically significant (P＜0.05).Before treatment,there were no significant differences in SBI,TM,PD,PLI and CAL between the two groups (P＞0.05).At 6 months after treatment,SBI,TM,PD and PLI of the two groups were lower than those before treatment,and CAL was higher than that before treatment.SBI,TM,PD and CAL in the experimental group were lower than those in the control group,and the differences were statistically significant (P＜0.05).There was no significant difference in PLI between the two groups (P＞0.05).The total incidence of complications in the experimental group was lower than that in the control group,the difference was statistically significant (P＜0.05).Conclusion Periodontal combined with pulp in the treatment of severe periodontitis has better clinical efficacy than traditional methods,which can fundamentally improve the pulp condition of patients and improve the prognosis.Early pulp treatment can significantly improve the treatment efficiency.

Key words： Severe periodontitis Periodontal combined with pulp treatment Periodontal therapy alone Dental pulp tissue

引用本文:

李坤. 牙周联合牙髓治疗重度牙周炎的效果[J]. 中国当代医药, 2021, 28(5): 163-165.
LI Kun. Effect of periodontal combined with pulp in the treatment of severe periodontitis. 中国当代医药, 2021, 28(5): 163-165.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I5/163

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