摘要
目的探讨牙周基础治疗和维护治疗对老年人重度慢性牙周炎的治疗效果。方法选取2011年5月~2013年6月我院临床诊断为重度慢性牙周炎的老年患者,经牙周基础治疗后,仍有〉5 mm牙周袋并伴有探诊出血拒绝手术治疗的患者36例,于初次治疗的6、12个月分别再进行一次性的洁治和刮治作为牙周维护治疗,记录患者基础治疗前,基础治疗后1个月,6、12个月牙周维护治疗后的各项临床指标,包括菌斑指数、龈沟出血指数、牙周探诊深度和探针出血。结果牙周基础治疗和维护治疗后复查时,所有患者牙周状况与治疗前比较均有明显改善,治疗后6个月与1个月比较,各项临床指标差异有统计学意义（P〈0.01）,治疗后12个月与6个月比较,差异无统计学意义（P〉0.05）。结论牙周基础治疗和定期的牙周维护治疗可较好地控制未经手术治疗的老年重度牙周炎患者的牙周组织炎症。
Objective To investigate the efficacy of periodontal non-surgical treatment and supportive periodontal ther- apy in the treatment of severe chronic periodontitis in elderly patients. Methods From May 2011 to June 2013,36 el- derly patients who were diagnosed as severe chronic periodontitis and had periodontal pocket more than 5 mm but re- fused to surgery after periodontal non-surgical treatment,were selected from our hospital.6 and 12 months after primary treatment,one-off blow clean governance and subgingival scaling had been done as supportive periodontal therapy,and index liked plaque index（PLI）,sulcus bleeding index（SBI）,probing depth（PD） and bleeding on probing（BOP） were record- ed after 1 month,6 months and 12 months of supportive periodontal therapy. Results After periodontal non-surgical treatment and supportive periodontal therapy,periodontal status of all patients had improved and 6 months treatment improved more than 1 month （P〈0.01）,while 12 months treatment had no significant difference compared with 6 months treatment （P〉O.05）. Conclusion For severe chronic periodontitis patients who without surgical treatment,periodontal non-surgical treatment and supportive periodontal therapy can be well to control periodontal tissue inflammation.
出处
《中国当代医药》
2015年第26期106-107,110,共3页
China Modern Medicine
关键词
慢性牙周炎
老年人
基础治疗
牙周维护治疗
Chronic periodontitis
Elderly
Non-surgical treatment
Supportive periodontal therapy
