| 张医军,汪涌.应用微创植骨术治疗二壁骨下袋的临床疗效观察[J].安徽医药,2020,24(4):715-718. |
| 应用微创植骨术治疗二壁骨下袋的临床疗效观察 |
| Clinical efficacy of minimally invasive bone grafting in the treatment of two?walled infrabony defect |
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| DOI：10.3969/j.issn.1009?6469.2020.04.020 |
| 中文关键词: 慢性牙周炎 牙菌斑指数 牙龈退缩 口腔外科手术 牙周袋 微创技术 牙周植骨术 二壁骨下袋 |
| 英文关键词: Chronic periodontitis Dental plaque index Gingival recession Oral surgical procedures Periodontal pocket Minimally invasive technique Periodontal bone grafting Two?walled infrabony defect |
| 基金项目:合肥市第五周期临床重点专科建设项目［合卫科教( 2016)256］；合肥市自主创新政策“借转补”项目［合卫科教( 2017)112］ |
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| 中文摘要: |
| 目的探讨微创技术应用于牙周植骨术治疗二壁骨下袋的临床效果。方法选取 2017年 8月至 2019年 1月 36例慢性牙周炎病人，共 36颗患牙，采用随机数字表法分成微创技术组 18例( 18颗牙)与传统术式组 18例( 18颗牙)。记录各组术后 1、 3、7d的疼痛度和基线、术后 3个月、术后 6个月时的菌斑指数( plaque index，PLI)、探诊深度( probing depth，PD)、临床附着水平 |
| 英文摘要: |
| Objective To evaluate the clinical efficacy of minimally invasive technique in the treatment of two?walled infrabony de?fect with periodontal bone grafting.Methods Thirty?six patients with chronic periodontitis treated from August 2017 to January2019 were chosen.A total of 36 teeth were assigned into minimally invasive technique group and traditional surgery groupaccordingto the random number table method.The visual analogue scale(VAS) pain scores were compared 1，3 and 7 days after surgery. Plaque index(PLI)probing depth(PD)clinical attachment level(CAL)and recession of gingival margin(REC)at baseline，3 monthsand6monthsa，ftersurgeryandchang，es in bone mineral density(BMD)，at 3 and 6 months after surgery were compared be? tween the two groups.Results The postoperative results were improved in both groups.The VAS values of the minimally invasivetechnique group at 1 and 3 days after surgery were(5.11±0.96)，(2.56±0.51)，and those of the traditional operation group were(6.56±1.34)，(3.22±0.88)； the difference between the two groups was statistically significant(P＜0.05).By comparison of the mini? mally invasive technology group with the traditional operation group，the PD values at 3 months after operation were(2.17±0.38) mm vs.(2.61±0.70)mm，CAL valueswere(4.14±0.70)mm vs.(4.94±0.62)mm，and the differenceswere statistically significant(P＜0.05)； PD values at 6 months after operation were(2.28±0.46)mm vs.(2.67±0.59)mm，CAL valueswere(4.58±0.69)mm vs.(5.39±0.61)mm，and the differenceswere statistically significant(P＜0.05).There was also significant difference in the BMD value at 6 months after operation between the two groups(t＝3.618，P＜0.05).ConclusionsPeriodontal bone grafting with minimally inva?sive techniques is more advantageous than traditional surgery in the treatment of two?walled infrabony defect. |
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