牙周基础治疗及维护治疗对老年人慢性牙周炎的疗效
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摘要
目的探讨牙周基础治疗及维护治疗对老年人慢性牙周炎的临床治疗效果。方法选择老年牙周炎患者42例,行牙周基础治疗(超声龈上洁治、龈下刮治术、根面平整术、口腔卫生宣教)和维护治疗(评估包括菌斑量、探诊深度、探针出血点、附着水平、牙龈退缩程度、炎症程度、根分叉病变、牙松动度、咬合创伤等指标,给予相应的治疗,维护牙周组织的健康)。在治疗前和治疗后0、3、6个月时记录患者菌斑指数(PLI)、牙龈沟出血指数(SBI)、牙周袋探诊深度(PD)。结果各项指标(PLI、SBI、PD)持续改善(P <0. 01),牙龈炎症减轻。同时,3个月和6个月维护期复诊时,与基础治疗后比较,PLI、PD、SBI差异有统计学意义(P <0. 01)。结论老年慢性牙周炎患者,在接受牙周基础治疗后定期进行维护治疗,能够有效改善牙周环境。
Objective To evaluate the curative effect of periodontal initial therapy and maintenance phase treatment on elderly chronic periodontits. Methods A total of 42 elderly patients with periodontits was selected,and given periodontal initial therapy(ultrasonic supragingival scaling and ultrasonic subgingival scaling,root planning,oral health education) and maintenance phase treatment. The records of plaque index(PLI),sulcus bleeding index(SBI) and periodontal probing depth(PD) before and after the therapy were taken down in the treatment of 3 rd month and 6 th month respectively. Results The gingival indexes were continually improved(P < 0. 01) with the gingival inflammation mitigating. Also,PLI,PD,and SBI were statistically significant compared with that after basic treatment during the maintenance period of 3 months and 6 months(P < 0. 01). Conclusion Periodontal initial therapy and maintenance phase treatment can successfully improve the periodontal environment of elderly patients with chronic periodontitis.
Objective To evaluate the curative effect of periodontal initial therapy and maintenance phase treatment on elderly chronic periodontits. Methods A total of 42 elderly patients with periodontits was selected,and given periodontal initial therapy(ultrasonic supragingival scaling and ultrasonic subgingival scaling,root planning,oral health education) and maintenance phase treatment. The records of plaque index(PLI),sulcus bleeding index(SBI) and periodontal probing depth(PD) before and after the therapy were taken down in the treatment of 3 rd month and 6 th month respectively. Results The gingival indexes were continually improved(P < 0. 01) with the gingival inflammation mitigating. Also,PLI,PD,and SBI were statistically significant compared with that after basic treatment during the maintenance period of 3 months and 6 months(P < 0. 01). Conclusion Periodontal initial therapy and maintenance phase treatment can successfully improve the periodontal environment of elderly patients with chronic periodontitis.
引文
[1]刘俊辉,王雪丽.牙周炎严重程度与高血压及颈动脉粥样硬化的相关性研究[J].中外医学研究,2017,15(35):11-12.
[2] WELLAPULI N,EKANAYAKE L. Risk factors for chronic periodontits in Sri Lankan adults:a population based casecontrol study[J]. BMC Res Notes,2017,10(1):460.
[3]李林峰,黄旭萌.探讨糖尿病合并牙周病的患者进行牙周基础的疗效观察[J].全科口腔医学杂志,2016,3(12):52-53.
[4] MOEINTAGHAVI A,ARAB H R,BOZORGNIA Y,et al.Non-surgical periodontal therapy affects metabolic control in diabetics:a randomized controlled clinical trial[J].Aust Dent J,2012,57(1):31-37.
[5]黄艳丽,郭维华,田卫东.糖尿病前期和牙周炎的相互关系[J].国际口腔医学杂志,2016,43(6):706-709.
[6]邢凤霞,刘苹,邓建华,等.老年人血清幽门螺旋杆菌与牙周炎的关系[J].中国老年学杂志,2016,6(36):2698-2670.
[7]赵琳,王晓非,张晓莉.类风湿关节炎与牙周炎的相关性研究[J].中华风湿病学杂志,2017,21(5):355-326.
[8] CHOI I A,KIM J H,KIM Y M,et al. Periodontitis is associated with rheumatoid arthritis:a study with Iongstanding rheumatoid arthritis patients in Korea[J]. Korean J Intern Med,2016,31(5):977-986.
[9]王延春.牙周炎、消化道疾病与口腔内幽门螺杆菌相关临床研究[J].科技展望,2015,13(14):245.
[10]胥丹妮,靳赢,王越,等.肥胖伴牙周炎患者龈沟液及血清中脂联素与内脂素的表达[J].中国医科大学学报,2017,46(12):1129-1137.
[11] AMAR S,LEEMAN S. Periodontal innate immune mechanisms relevant to obesity[J]. Mol Oral Microbiol,2013,28(5):331-341.
[12]吴补领,房付春.我国老年口腔疾病诊疗模式现状与发展[J].中国实用口腔科杂志,2016,9(8):456-458.
[13]李冰玉,杨艺,马兰.合并高血压的老年牙周炎患者牙周基础及维护治疗的疗效观察[J].中国老年保健医学,2017,15(1):84-87.
[14]李晓燕,王宏,石云凯.牙周基础治疗对老年慢性牙周炎患者系统炎症水平的影响[J].中国老年保健医学,2016,14(2):47-48.
[15]刘锋.牙周炎基础治疗对龈沟液中炎性因子水平影响的研究[J].中国实验诊断学,2015,19(5):828-829.
[16]廖汉民,黄北南,卢寅辉,等.牙周维护对老年人牙周健康的影响研究[J].中国老年保健医学,2015,13(1):40-41.
[17]邵聆,陈芳,李启斌.蛋白质-能量营养不良与牙周炎的关系[J].广东医学,2016,37(4):581-583.
[18]刘晓,张彩霞.循证护理干预促进老年人牙周健康的观察[J].中国临床保健杂志,2013,16(5):548-549.
[19] ROBERTSON D P,KEYS W,RAUTEMAA-RICHARDSON R,et al. Management of severe acute dental infections[J]. BMJ,2015,350:hl300.
[2] WELLAPULI N,EKANAYAKE L. Risk factors for chronic periodontits in Sri Lankan adults:a population based casecontrol study[J]. BMC Res Notes,2017,10(1):460.
[3]李林峰,黄旭萌.探讨糖尿病合并牙周病的患者进行牙周基础的疗效观察[J].全科口腔医学杂志,2016,3(12):52-53.
[4] MOEINTAGHAVI A,ARAB H R,BOZORGNIA Y,et al.Non-surgical periodontal therapy affects metabolic control in diabetics:a randomized controlled clinical trial[J].Aust Dent J,2012,57(1):31-37.
[5]黄艳丽,郭维华,田卫东.糖尿病前期和牙周炎的相互关系[J].国际口腔医学杂志,2016,43(6):706-709.
[6]邢凤霞,刘苹,邓建华,等.老年人血清幽门螺旋杆菌与牙周炎的关系[J].中国老年学杂志,2016,6(36):2698-2670.
[7]赵琳,王晓非,张晓莉.类风湿关节炎与牙周炎的相关性研究[J].中华风湿病学杂志,2017,21(5):355-326.
[8] CHOI I A,KIM J H,KIM Y M,et al. Periodontitis is associated with rheumatoid arthritis:a study with Iongstanding rheumatoid arthritis patients in Korea[J]. Korean J Intern Med,2016,31(5):977-986.
[9]王延春.牙周炎、消化道疾病与口腔内幽门螺杆菌相关临床研究[J].科技展望,2015,13(14):245.
[10]胥丹妮,靳赢,王越,等.肥胖伴牙周炎患者龈沟液及血清中脂联素与内脂素的表达[J].中国医科大学学报,2017,46(12):1129-1137.
[11] AMAR S,LEEMAN S. Periodontal innate immune mechanisms relevant to obesity[J]. Mol Oral Microbiol,2013,28(5):331-341.
[12]吴补领,房付春.我国老年口腔疾病诊疗模式现状与发展[J].中国实用口腔科杂志,2016,9(8):456-458.
[13]李冰玉,杨艺,马兰.合并高血压的老年牙周炎患者牙周基础及维护治疗的疗效观察[J].中国老年保健医学,2017,15(1):84-87.
[14]李晓燕,王宏,石云凯.牙周基础治疗对老年慢性牙周炎患者系统炎症水平的影响[J].中国老年保健医学,2016,14(2):47-48.
[15]刘锋.牙周炎基础治疗对龈沟液中炎性因子水平影响的研究[J].中国实验诊断学,2015,19(5):828-829.
[16]廖汉民,黄北南,卢寅辉,等.牙周维护对老年人牙周健康的影响研究[J].中国老年保健医学,2015,13(1):40-41.
[17]邵聆,陈芳,李启斌.蛋白质-能量营养不良与牙周炎的关系[J].广东医学,2016,37(4):581-583.
[18]刘晓,张彩霞.循证护理干预促进老年人牙周健康的观察[J].中国临床保健杂志,2013,16(5):548-549.
[19] ROBERTSON D P,KEYS W,RAUTEMAA-RICHARDSON R,et al. Management of severe acute dental infections[J]. BMJ,2015,350:hl300.