摘要
目的探讨冠桥固定松动牙对重症牙周炎和口腔健康相关生活质量的影响。方法选重症慢性牙周炎患者104例,初诊(T0)时测定牙龈指数(GI)、菌斑指数(PLI),行口腔健康影响程度量表(OHIP-14)和牙周健康自我评价表调查,对患者行牙周洁治和刮治,对松动牙行根管治疗后烤瓷冠桥固定,在固定后1个月(T1)、6个月(T2)及12个月(T3)再次测定GI、PLI及调查OHIP-14和口腔健康自我评价表。结果患者在T1时OHIP-14平均得分(15.6±3.0),与T0时(33.7±3.1)有非常显著性差异(P<0.01),T2时OHIP-14得分(10.3±2.8),与T1时得分有显著性差异(P<0.05),T3时得分(7.9±2.5)与T2无显著性差异(P>0.05)。治疗后各时间点OHIP-14各条目分值及阳性反应患者比率与治疗前比明显降低,牙周健康有关症状所占比率显著降低。治疗后各观测点的GI和PLI与T0比有显著性差异(P<0.01)。结论冠桥固定对重症牙周炎有显著疗效,可明显改善牙周健康有关症状和口腔健康影响程度,提高口腔健康相关生活质量。
Objective To investigate the impacts of ceramic restoration splinting on severe periodontitis and oral health-related quality of life in Chinese patients. Methods 104 Chinese patients with severe chronic periodontitis were selected to complete a questionnaire of 14-item Oral Health Impact Profile（ OHIP-14,Chinese version） and an inventory on self evaluation of periodontal health at the following four time points： pre-therapy（ T0）,1 month（ T1） 6 months（ T2）,and 12 months（ T3） after the placement of the ceramic restoration splinting. The patients＇ gingival index（ GI） and plaque index（ PLI） were also measured during the four time points. Results Significant differences of average OHIP-14 scores were found between T1（ 15. 63. 0） and T0（ 33. 73. 1）（ P〈0. 01）,T2（ 10. 32. 8） and T1（ P〈0. 01）,but not between T3（ 7. 92. 5） and T2（ P〉0. 05）. Compared to T0,the score of each item and the percentage of positive response of the patients in OHIP-14,and the ratio of oral health-related symptoms significantly decreased after therapy（ T1,T2,T3）. Meanwhile,there were significant differences in GI and PLI between post-therapy（ T1,T2,T3） and T0（ P〈0. 01）. Conclusions Ceramic restoration splinting has significant therapeutic effects on severe periodontitis and can reduce periodontal health-related symptoms and the degree of their impacts on oral health,thus improving oral health related quality of life.
出处
《口腔医学》
CAS
2015年第11期925-929,共5页
Stomatology
基金
上海市卫计委项目(20134418)
解放军总后勤部面上项目(CHJ13J035)
上海市虹口区卫计委2015年资助项目
关键词
冠桥固定
重症牙周炎
口腔健康生活质量
口腔健康影响程度
患者评估
ceramic restoration
severe periodontitis
oral health-related quality of life
degree of their impacts on oral health
patient assessment
