Periodontal disease is a high prevalent disease.In the United States 47.2% of adults ≥ 30 years old have been diagnosed with some type of periodontitis.Longitudinal studies have demonstrated a two-way relationship be...Periodontal disease is a high prevalent disease.In the United States 47.2% of adults ≥ 30 years old have been diagnosed with some type of periodontitis.Longitudinal studies have demonstrated a two-way relationship between diabetes and periodontitis,with more severe periodontal tissue destruction in diabetic patients and poorer glycemic control in diabetic subjects with periodontal disease.Periodontal treatment can be successful in diabetic patients.Short term effects of periodontal treatment are similar in diabetic patients and healthy population but,more recurrence of periodontal disease can be expected in no well controlled diabetic individuals.However,effects of periodontitis and its treatment on diabetes metabolic control are not clearly defined and results of the studies remain controversial.展开更多
目的研究Vector系统进行牙周基础治疗的临床效果。方法采用口内自身对照方法,选择58例慢性牙周炎患者,口内A、D区设为试验组,B、C区设为对照组。所有患者行超声洁治后,试验组应用Vector系统行龈下刮治及根面平整术(scaling and root pla...目的研究Vector系统进行牙周基础治疗的临床效果。方法采用口内自身对照方法,选择58例慢性牙周炎患者,口内A、D区设为试验组,B、C区设为对照组。所有患者行超声洁治后,试验组应用Vector系统行龈下刮治及根面平整术(scaling and root planning,SRP),对照组应用Gracey刮治器械行SRP。对2组SRP的治疗时间,SRP前(基线期)及SRP后1、3、6个月的龈沟出血指数、探诊出血、探诊深度及附着水平进行比较,视觉模拟疼痛评级法(visual analogue scale,VAS)评定2组的疼痛程度。结果试验组每区的SRP治疗时间为(25.15±1.35)min,明显短于对照组的(40.11±1.08)min(Z=3.625,P<0.05)。SRP后各观察时点,2组的各项牙周指数较治疗前均有明显改善(P<0.05),但2组间各项牙周指数的差异均无统计学意义(P>0.05)。试验组SRP结束时(Zc=2.356,P<0.05)及治疗后1d(Zc=3.138,P<0.05)的VAS评分明显低于对照组。结论Vector系统能缩短临床操作时间,提高牙周基础治疗舒适度,有效改善慢性牙周炎的临床症状。展开更多
目的比较牙周内镜辅助下龈下刮治和根面平整术(SRP)与光动力疗法(PDT)联合SRP治疗重度牙周炎的临床疗效。方法选取2018年4月—2020年3月辽宁省某医院收治的80例重度牙周炎患者为研究对象,随机分为观察组与对照组,每组40例。对照组患者给...目的比较牙周内镜辅助下龈下刮治和根面平整术(SRP)与光动力疗法(PDT)联合SRP治疗重度牙周炎的临床疗效。方法选取2018年4月—2020年3月辽宁省某医院收治的80例重度牙周炎患者为研究对象,随机分为观察组与对照组,每组40例。对照组患者给予PDT联合SRP,观察组患者在牙周内镜辅助下行SRP。比较2组患者临床疗效及不良反应发生情况,同时比较2组患者治疗前后全口牙周指数、龈沟液炎症因子水平及疼痛视觉模拟评分(VAS)。结果观察组患者治疗总有效率为92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05)。2组患者治疗后出血指数(BI)、探诊深度(PD)、附着丧失(AL)均小于治疗前,差异有统计学意义(P<0.05),但组间比较差异无统计学意义(P>0.05)。2组患者治疗后龈沟液白介素-17(IL-17)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)水平低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者治疗后12~72 h VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者不良反应发生率为5.00%,低于对照组的22.50%,差异有统计学意义(P<0.05)。结论牙周内镜辅助下SRP治疗重度牙周炎疗效优于PDT联合下SRP,且有助于改善患者全口牙周指数、龈沟液炎症因子水平,减轻疼痛,值得在临床推广应用。展开更多
文摘Periodontal disease is a high prevalent disease.In the United States 47.2% of adults ≥ 30 years old have been diagnosed with some type of periodontitis.Longitudinal studies have demonstrated a two-way relationship between diabetes and periodontitis,with more severe periodontal tissue destruction in diabetic patients and poorer glycemic control in diabetic subjects with periodontal disease.Periodontal treatment can be successful in diabetic patients.Short term effects of periodontal treatment are similar in diabetic patients and healthy population but,more recurrence of periodontal disease can be expected in no well controlled diabetic individuals.However,effects of periodontitis and its treatment on diabetes metabolic control are not clearly defined and results of the studies remain controversial.
文摘目的比较牙周内镜辅助下龈下刮治和根面平整术(SRP)与光动力疗法(PDT)联合SRP治疗重度牙周炎的临床疗效。方法选取2018年4月—2020年3月辽宁省某医院收治的80例重度牙周炎患者为研究对象,随机分为观察组与对照组,每组40例。对照组患者给予PDT联合SRP,观察组患者在牙周内镜辅助下行SRP。比较2组患者临床疗效及不良反应发生情况,同时比较2组患者治疗前后全口牙周指数、龈沟液炎症因子水平及疼痛视觉模拟评分(VAS)。结果观察组患者治疗总有效率为92.50%,高于对照组的75.00%,差异有统计学意义(P<0.05)。2组患者治疗后出血指数(BI)、探诊深度(PD)、附着丧失(AL)均小于治疗前,差异有统计学意义(P<0.05),但组间比较差异无统计学意义(P>0.05)。2组患者治疗后龈沟液白介素-17(IL-17)、超敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α(TNF-α)水平低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者治疗后12~72 h VAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者不良反应发生率为5.00%,低于对照组的22.50%,差异有统计学意义(P<0.05)。结论牙周内镜辅助下SRP治疗重度牙周炎疗效优于PDT联合下SRP,且有助于改善患者全口牙周指数、龈沟液炎症因子水平,减轻疼痛,值得在临床推广应用。
文摘将64例重度慢性牙周炎患者随机分为肌肉注射酮咯酸氨丁三醇组(KT组)和利多卡因局部神经阻滞麻醉组(L组)(n=32)在牙周手术治疗时采用VAS评估镇痛效果,并记录患者术中、术后的不良反应。术中2组VAS无统计学差异(P>0.05),术后6 h和12 h KT组VAS评分明显低于L组(P<0.05);术中L组全部出现口腔内局部轻度不良反应,KT组无任何局部不良反应出现(P<0.05);术后L组和KT组各观察到2例和1例轻度不良反应(P>0.05)。
