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侵袭性牙周炎牙周基础治疗的效果观察

Clinical effect observation of periodental non-surgical treatment in pa-tients with aggressive periodontitis
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摘要 目的探讨牙周基础治疗疗法对侵袭性牙周炎患者的疗效。方法选取2013年8月~2015年8月我院接收的侵袭性牙周炎68例患者,均给予牙周基础治疗,观察治疗前后牙周相关指标及牙齿松动情况、血清及龈沟液中肿瘤坏死因子-α(TNF-α)及白介素-4(IL-4)水平变化。结果治疗后1个月,患者探诊深度(PD)、出血指数(BI)、附着丧失(AL)均出现显著下降(P〈0.05),至治疗后3个月,上述指标与治疗前比较差异均有统计学意义(P〈0.05);治疗后3个月,患者牙齿无松动比例显著优于治疗前(P〈0.05)。血清中TNF-α、IL-4治疗后3个月与治疗前比较,差异无统计学意义(P〉0.05);龈沟液中TNF-α、IL-4治疗后3个月与治疗前比较,差异有统计学意义(P〈0.05)。结论侵袭性牙周炎患者采取牙周基础治疗可显著改善牙周状况,改善牙松动状况,疗效显著。 Objective To study the clinical effect of periodental non-surgical treatment in patients with aggressive periodontitis.Methods 68 patients with aggressive periodontitis treated by periodetal non-suryery from August 2013 to August 2015 in our hospital were selected.The periodental index,gomphiasis as well as the level of TNF-α and IL-4 in serum and gingival crevicular fluid were observed.Results After treatment for 1 month,the level of probing depth(PD),bleeding index(BI),attachment loss(AL) was greatly reduced(P〈0.05);After treatment for 3 months,the level of PD,BI,AL was significantly lower than before treatment(P〈0.05);After treatment for 3 months,the rate of no gomphiasis was significantly better than before treatment(P〈0.05).The level of serum tumor necrosis factor-α(TNF-α) and interleukin-4(IL-4) before treatment and after treatment for 3 months was not signifcant difference(P〉0.05);The level of TNF-α and IL-4 of gingival crevicular fluid before treatment and after treatment for 3 months was signifcant difference(P〈0.05).Conclusion The periodental non-surgical treatment has an obvious effect on patients with aggressive periodontitis,and can greatly improve the periodental condition and gomphiasis.
作者 章小金
出处 《中国当代医药》 2016年第17期116-118,共3页 China Modern Medicine
关键词 侵袭性牙周炎 牙周基础治疗 疗效 Aggressive periodontitis Periodental non-surgical treatment Clinical effect
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