牙周牙髓联合治疗在重度牙周炎患者中的应用效果(1)
[摘要]目的 探讨牙周牙髓联合治疗在重度牙周炎患者中的应用效果。方法 选取2017年3月～2018年3月我院口腔内科门诊治疗的26例(38颗患牙)重度牙周炎患者作为研究对象，随机分为研究组和对照组，每组各13例(19颗患牙)。研究组采用牙周牙髓联合治疗，对照组采用单纯牙周治疗。随访6个月，比较两组患者治疗后3、6个月的牙周袋探诊深度(PDD)、相对附着水平(RAL)、釉牙骨质界到骨缺陷底的距离(CEJ-BD)、釉牙骨质界到牙槽嵴顶的距离(CEJ-AC)和计算机辅助骨密度影像分析值(CADIA)。结果 治疗3、6个月后，两组患者的PPD、RAL、CEJ-BD、和CEJ-AC低于治疗前，CADIA高于治疗前，差异均有统计学意义(P<0.05);治疗3、6个月后，研究组患者的CEJ-BD、和CEJ-AC低于对照组，CADIA高于对照组，差异均有统计学意义(P<0.05)。结论 与单纯牙周治疗比较，牙周牙髓联合治疗更有利于骨组织的恢复，治疗效果更好。
[关键词]牙周牙髓联合治疗;重度牙周炎;牙周袋探诊深度;相对附着水平
[中图分类号] R781.4+2 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0159-03
[Abstract] Objective To explore the application effect of combined periodontal and pulpal therapy in patients with severe periodontitis. Methods A total of 26 patients (38 offending teeth) with severe periodontitis treated in outpatient department of stomatology in our hospital from March 2017 to March 2018 were randomly divided into study group and control group， with 13 cases (19 offending teeth) in each group. The study group was treated with combined periodontal and pulpal therapy， while the control group was treated with simple periodontal therapy. The patients were followed up for 6 months， the PDD， RAL， CEJ-BD， CEJ-AC and CADIA were compared between the two groups 3 and 6 months after treatment. Results After 3 and 6 months of treatment， PPD， RAL， CEJ-BD and CEJ-AC in the two groups were lower than those before treatment， and CADIA was higher than those before treatment， the differences were statistically significant (P<0.05). After 3 and 6 months of treatment， CEJ-BD， CEJ-AC and CADIA in the study group were lower than those in the control group， and higher than those in the control group， the differences were statistically significant (P<0.05). Conclusion Compared with simple periodontal therapy， combined periodontal and pulpal therapy is more conducive to the recovery of bone tissue and has better therapeutic effect.
[Key words] Combined periodontal and pulpal therapy; Severe periodontitis; Depth of periodontal pocket exploration; Relative attachment level
牙周炎是侵犯牙周支持組织和牙龈的慢性感染性破坏性疾病，是导致成年人牙齿丧失的主要原因，占总数的2/5以上[1]。正常情况下，牙槽嵴顶到釉牙骨质界的距离约1～2 mm，若>2 mm则视为牙槽骨吸收[2]。有研究显示，当牙槽嵴吸收超过根长的2/3后，牙髓病变的概率增加，牙髓病变反过来又会影响牙周组织的修复，形成恶性循环[3-4]。因此，部分学者认为治疗重度牙周炎时，不论是否出现牙髓症状，均应同时治疗牙周和牙髓[5-7]。本研究通过探讨牙周牙髓联合治疗的效果，为重度牙周炎提供更好的治疗方法，现报道如下。
1资料与方法
1.1一般资料
选取2017年3月～2018年3月我院口腔内科门诊治疗的26例(38颗患牙)重度牙周炎患者作为研究对象，随机分为研究组和对照组，每组各13例(19颗患牙)。研究组中，男7例(10颗患牙)，女6例(9颗患牙);年龄24～65岁，平均(32.57±12.55)岁。对照组中，男8例(11颗患牙)，女5例(8颗患牙);年龄23～65岁，平均(31.98±12.14)岁。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究已经医院医学伦理委员会审核批准，并将治疗目的、方法和注意事项等告知患者及其家属，患者本人或家属均签署知情同意书。随访6个月，无一例失访。, 百拇医药(王红)
[关键词]牙周牙髓联合治疗;重度牙周炎;牙周袋探诊深度;相对附着水平
[中图分类号] R781.4+2 [文献标识码] A [文章编号] 1674-4721(2019)1(b)-0159-03
[Abstract] Objective To explore the application effect of combined periodontal and pulpal therapy in patients with severe periodontitis. Methods A total of 26 patients (38 offending teeth) with severe periodontitis treated in outpatient department of stomatology in our hospital from March 2017 to March 2018 were randomly divided into study group and control group， with 13 cases (19 offending teeth) in each group. The study group was treated with combined periodontal and pulpal therapy， while the control group was treated with simple periodontal therapy. The patients were followed up for 6 months， the PDD， RAL， CEJ-BD， CEJ-AC and CADIA were compared between the two groups 3 and 6 months after treatment. Results After 3 and 6 months of treatment， PPD， RAL， CEJ-BD and CEJ-AC in the two groups were lower than those before treatment， and CADIA was higher than those before treatment， the differences were statistically significant (P<0.05). After 3 and 6 months of treatment， CEJ-BD， CEJ-AC and CADIA in the study group were lower than those in the control group， and higher than those in the control group， the differences were statistically significant (P<0.05). Conclusion Compared with simple periodontal therapy， combined periodontal and pulpal therapy is more conducive to the recovery of bone tissue and has better therapeutic effect.
[Key words] Combined periodontal and pulpal therapy; Severe periodontitis; Depth of periodontal pocket exploration; Relative attachment level
牙周炎是侵犯牙周支持組织和牙龈的慢性感染性破坏性疾病，是导致成年人牙齿丧失的主要原因，占总数的2/5以上[1]。正常情况下，牙槽嵴顶到釉牙骨质界的距离约1～2 mm，若>2 mm则视为牙槽骨吸收[2]。有研究显示，当牙槽嵴吸收超过根长的2/3后，牙髓病变的概率增加，牙髓病变反过来又会影响牙周组织的修复，形成恶性循环[3-4]。因此，部分学者认为治疗重度牙周炎时，不论是否出现牙髓症状，均应同时治疗牙周和牙髓[5-7]。本研究通过探讨牙周牙髓联合治疗的效果，为重度牙周炎提供更好的治疗方法，现报道如下。
1资料与方法
1.1一般资料
选取2017年3月～2018年3月我院口腔内科门诊治疗的26例(38颗患牙)重度牙周炎患者作为研究对象，随机分为研究组和对照组，每组各13例(19颗患牙)。研究组中，男7例(10颗患牙)，女6例(9颗患牙);年龄24～65岁，平均(32.57±12.55)岁。对照组中，男8例(11颗患牙)，女5例(8颗患牙);年龄23～65岁，平均(31.98±12.14)岁。两组患者的一般资料比较，差异无统计学意义(P>0.05)，具有可比性。本研究已经医院医学伦理委员会审核批准，并将治疗目的、方法和注意事项等告知患者及其家属，患者本人或家属均签署知情同意书。随访6个月，无一例失访。, 百拇医药(王红)