上海口腔医学

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (4): 435-438.doi: 10.19439/j.sjos.2022.04.019

• 论著 • 上一篇    下一篇

牙周内镜辅助牙周非手术治疗对牙龈退缩的影响

陆卫青1,*, 张炜亮1,*, 向文静1, 刘宾益2, 曹伟玉3#, 杨一鸣4#   

  1. 1.上海市普陀区眼病牙病防治所 牙周病科,2.预防科,3.口腔修复科,上海 200060;
    4.上海交通大学医学院附属第九人民医院 口腔正畸科,国家口腔医学中心,上海交通大学口腔医学院,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海 200011
  • 收稿日期:2022-02-28 修回日期:2022-04-29 出版日期:2022-08-25 发布日期:2022-08-30
  • 通讯作者: 杨一鸣,E-mail:yymsherrya@hotmail.com;曹伟玉,E-mail:cweiyu0316@126.com。#共同通信作者
  • 作者简介:陆卫青（1968-）,男,硕士,副主任医师,E-mail: luweiqing0808@163.com;张炜亮（1983-）,男,本科,主治医师,E-mail:1020299210@qq.com。*并列第一作者

Clinical effectiveness evaluation of gingival recession by using perioscope as an adjunct to non-surgical periodontal therapy

LU Wei-qing1, ZHANG Wei-liang1, XIANG Wen-jing1, LIU Bin-yi2, CAO Wei-yu3, YANG Yi-ming4   

  1. 1. Department of Periodontology, 2. Department of Preventive Dentistry, 3. Department of Prosthodontics, Dental and Ophthalmic Clinic of Putuo District. Shanghai 200060;
    4. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China
  • Received:2022-02-28 Revised:2022-04-29 Online:2022-08-25 Published:2022-08-30

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摘要： 目的: 探讨牙周内镜辅助超声龈下刮治及根面平整术（scaling and root planing,SRP）对上颌侧切牙唇侧牙龈退缩的影响。方法: 从2020年6月—12月就诊于上海市普陀区眼病牙病防治所牙周病科的患者中收集36例中、重度慢性牙周炎患者作为受试者。采用单盲随机分口自身对照设计方案,先行全口超声龈上洁治术,2周后随机确定一侧上颌侧切牙行牙周内镜辅助下SRP（内镜组）,对侧侧切牙行常规SRP（ SRP组）作为对照,术后菌斑控制,记录基线、3个月和6个月时上颌侧切牙唇侧近中、中和远中3个位点的牙周探诊深度（PD）、附着丧失（AL）、牙龈退缩（GR）。采用SPSS 22.0软件包对2组治疗前后各项指标差异进行统计学分析。结果: 基线时内镜组和SRP组相比,各临床指标无显著差异。3个月时,内镜组的牙龈退缩量（ΔGR）显著小于SRP组（P<0.05）;3个月和6个月时,2组间的其他指标比较均无显著差异。与SRP组相比,内镜组PD的减少程度与AL的增加程度有更大趋势,治疗后3个月最明显。与基线相比,2组3个月和6个月时,PD、AL均有显著差异;实验组PD在3个月和6月个时相比,也有显著差异。3个月和6个月时相比,2组ΔGR均存在显著差异。结论: 牙周内镜辅助SRP清创彻底,创伤小,3个月时上颌侧切牙唇侧牙龈退缩减少量较常规SRP更少,美学效果优势凸显。

关键词: 牙周炎, 上颌侧切牙, 超声龈下刮治术, 根面平整术, 牙周内镜, 牙龈退缩

Abstract: PURPOSE: To investigate the effects of ultrasonic scaling and root planning(SRP) assisted by perioscope on gingival recession of maxillary lateral incisor. METHODS: Thirty-six outpatients with moderate to advanced chronic periodontitis from the Department of Periodontology at Dental and Ophthalmic Clinic of Putuo District from June 2020 to December 2020 were collected as research objects. Periodontal treatment was carried out according to a single-blind split-mouth self-control design randomly with(experimental group, namely perioscope group) or without(control group, namely SRP group) periodontal endoscope.The labial periodontal probing depth (PD), labial attachment loss (AL) and gingival recession(GR) in the maxillary lateral incisors were recorded at baseline, 3 and 6 months, and compared among groups by SPSS 22.0 software package. RESULTS: There was no significant difference between perioscope group and SRP group at baseline. ΔGR (the recession extent of gum within two observation time) in perioscope group was significantly smaller than that in SRP group at 3 months（P<0.05）. There was no significant difference in other periodontal indicators at 3 and 6 months between the 2 groups after treatment, but it can be found that the degree of PD reduction and AL improvement in perioscope group was more than those in SRP group, this trend was most obvious at 3 months. PD and AL were significantly different between baseline and 3 months or 6 months in the two groups. There were significant differences in ΔGR at 3 months and 6 months between the two groups. CONCLUSIONS: Compared with routine SRP, the extent of root surface debridement with perioscope-assisted SRP is thorough and less invasive, and the reduction of gingival recession of labial surface of maxillary lateral incisor at 3 months is significantly less; thus, the aesthetic effect is prominent.

Key words: Periodontitis, Maxillary lateral incisor, Ultrasonic scaling, Root planning, Periodontal endoscope, Gingival recession

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