上海口腔医学

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (4): 437-440.doi: 10.19439/j.sjos.2017.04.018

• 论著 • 上一篇    下一篇

医学院学生牙周健康维护3年随访调查

葛琳华, 林智恺, 郭秋曼, 倪靖, 钱洁蕾, 束蓉   

  1. 上海交通大学医学院附属第九人民医院·口腔医学院 牙周病科,上海市口腔医学重点实验室,上海市口腔医学研究所,国家口腔疾病临床研究中心,上海 200011
  • 收稿日期:2017-03-03 修回日期:2017-05-18 出版日期:2017-08-25 发布日期:2017-09-01
  • 通讯作者: 束蓉,E-mail：shurong1977@163.com
  • 作者简介:葛琳华（1974-）,女,博士,主治医师,E-mail：lilyge2015@163.com
  • 基金资助:
    上海市科学技术委员会医学重点项目（13411951300）

Survey of periodontal health in medical college students after 3 years of periodontal health maintenance

GE Lin-hua, LIN Zhi-kai, GUO Qiu-man, NI Jing, QIAN Jie-lei, SHU Rong   

  1. Department of Periodontology, College of Stomatology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology and Shanghai Research Institute of Stomatology; National Clinical Research Center of Stomatology. Shanghai 20011, China
  • Received:2017-03-03 Revised:2017-05-18 Online:2017-08-25 Published:2017-09-01

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摘要： 目的观察评估青年人群的牙周病状况,以及干预措施对控制牙周病发展的作用。方法纳入153名医学院学生,随机分为A组（接受干预措施）和B组（未接受干预措施）,随访3 a。A组受试者纳入后进行口腔卫生宣教,详细讲解牙刷的选择、刷牙方式,牙线、牙缝刷的使用,同时根据纳入者实际情况给予牙周基础治疗,每隔半年再次进行口腔卫生宣教、牙周维护治疗,加强菌斑控制。比较随访前、后指数牙的菌斑软垢指数（debris index,DI）、牙石指数 （calculus index, CI）、探诊深度 （probing depth, PD）、临床附着丧失（clinical attachment loss, CAL）、探诊出血（bleeding on probing, BOP）和牙龈指数（gingival index, GI）的变化。采用SAS6.12软件包对数据进行统计学分析。结果3年后,实验组的CI、DI评分和基线相比显著下降（P<0.01）,对照组和基线相比无显著差异（P>0.05）。实验组和对照组之间PD、BOP、GI变化有显著差异（P<0.01）,CAL的变化也有显著差异（P<0.05）,对照组CAL的增加显著高于实验组。结论定期牙周健康维护及口腔卫生教育对人群牙周健康水平有积极影响。

关键词: 牙周病, 牙周健康维护, 口腔健康教育, 菌斑控制

Abstract: To observe and evaluate the status of periodontal disease in young people and the effect of intervention to control the development of periodontal diseases. METHODS: One hundred and fifty-three medical college students were randomly divided into group A (receiving interventions) and group B (no interventions). They were followed up for 3 years. The subjects in group A received oral health education, including selection of the toothbrush, the right way to brush teeth, the use of dental floss and interdental brush. At the same time ,they were given initial periodontal treatment according to the actual situation, and received oral health education, periodontal maintenance treatment, and reinforced plaque control every six months. The changes of debris index (DI), calculus index (CI), probing depth (PD), clinical attachment loss (CAL), bleeding on probing (BOP) and gingival index (GI) before and after interventions were compared. Statistical analysis was performed using SAS 6.12 software package. RESULTS: Three years later, CI and DI in group A declined significantly compared to the baseline (P< 0.01), but there was no significant changes in group B (P>0.05). There was significant difference in the changes of PD, BOP and GI between group A and B (P<0.01). Significant difference of the change of CAL between group A and B was also found(P<0.05), CAL in group B was significantly higher than that in group A. CONCLUSIONS: There are positive effects of regular periodontal health maintenance and oral health education on periodontal health.

Key words: Periodontal disease, Periodontal health maintenance, Oral health education, Plaque control

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