上海口腔医学

上海口腔医学 ›› 2024, Vol. 33 ›› Issue (1): 80-84.doi: 10.19439/j.sjos.2024.01.014

• 论著 • 上一篇    下一篇

内镜辅助下无切口不翻瓣再生技术治疗牙槽骨角型吸收的效果评价

史佳虹1, 李静雯1, 蒋立姗1, 雷浪2, 李厚轩1   

  1. 1.南京大学医学院附属口腔医院,南京市口腔医院,南京大学口腔医学研究所 牙周病科,2.正畸科, 江苏 南京 210008
  • 收稿日期:2022-10-25 修回日期:2022-11-21 出版日期:2024-02-25 发布日期:2024-03-07
  • 通讯作者: 李厚轩,E-mail: lihouxuan3435_0@163.com
  • 作者简介:史佳虹（1992-）,女,硕士 ,主治医师,E-mail: camillashjh@163.com
  • 基金资助:
    南京市医学科技发展重点项目（ZKX19030,ZKX20047）; 南京市口腔疾病临床医学研究中心（2019060009）

A novel periodontal endoscopy-aided non-incisional periodontal regeneration technique：a case series study

SHI Jia-hong1, LI Jing-wen1, JIANG Li-shan1, LEI Lang2, LI Hou-xuan1   

  1. 1. Department of Periodontology, 2. Department of Orthodontics, Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Research Institute of Stomatology, Nanjing University. Nanjing 210008, Jiangsu Province, China
  • Received:2022-10-25 Revised:2022-11-21 Online:2024-02-25 Published:2024-03-07

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摘要： 目的: 探讨内镜辅助下无切口不翻瓣再生技术（non-incisional technique,NIT）治疗牙槽骨角型吸收的效果。方法: 选择13例重度牙周炎患者的13颗患牙,均存在邻面牙槽骨角型吸收, 在经过牙周基础治疗后6周接受NIT治疗。NIT治疗过程为在内镜下完成清创后填入骨再生材料,记录NIT治疗前及术后2年术区探诊深度（probing depth,PD）、临床附着水平（clinical attachment level,CAL）、牙龈退缩（gingival recession,GR）及影像学指标变化。采用SPSS 22.0软件包对数据进行统计学分析。结果: NIT术后2年随访结果与术前相比,CAL降低（3.65±2.10） mm（P<0.001）, PD降低 （4.42±1.66） mm（P<0.001）,GR为（0.38±0.87）mm （P=0.25）,影像学骨下袋深度降低显著（P<0.001）。结论: 对于牙槽骨角型吸收位点,NIT治疗可以在不翻瓣情况下获得良好的牙周再生效果。

关键词: 牙周炎, 内镜, 牙周再生, 微创治疗

Abstract: PURPOSE: To investigate the effect of endoscopy-aided non-incisional periodontal regeneration technique (NIT) in the treatment of alveolar bone angular resorption. METHODS: Thirteen patients with severe periodontitis(13 diseased teeth) were selected. All patients had alveolar bone angular resorption on adjacent surface. The patients received NIT treatment 6 weeks after periodontal primary therapy. The visualization of subgingival environment was acquired by the periodontal endoscopy. Following the removal of the subgingival plaque, calculus and intra-bony granulation tissue, bone grafting materials were placed into the intra-bony defects with the assistance of a delicate gingival protector. No flap was elevated and no sutures were applied. Probing depth (PD), gingival recession (GR), clinical attachment level (CAL), as well as radiographic parameters were evaluated at baseline and 2 years after treatment. SPSS 22.0 software package was used for data analysis. RESULTS: At 2-years follow-up, an average CAL gain of (3.65±2.10) mm (P<0.001), PD reduction of (4.42±1.66) mm (P<0.001), and minimal increase in GR of (0.38±0.87) mm (P=0.25) were observed. Alveolar bone was significantly improved at 2-years follow-up on radiographs (P<0.001). CONCLUSIONS: For angular resorption site of alveolar bone, NIT treatment can obtain good periodontal regeneration results without flap inversion.

Key words: Periodontitis, Endoscope, Periodontal regeneration, Minimally invasive therapy

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