摘要
目的探讨与分析三种龈下冲洗液辅助治疗慢性牙周炎的临床效果。方法选取2016年6月～2017年6月就诊于航空总医院、北京市垂杨柳医院的400例中、重度慢性牙周炎患者的上颌第一磨牙作为实验牙齿,将其分为双氧水组、碘伏组、双氧水+碘伏组、生理盐水组,每组各100例。进行龈上洁治、龈下刮治和/或根面平整后,双氧水组、碘伏组、双氧水+碘伏组分别使用双氧水、碘伏、双氧水+碘伏行牙周袋内冲洗,生理盐水组采用0.9%生理盐水作为对照。每周冲洗1次,连续4周。治疗前与治疗后对比分析各组牙周检查指数[牙龈指数(GI)、出血指数(BI)、附着丧失(AL)、牙周袋深度(PD)]。结果治疗后,四组患者的GI、BI、AL及PD均较治疗前明显降低,且双氧水+碘伏组AL和PD均低于双氧水组、碘伏组、生理盐水组,差异均有统计学意义(P<0.05);治疗后,四组患者GI和BI比较,差异无统计学意义(P>0.05)。结论三种龈下冲洗液均可不同程度提高疗效,其中双氧水和碘伏合用对辅助治疗牙周炎效果更好。
Objective To investigate and analyze the clinical efficacy of three types of subgingival irrigation as adjunctive therapies in the treatment of chronic periodontitis. Methods A total of 400 maxillary first molar of patients with chronic periodontitis in the Aviation General Hospital and Beijing Chuiyangliu Hospital from June 2016 to June 2017 were selected and divided into hydrogen peroxide group, Iodophor group, hydrogen peroxide ＋ Iodophor group and NS group, with 100 patients in each group. After subgingival scaliing and or root planning, teeth to all the subjects, patients in hydrogen peroxide group, Iodophor group, and hydrogen peroxide ＋ Iodophor group were irrigated by hydrogen peroxide, Iodophor, hydrogen peroxide ＋ Iodophor, respectively, and the NS group was irrigated with 0.9% NS as the control. Once a week, for 4 weeks. Parameters including gingival index（GI）, bleeding index（BI）, attachment level（AL）and probing depth（PD） were compared before and after treatment. Results After treatment, GI, BI, AL and PD of patients in the four groups were significantly reduced, and the PD and AL of the hydrogen peroxide ＋ Iodophor group were significantly lower than those of the other three groups（P〈0.05）. After treatment, there was no significant difference in GI or BI among the four groups（P〈0.05）. Conclusion All the three types of subgingingival irrigation can improve the curative effect to different degrees, and compared with other simple subgingival irrigating solutions, hydrogen peroxide and Iodophor achieves better clinical effectiveness.
作者
宋元英
赵强
楚德国
徐健
王林
SONG Yuanying;ZHAO Qiang;CHU Deguo;XU Jian;WANG Lin(Department of Stomatology,Aviation General Hospital,Beijing 100012,China;Department of Stomatology,Beijing Chuiyangliu Hospital,Beijing 100022,China)
出处
《中国医药导报》
CAS
2018年第27期94-97,共4页
China Medical Herald
基金
北京市朝阳区科技计划项目(CYSF1621)
关键词
慢性牙周炎
龈下冲洗
碘伏
双氧水
Chronic periodontitis
Subgingival irrigation
Iodophor
Hydrogen peroxide
