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目的探讨广泛型侵袭性牙周炎患者接受5年牙周系统治疗的临床疗效。方法选择2006年1月至2007年1月在大连市口腔医院牙周黏膜科就诊的广泛型侵袭性牙周炎患者10例,进行5年的牙周系统治疗(牙周基础治疗、牙周手术治疗和牙周支持治疗),在牙周治疗前、牙周治疗后1~5年采用Florida探针检查记录探诊深度(PD)、附着丧失(CAL)、牙齿松动度(TM)、探诊出血(BOP)等临床指标,并进行统计分析。在治疗前和治疗后5年拍摄曲面断层片和第一磨牙的根尖片。结果牙周系统治疗后1~5年的PD、CAL均较治疗前有明显降低,BOP阳性位点较治疗前明显减少,TM较治疗前有明显改善,差异均有统计学意义(P<0.01)。治疗后5年较治疗后1~3年的BOP阳性位点明显减少,差异均有统计学意义(P<0.05)。结论广泛型侵袭性牙周炎患者经牙周系统治疗5年的临床疗效良好且稳定。
Objective To investigate the clinical efficacy of 5-year periodontal system treatment in patients with extensive aggressive periodontitis. Methods From January 2006 to January 2007, 10 patients with extensive aggressive periodontitis treated in the periodontal mucosa of Dalian Stomatological Hospital were treated with 5-year periodontal system treatment (periodontal basic treatment, periodontal surgery Treatment and periodontal support treatment). Before PD, 1 to 5 years after periodontal treatment, Florida probe was used to record PD, CAL, TM, Bleeding (BOP) and other clinical indicators, and statistical analysis. 5 years before treatment and after treatment of the first film of the curved surface of the film and the root tip film. Results The PD and CAL of the periodontal system 1 to 5 years after treatment were significantly lower than those before treatment, and the positive expression of BOP in the periodontal system was significantly lower than that before treatment. The TM was significantly improved compared with that before treatment (P <0.01) ). After 5 years of treatment, the BOP positive sites were significantly reduced from 1 to 3 years after treatment, with significant differences (P <0.05). Conclusion The clinical efficacy of periodontal system for 5 years in patients with extensive aggressive periodontitis is good and stable.