[Clinical and clinico-histological markers in chronic destructive adult periodontitis].

Avances en periodoncia Pub Date : 1989-05-01
G Hernández Vallejo, M D García Rodríguez, J M Tejerina Lobo, A F López Sánchez, C De la Roca
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Abstract

This study was designed to evaluate the significance and interrelationship of clinical parameters and their association with histologic changes in advanced destructive periodontitis. 158 patients with PDI greater than 4 (Ramfjord) were selected, evaluating the size, contouring, bleeding, consistency, colour and gingival pain. Epithelial ulceration of soft periodontal pockets were also evaluated. The results showed a statistically significant association between purplish colour and gingival fibrosis and advanced stage of the disease. Gingival bleeding on probing was the most important clinical parameter in advanced phases of the disease, either alone or in association with other parameters such as the presence of epithelial ulcerations. The Periodontal Disease Index (Ramfjord) has proven effective in the evaluation of generalized patterns of disease.

慢性破坏性成人牙周炎的临床和临床组织学指标。
本研究旨在评估晚期破坏性牙周炎的临床参数及其与组织学变化的相关性。选择PDI大于4 (Ramfjord)的患者158例,评估其大小、轮廓、出血、稠度、颜色和牙龈疼痛。软牙周袋上皮溃疡也进行了评估。结果显示,紫色与牙龈纤维化和疾病晚期之间存在统计学上的显著关联。牙诊时的牙龈出血是疾病晚期最重要的临床参数,无论是单独的还是与其他参数(如上皮溃疡的存在)相关。牙周病指数(Ramfjord)已被证明在评估疾病的普遍模式有效。
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